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New guidelines for management of febrile seizures in Japan
Jun Natsume1, Shin-Ichiro Hamano2, Kuniaki Iyoda3
1Department of Pediatrics, Nagoya University Graduate School of Medicine, Nagoya, Japan; Department of Developmental Disability Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Insights
The 2015 Japanese guidelines for managing febrile seizures were updated after 19 years. These guidelines cover emergency care, diagnostics, and treatments for children experiencing febrile seizures.
Area of Science:
- Neurology
- Pediatrics
- Clinical Practice Guidelines
Background:
- The previous guidelines for febrile seizures in Japan were established in 1996.
- Significant advancements in medical evidence and public health necessitated an update.
- The Japanese Society of Child Neurology initiated a working group in 2012 to revise the guidelines.
Purpose of the Study:
- To present the updated clinical guidelines for the management of febrile seizures in children.
- To incorporate recent medical evidence and address current public health considerations.
- To provide comprehensive recommendations for clinicians.
Main Methods:
- A working group was formed by the Japanese Society of Child Neurology in 2012.
- The group reviewed existing literature and clinical practices.
- New guidelines were published in March 2015.
Main Results:
- The 2015 guidelines encompass emergency care, electroencephalography (EEG) use, neuroimaging, prophylactic diazepam, antipyretics, specific medications, and vaccines.
- Updated clinical recommendations are provided for managing febrile seizures.
- The guidelines aim to standardize care for children with febrile seizures.
Conclusions:
- The updated guidelines offer current recommendations for febrile seizure management.
- Further clinical research is required to address remaining questions and refine treatment protocols.
- These guidelines serve as a crucial resource for healthcare professionals in Japan.
Abstract:
In 2015, the Japanese Society of Child Neurology released new guidelines for the management of febrile seizures, the first update of such guidelines since 1996. In 1988, the Conference on Febrile Convulsions in Japan published "Guidelines for the Treatment of Febrile Seizures." The Task Committee of the Conference proposed a revised version of the guidelines in 1996; that version released in 1996 was used for the next 19years in Japan for the clinical management of children with febrile seizures. Although the guidelines were very helpful for many clinicians, new guidelines were needed to reflect changes in public health and the dissemination of new medical evidence. The Japanese Society of Child Neurology formed a working group in 2012, and published the new guidelines in March 2015. The guidelines include emergency care, application of electroencephalography, neuroimaging, prophylactic diazepam, antipyretics, drugs needing special attention, and vaccines. While the new guidelines contain updated clinical recommendations, many unsolved questions remain. These questions should be clarified by future clinical research.
