Management Of Febrile Convulsions Research Articles

Management of febrile convulsion in home settings: a qualitative study of multiple caregiver practices in the Cape Coast Metropolis in Ghana

BackgroundFebrile convulsion (FC) among children is a common emergency concern received in hospitals and clinics. However, in Ghana, FC is commonly perceived as a non-hospital disease and usually managed at...

Effectiveness of Structured Teaching Programme on Knowledge of Mothers of Under-five Children regarding Management of Febrile Convulsions at Selected Wards of SKIMS, Soura, Srinagar

Background: Febrile convulsion is one of the most common paediatric problems worldwide; it can be frightening, emotionally traumatic and anxiety provoking for parents, particularly mothers, which may lead to mis management. Objectives: To assess the pre-test and post-test knowledge of mothers of under-five children, evaluate the effectiveness of the structured teaching programme on the knowledge of mothers of under-five children, and to find the association of their pre-test knowledge scores regarding the management of febrile convulsions with their selected demographic variables. Methodology: A quantitative research approach with pre-experimental one-group pre-test post-test design was used in this study conducted on 50 mothers at SKIMS, Soura, Srinagar. The assessment of knowledge was done by using a self-structured interview schedule. Results: The pre-test showed that 88% of respondents had inadequate knowledge, 12% had moderate knowledge, and none had adequate knowledge. Post-test showed that 78% had adequate knowledge, 22% had moderate knowledge, and none had inadequate knowledge. The mean post-test knowledge score of the study subjects was significantly higher than the mean pre-test knowledge score at 0.05 level of significance. There was a non-significant association of pre-test knowledge scores of study subjects regarding the management of febrile convulsions with their selected demographic variables. Conclusion: Majority of the study subjects had inadequate knowledge regarding the management of febrile convulsions which indicates that they need to gain awareness about the management of febrile convulsions. An increase in the knowledge of participants was seen after the administration of the structured teaching programme.

A study to assess the knowledge regarding management of febrile convulsions among mothers of under five children

Introduction: Febrile convulsions can be scary to watch. However, they may not cause lasting harm. Intelligence and other aspects of brain development don’t appear to be affected by febrile convulsions. The child having febrile convulsion doesn’t mean that the child has epilepsy, these are two different diagnoses. The aetiology of Febrile convulsions can be infections or sometimes after the dose of immunizations cause fever. Many studies suggest that febrile convulsions are common in under five children and is a challenging issue in hospital or home settings. Mothers are on forefront to take care of children in home settings. So, there is a need for the study to assess the knowledge of mothers regarding febrile convulsions. Materials and Methods: Research approach in this study, quantitative research approach was found to be appropriate to assess the knowledge regarding management of febrile convulsions among mothers of under five children at selected rural area of Ganderbal Kashmir. Research design: The research design selected for this study was Descriptive Survey Design. In the present study Structured Interview Schedule was administered to mothers of under five children Result: In this study it is find that 20%, were having inadequate, 57% were having moderate & 23% were having adequate knowledge regarding management of febrile convulsions. An also mean score was 40.62, median was 33.00, standard deviation was 8.1. The findings revealed that majority of mothers of under five children were having moderate knowledge, so they need to be educated and informed about management of febrile convulsions. Keywords: Febrile, Convulsions, Under five, Children, Mother

The Relationship Between Mother's Knowledge and Handling of Fever Seizures in Children aged 1-5 years in Central Village, Pancur Batu District in 2020

Febrile convulsion often found in children 3-5 years old. This problem is a seizure that occurs when the body temperature rises and is caused by the extracranium process. This research was to decide the relationship between mother’s knowledge and management of febrile convulsion in children 1-5 years old in the Tengah village of Pancur Batu district 2020. This research is a cross-sectional study. We used to simple random sampling technique with 30 respondents. We used a questionnaire for the instrument. The final results showed that the majority of mother's knowledge regarding the management of febrile seizures was in the good category (86.7%) and the majority of febrile seizure management was in the category (90.0%). The results of chi-square statistical test show there is a relationship between knowledge of the mother with the handling of febrile seizures in children in the Tengah village of Pancur Batu District in 2020 (p value = 0,039). This study is expected to be an alternative for health workers to increase the promotion and prevention of problems related to the first treatment of febrile seizures. A person's knowledge is a factor that can influence a mother to take action, the better the mother's knowledge of diseases or health problems, the better the handling and vice versa, if the mother's knowledge is less, the handling of health problems will be better. Health education to the community will be a means to increase knowledge about handling health problems in the community.

Recognition and management of febrile convulsions in children.

Febrile convulsions (FCs) are characterised by convulsions associated with fever in children aged between 6 months and 6 years. FCs are relatively common and affect 3-4% of children in western countries. This is the most common seizure disorder seen in children. The cause of febrile illness in FC is usually benign and most frequently due to acute viral infection. Convulsions secondary to an intracranial infection (e.g. meningitis, encephalitis) or from acute electrolyte imbalance should not be labelled as FCs. The diagnosis is based mainly on clinical history, and further investigations are generally unnecessary; management is largely symptomatic. Prolonged FC may need anticonvulsant medication to stop the seizure. Referral to paediatric neurologists may be considered in cases of complex or recurrent FC or in children where there is a pre-existing neurological disorder. One third of children with a first FC will develop a further FC during subsequent febrile illness; the likelihood increases in presence of other risk factors. This article outlines the presentation, management, investigations and prognosis for FC, and highlights how nurses in different clinical settings can provide education, support and counselling to help families return to normality after the event. An illustrative case study is also included to highlight the challenges faced by health professionals while managing children with this condition.

Effectiveness of Structured Teaching Programme on Knowledge Regarding Management of Febrile Convulsions Among Mothers of Under Five Children

Effectiveness of Structured Teaching Programme on Knowledge Regarding Management of Febrile Convulsions Among Mothers of Under Five Children

Management of febrile convulsions within the pre-hospital environment

Febrile convulsions are relatively common presentations to the ambulance service and occur in 2–5% of the population. A febrile convulsion is a convulsion associated with a temperature above 38oC in paediatrics aged between six months to six years with peak occurrence at 18 months of age. The majority of febrile convulsions (70%) are classed as simple febrile convulsions which are limited in duration with no long-term neurological impact on the child. These simple febrile convulsions can be safely managed within the community in many cases except where it is their first febrile convulsion, aged under 18 months old, are already on antibiotics or there is no obvious cause of infection resulting in the convulsion. The risk of a febrile convulsion being the sole indicator of epilepsy is extremely low.

A Study to Assess the Effectiveness of Structured Teaching Programme Regarding Knowledge on Management of Febrile Convulsion among Mothers of under Five Children in Rajarajeswari Medical College and Hospital, Bangalore

A Study to Assess the Effectiveness of Structured Teaching Programme Regarding Knowledge on Management of Febrile Convulsion among Mothers of under Five Children in Rajarajeswari Medical College and Hospital, Bangalore

Recognition and management of febrile convulsion in children

Febrile convulsion is characterised by convulsion associated with fever in an infant or child aged between six months and six years. The febrile illness causing the convulsion should not be secondary to an intracranial infection (meningitis or encephalitis) or acute electrolyte imbalance. Most cases of febrile convulsion are short lived and self-terminating. However, a few cases of prolonged febrile convulsion may need anticonvulsant medication to stop the seizure. Management is mainly symptomatic, although anticonvulsants may have a role in a small number of children with complex or recurrent febrile convulsion. Referral to paediatric neurologists may be necessary in cases of complex or recurrent febrile convulsion, or in those where a pre-existing neurological disorder exists. One third of children will develop a further febrile convulsion during subsequent febrile illness. Nurses have a vital role in managing children with febrile convulsion, educating parents about the condition and dispelling myths. This article outlines the presentation, management, investigations and prognosis for febrile convulsion, indicating how nurses working in different clinical areas can help to manage this common childhood condition.

The quality of written information for parents regarding the management of a febrile convulsion: a randomized controlled trial

To identify whether providing a new information leaflet for parents regarding the management of a febrile convulsion was more effective in comparison with standard leaflets. Although information leaflets are frequently recommended within healthcare, their quality is often poor. Furthermore, the evidence regarding the effectiveness of leaflets is inconsistent. Few studies have evaluated the effects of providing leaflets that have been developed to improve their quality. Within the specialty of paediatrics, parents are often unprepared regarding the management of febrile convulsion at home and the provision of supplementary leaflets is recommended, despite limited evidence regarding the effectiveness of this approach. There is also limited evidence regarding whether improving the quality of these leaflets leads to better outcomes, e.g. increasing parents' behavioural knowledge. Double-blind randomized controlled trial. One hundred and twenty-six parents of children hospitalized due to benign febrile convulsion were recruited (May 2000-February 2002). Seventy-one parents were randomized to receive the standard care (control leaflet) and 55 parents received the intervention (new leaflet). Data were collected from parents on discharge immediately prior to receiving the intervention and 7-14 days following the intervention via telephone interview. Parents who received the new leaflet found this to be more reassuring and easier to understand than parents who received the control leaflet. No differences between groups were identified regarding the primary outcome, i.e. behavioural knowledge and most of the secondary outcomes, e.g. perceived confidence, state anxiety and satisfaction with the leaflet. Although this study provides modest support for the effectiveness of providing high-quality leaflets, further research is required to determine the best methods for optimizing the effectiveness of leaflets provided at hospital discharge. The quality of leaflets may influence some outcomes, e.g. understanding and reassurance with the written information provided; however, additional strategies to inform parents may be necessary.

Orofacial injuries associated with prehospital management of febrile convulsion in Nigerian children

The aim of this prospective study was to determine in a population of pediatric patients with febrile convulsions the prevalence and pattern of orofacial and dental injuries caused by traditional remedies used in a suburban Nigerian community. Over the study period of 28 months, 75 cases of febrile convulsion presented to the Children's Emergency unit of our hospital. Of these, 27 children (36%) sustained orofacial injuries caused by forceful insertion of a spoon into the mouth (96.3%) or a bite (3.7%) during convulsive episodes. The ages of the patients ranged from 12 to 84 months with a mean 39.8 +/- 18.3 months. There were 15 males and 11 females with a male to female ratio of 1.4:1. The orofacial and dental injuries sustained from prehospital treatment at home were lacerations and bruising of soft tissues including lips, tongue, mucosa and commissures and tooth subluxation, displacement or avulsion. Other injuries sustained outside the mouth include second-degree burns to the feet, a chin laceration and facial bruises resulting from a fall. Many oral injuries were overlooked by pediatricians. Prompt recognition and appropriate management of febrile convulsion would be of great benefit to the pediatric patients.

Indices of nutritional status in children with febrile convulsion.

Febrile convulsion is a well known and researched problem but literature on the nutritional status of affected children is rather scanty, even from developing nations where malnutrition is a major cause or consequence of other diseases. Hendrickse 1 noted that convulsion was more frequent in well nourished than in malnourished children. Also, Familusi and Sinnette 2 observed nutrition to be average or above average in 99% of children with febrile convulsion in Ibadan, Nigeria. Malnutrition is known to increase the host's susceptibility to infections 3 while infections are the main causes of fever leading to febrile convulsion in the predisposed children. We have an ongoing study in which the objective of the study was to assess the nutritional status of children with febrile convulsion and to investigate any association between nutritional status and febrile illness. One hundred and fifteen children were admitted into the children's emergency ward of the Wesley Guild Hospital, Ilesa, Nigeria over a 12-month period where the diagnosis of febrile convulsion was studied. There were 59 boys and 56 girls. Sixty four (55.6%) of the patients had simple, while 51 (44.3%) had complex, febrile convulsion (a ratio of 1.3:1). The nutritional status of the patients was assessed by four anthropometric measurements viz: weight, height, mid upper arm circumference and head circumference. Using weight for age as the indicator, over two-thirds of the patients were assessed to be well nourished while the others were malnourished. Seven out of 22 (31.8%) malnourished children (WHZ 0.05). In conclusion, the data showed that febrile convulsion was more prevalent in well nourished than in malnourished children, and that among malnourished children, episodes of complex febrile convulsion were less than simple febrile convulsion. However, we could not establish a cause and effect relationship between nutritional status and febrile convulsion. The need to give all mothers health education on the prevention and management of febrile convulsion cannot be over emphasised. Further work is in progress.

Simple febrile convulsions: evidence for best practice.

Febrile convulsions are common in early childhood and may be the first sign of an illness. Witnessing the convulsion and experiencing the subsequent admission is extremely stressful for parents. Children's nurses need to identify the evidence for best practice in the management of febrile convulsions. Parent education is an essential component of the management of care.

Rectal Diazepam in the Management of Febrile Convulsions

Rectal Diazepam in the Management of Febrile Convulsions

The first febrile convulsion: an analysis of 108 children in Saudi Arabia.

In 108 children admitted to the Maternity and Children's Hospital, Riyadh with their first febrile convulsion, clinical course, management and underlying causes were analysed. There was a preponderance of boys (69%) and a mean age of 18.6 months with a peak incidence (82%) between six months and three years. The commonest precipitating conditions were upper respiratory infection and gastroenteritis. Physical findings were confined to those of the primary disease. Routine investigations, including CSF analysis were not helpful. Convulsions were mainly of the simple type, single and symmetrical, and did not last for more than 30 minutes. Two thirds of the children reached hospital within two hours of the onset of their first convulsion, and the remainder up to ten hours after the convulsion had ceased. In only 18 patients did the parents take measures to lower the temperature or revive the child. Management of febrile convulsions is discussed. Since the condition is common and, if repeated, may have serious effects, methods of educating parents are suggested.