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Clinical Practice Guideline -Febrile Seizures: Guideline for the Neurodiagnostic Evaluation of the Child with a Simple Febrile Seizure
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American Academy of Pediatrics, Subcommittee on Febrile Seizures. This comprehensive clinical practice guideline from the AAP critically weighs current evidence on the necessity, yield and potential harm of commonly performed diagnostic procedures in children who present with a first simple febrile seizure. Recommendations for management are designated as either a Strong Recommendation or an Option
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American Academy of Pediatrics, Subcommittee on Febrile Seizures. Clinical Practice Guideline -Febrile Seizures: Guideline for the Neurodiagnostic Evaluation of the Child With a Simple Febrile Seizure. Pediatrics 2011; 127:389-394. This comprehensive clinical practice guideline from the AAP critically weighs current evidence on the necessity, yield and potential harm of commonly performed diagnostic procedures in children who present with a first simple febrile seizure. Recommendations for management are designated as either a Strong Recommendation or an Option.
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Practice parameter: The neurodiagnostic evaluation of the child with a first simple febrile seizure
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American Academy of Pediatrics, Provisional Committee on Quality Improvement, Subcommittee on Febrile Seizures.
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American Academy of Pediatrics, Provisional Committee on Quality Improvement, Subcommittee on Febrile Seizures. Practice parameter: the neurodiagnostic evaluation of the child with a first simple febrile seizure. Pediatrics 1996; 97:769-772.
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Febrile seizures: Clinical practice guideline for the long-term management of the child with simple febrile seizures
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American Academy of Pediatrics, Steering Committee on Quality Improvement and Management, Subcommittee on Febrile Seizures This is an update of the 1999 American Academy of Pediatrics practice parameter on long-term treatment of simple febrile seizures. It provides evidence-based and specific guidelines on the use of antipyretics, continuous anticonvulsants and intermittent anticonvulsants in the prevention of recurrent simple febrile seizures
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American Academy of Pediatrics, Steering Committee on Quality Improvement and Management, Subcommittee on Febrile Seizures. Febrile seizures: clinical practice guideline for the long-term management of the child with simple febrile seizures. Pediatrics 2008; 121:1281-1286. This is an update of the 1999 American Academy of Pediatrics practice parameter on long-term treatment of simple febrile seizures. It provides evidence-based and specific guidelines on the use of antipyretics, continuous anticonvulsants and intermittent anticonvulsants in the prevention of recurrent simple febrile seizures.
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This is a clinically pertinent review of febrile seizure management in the era of high coverage rates with Haemophilus influenzae type b and S. pneumoniae vaccines. The authors discuss the likelihood of associated infectious diagnoses, as well as the risk of recurrence and the pros and cons of medications used to prevent subsequent seizures. It was published just prior to the AAP clinical practice guideline on the work-up of children with simple febrile seizures
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Hampers LC, Spina LA. Evaluation and management of pediatric febrile seizures in the emergency department. Emerg Med Clin North Am 2011; 29:83-93. This is a clinically pertinent review of febrile seizure management in the era of high coverage rates with Haemophilus influenzae type b and S. pneumoniae vaccines. The authors discuss the likelihood of associated infectious diagnoses, as well as the risk of recurrence and the pros and cons of medications used to prevent subsequent seizures. It was published just prior to the AAP clinical practice guideline on the work-up of children with simple febrile seizures.
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Yield of lumbar puncture among children who present with their first complex febrile seizure
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This large study from an urban US tertiary care children's hospital highlights the low prevalence of bacterial meningitis since the mid-1990s, even in children who met the definition of complex febrile seizures
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Kimia A, Ben-Joseph EP, Rudloe T, et al. Yield of lumbar puncture among children who present with their first complex febrile seizure. Pediatrics 2010; 126:62-69. This large study from an urban US tertiary care children's hospital highlights the low prevalence of bacterial meningitis since the mid-1990s, even in children who met the definition of complex febrile seizures.
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This large study included both simple and complex febrile seizures in an urban Indian tertiary care hospital. The prevalence of bacterial meningitis was very low in simple febrile seizure patients. The presence of neurologic deficits was the most reliable predictor of meningitis
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Batra P, Gupta S, Gomber S, Saha A. Predictors of meningitis in children presenting with first febrile seizures. Pediatr Neurol 2011; 44:35-39. This large study included both simple and complex febrile seizures in an urban Indian tertiary care hospital. The prevalence of bacterial meningitis was very low in simple febrile seizure patients. The presence of neurologic deficits was the most reliable predictor of meningitis.
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American Academy of Pediatrics, Steering Committee on Quality Improvement and Management, Subcommittee on Urinary Tract Infection. Urinary Tract Infection: Clinical PracticeGuideline for the Diagnosis and Management of the Initial UTI in Febrile Infants and Children 2 to 24 Months. Pediatrics 2011; 128:595-610.
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