Prevalence of bacterial illness in child presenting with first simple febrile seizure
Journal Title: Medpulse International Journal of Pediatrics - Year 2018, Vol 8, Issue 1
Abstract
Background: Febrile convulsion is a most common convulsive disorder of childhood and comprising of frequent visits in emergency department. The issue of whether a well appearing child presenting with an FSFS is at increased risk for bacterial meningitis has remained controversial and if missed can lead fatal complications. Aim: To find out the prevalence of serious bacterial illness (SBI) in children presenting with first simple febrile seizure.Material and Methods: This prospective study was carried out in total 102 patients of between 6 months and 5 years of age group admitted with first simple febrile seizure (according to AAP criteria).Results: Out of 102 cases, 21 (20.6%) cases were attributed to bacterial in origin. On blood culture, 16 showed growth of bacteria. Out of which 8 (50%) were CONS, 6 (37.5%) Streptococcus pneumoniae and 2 (12.5%) were Pseudomonas aeruginosa. Hence, significant bacteremia was present in 8 (7.8%) cases and 75% cases were within two years of age. A total of 17 abnormal CSF was found and 4 cases showed organisms on Gram staining. All were Gram positive cocci. Conclusion: Children, especially under one-year age group and male gender, if they present with febrile seizures should be screened for probable presence of bacterial meningitis.
Authors and Affiliations
Pallavi . , Priyanka Akka
Keywords
Related Articles
- EP ID EP444000
- DOI 10.26611/1014818
- Views 214
- Downloads 0
Epidemiological profile of hypertension and various risk factors in adolescents
Background: Primary hypertension hasbeen now shown to be most common among adolescents, and usuallypresents as stage I hypertension along with a positive family history. Secondary hypertension has various systemic causes...
Prevalence of obesity and overweight in school going children between 6 years to 16 years of age
Background: Obesity is nothing but excess accumulation of fat in subcutaneous tissue and other parts of organs. Asians are more vulnerable to the adverse effects of obesity because Asians have 3 to 5% higher body fat whi...
Study of extra-cardiac anomalies in children with congenital heart diseases
Background:Congenital heart diseases are frequently associated with other non-cardiac congenital malformations and may require intervention of a surgical or medical care independently from the cardiac problem. For these...
A cross sectional study of etiology and characteristics of epilepsy and febrile seizures among children in a tertiary care centre
Background: Febrile seizures (FS) is one of the common convulsive events in children Aims and Objectives: To studyetiology and characteristics of epilepsy and febrile seizures among children in a tertiary care centre. Me...
Prevalence pattern of feeding practices among young children in rural area
Background: Optimum nutrition is essential for child survival and Quality of survival. The word nutrition is derived from nutricus which means “Tosuckle at the breast Aims and Objectives: To study Prevalence pattern of f...