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Prevalence of recent immunisation in children with febrile convulsions
1Leya Motala, Guy D Eslick, Whiteley-Martin Research Centre, Discipline of Surgery, Nepean Hospital, the University of Sydney, Penrith NSW 2751, Australia.
Insights
Recent immunisation is rare in children presenting with febrile convulsions. This study found a very low prevalence of recent vaccination in children with febrile seizures, though underreporting may affect results.
Area of Science:
- Pediatrics
- Epidemiology
- Immunology
Background:
- Febrile convulsions are common in young children.
- Understanding the role of recent immunisation in febrile convulsions is crucial for public health.
- Previous studies have explored links between vaccination and febrile seizures.
Purpose of the Study:
- To determine the prevalence of recent immunisation in children under 7 years old presenting with febrile convulsions.
- To assess the association between recent vaccinations and febrile convulsion episodes.
- To identify potential factors influencing febrile convulsions in young children.
Main Methods:
- Retrospective study of 78 children under seven presenting with febrile convulsions.
- Data collected from medical records at a tertiary referral hospital in Sydney.
- Analysis of vaccination status within 48 hours prior to presentation.
Main Results:
- Only one child (1.28%) received recent immunisation (Infanrix, Prevnar, Rotavirus).
- The majority of febrile convulsions were attributed to current infections.
- Underreporting of vaccination history was noted in medical records.
Conclusions:
- A very low prevalence of recent immunisation was observed in children with febrile convulsions.
- Recent vaccination is unlikely to be a primary trigger for febrile seizures in this cohort.
- Further research with comprehensive vaccination data is needed to confirm these findings.
Aim:
To determine the prevalence of recent immunisation amongst children under 7 years of age presenting for febrile convulsions.
Methods:
This is a retrospective study of all children under the age of seven presenting with febrile convulsions to a tertiary referral hospital in Sydney. A total of 78 cases occurred in the period January 2011 to July 2012 and were included in the study. Data was extracted from medical records to provide a retrospective review of the convulsions.
Results:
Of the 78 total cases, there were five medical records which contained information on whether or not immunisation had been administered in the preceding 48 h to presentation to the emergency department. Of these five patients only one patient (1.28% of the study population) was confirmed to have received a vaccination with Infanrix, Prevnar and Rotavirus. The majority of cases reported a current infection as a likely precipitant to the febrile convulsion.
Conclusion:
This study found a very low prevalence of recent immunisation amongst children with febrile convulsions presenting to an emergency department at a tertiary referral hospital in Sydney. This finding, however, may have been distorted by underreporting of vaccination history.
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