Document Detail


Evaluation and treatment of the child with febrile seizure.
MedLine Citation:
PMID:  16734052     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Up to 5 percent of children in North America and western Europe experience at least one episode of febrile seizure before six years of age. Most of these seizures are self-limited and patients do not require treatment. Continuous therapy after the seizure is not effective in reducing the development of afebrile seizures. Antipyretics are effective in reducing the risk of febrile seizures if given early in the illness. Immediate care for the patient who has had a febrile seizure includes stopping the seizure, if prolonged, and evaluating the patient for the cause of the fever. Bacterial infections are treatable sources of fever but are not usually the cause of the fever that triggers a seizure. The patient must be assessed for these treatable sources. Long-term consequences of febrile seizure are rare in children who are otherwise healthy. Current recommendations do not support the use of continuing or intermittent neuroleptic or benzodiazepine suppressive therapies after a simple febrile seizure.
Authors:
James S Millar
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American family physician     Volume:  73     ISSN:  0002-838X     ISO Abbreviation:  Am Fam Physician     Publication Date:  2006 May 
Date Detail:
Created Date:  2006-05-31     Completed Date:  2006-06-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1272646     Medline TA:  Am Fam Physician     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1761-4     Citation Subset:  AIM; IM    
Affiliation:
University of Oklahoma-Tulsa College of Medicine, Tulsa, Oklahoma, Department of Family Medicine, 74120, USA. james-millar@ouhsc.edu
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MeSH Terms
Descriptor/Qualifier:
Anticonvulsants / administration & dosage,  therapeutic use*
Child
Diazepam / administration & dosage,  therapeutic use*
Humans
Risk Factors
Seizures, Febrile / diagnosis*,  drug therapy*,  epidemiology
Chemical
Reg. No./Substance:
0/Anticonvulsants; 439-14-5/Diazepam

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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