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:: Volume 6, Issue 2 (Summer 2006) ::
J Ardabil Univ Med Sci 2006, 6(2): 132-136 Back to browse issues page
Comparing Febrile Convulsion Therapy Guidelines with Current Practices in First Simple Febrile Convulsion
Nader Pashapour , Ali Macooei, Vahid Sheikhi
Abstract:   (6242 Views)

  Background&Objectives: Febrile convulsion is a disease with good prognosis but its mismanagement leads patients to serious complications. T his study was conducted to compare practice guidelines with current practices in the management of children with first febrile convulsion.

  Methods: This descriptive-analytical study was conducted on patients hospitalized with the diagnosis of first febrile convulsion in Imam-Khomeni hospital of Urmia in 2004. The data were collected from their hospital records. Practice guidelines of the American Academy of Pediatrics (AAP) were employed as reference. Current practices were compared with AAP recommended practice parameter about simple febrile seizure. Investigations performed included lumbar puncture, complete blood count, CRP, ESR, blood glucose, serum calcium, serum electrolytes, renal function tests, urinalysis, urine, and blood culture, chest X-ray, EEG and CT scan.

  Results: T wo hundred fifty one cases aged 6-60 months were studied. Complete blood count, ESR, CPR, blood glucose, serum calcium, serum electrolytes, renal function tests, urinalysis, urine culture, and blood culture in all cases (100%), lumbar puncture in 10%, chest X-ray in 24%, EEG in 1.4% and CT scan in 0.65% of cases were the measurements conducted.

  Conclusions: The present study showed that the use of unnecessary investigations was common. Investigations, though costly, proved to be of little diagnostic value. This problem can be alleviated through a well-organized national program or observing AAP practical guidelines.

Keywords: Fever, Convulsion, Febrile Convulsion
Full-Text [PDF 144 kb]   (1548 Downloads)    
Type of Study: article | Subject: Special
Received: 2005/09/7 | Accepted: 2006/08/20 | Published: 2006/11/29
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Pashapour N, Macooei A, Sheikhi V. Comparing Febrile Convulsion Therapy Guidelines with Current Practices in First Simple Febrile Convulsion . J Ardabil Univ Med Sci. 2006; 6 (2) :132-136
URL: http://jarums.arums.ac.ir/article-1-443-en.html


Volume 6, Issue 2 (Summer 2006) Back to browse issues page
مجله دانشگاه علوم پزشکی اردبیل Journal of Ardabil University of Medical Sciences
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