Study of bacteremia and febrile convulsions in pediatric patients

Manoj Ghogare
2017 MedPulse International Journal of Pediatrics   unpublished
Febrile Seizures are a common pediatric problem, occurring in 2% to 5% of all children. The examination of children who present to the emergency department (ED) with a febrile seizure is controversial Aims and Objectives: To study bacteremia and febrile convulsions in pediatric patients. Methodology: After approval from institutional ethical committee this cross-sectional study was carried out in the department of the pediatrics of a tertiary health care center during year January 2016 to
more » ... nuary 2016 to January 2017. All the patients with fever who referred for bacterial culture during the study period were included into the study. So, during the study period there were 40 included out of that 26 found to have with febrile convulsions. The culture preparation was done with standard bacteriological protocols. The statistical analysis was done by Chi-square test calculated by SPSS 19 version software. Result: The majority of the patients were in the age group of 1-2 i.e. 73.08%, followed by 2-3 were 34.62 %, 0-1 were 26.92 %,>3 were 3.85%. The majority of the patients were Male i.e. 65.38% followed by Females i.e. 34.62%. The absence of Bacteria in the patients of Febrile convulsion was significantly associated with the patients of Febrile convulsions. (Chi-square with Yates' correction, X 2 =7.962, df=1, P<0.0048) Only 7 patients out of the 26 patients of febrile convulsions were positive for the culture the most common organism was Streptococcus Pneumonae-57.14%, H.influenzae, E.Coli, Klebsiella-14.29%. Convulsion: The absence of Bacteria in the patients of Febrile convulsion was significantly associated with the patients of Febrile convulsions so the management in these patients should be directed to control seizure not the infective etiology.
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