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Best practices for the management of febrile seizures in children

Alessandro Ferretti1, Antonella Riva2,3, Alice Fabrizio4

  • 1Pediatrics Unit, Neurosciences, Mental Health and Sensory Organ (NESMOS) Department, Faculty of Medicine and Psychology, S. Andrea Hospital, Sapienza University, via di Grottarossa 1035/1039, Rome, 00189, Italy. alessandro.ferretti@uniroma1.it.

Italian Journal of Pediatrics
|May 12, 2024
PubMed

Insights

Febrile seizures (FS) are common in children and usually benign, but can distress families. This review supports physicians in managing FS and communicating with families about treatment and prognosis.

Area of Science:

  • Pediatrics
  • Neurology

Background:

  • Febrile seizures (FS) are frequently encountered in pediatric care.
  • Despite a generally benign prognosis, FS can cause significant parental distress and varied clinical management.
  • Effective communication and management strategies are crucial.

Purpose of the Study:

  • To provide an in-depth review of febrile seizure management.
  • To explore therapeutic interventions and prognostic factors for febrile seizures.
  • To support healthcare professionals in managing FS and communicating with families.

Main Methods:

  • Comprehensive literature search of PubMed and Web of Science databases over the past 50 years.
  • Included search terms: "febrile seizure," "complex febrile seizure," "simple febrile seizure," "children," "infant."
  • Focused on English-language studies and evidence-based data, with cross-referencing for additional sources.

Main Results:

  • The review synthesizes current knowledge on febrile seizure management.
  • Identifies key therapeutic interventions and prognostic indicators.
  • Highlights the importance of physician support and family communication.

Conclusions:

  • Febrile seizures require careful management and clear communication strategies.
  • Understanding prognostic factors aids in reassuring families and guiding clinical decisions.
  • This review offers a resource for healthcare providers managing febrile seizures.

Keywords:
ChildrenFebrile seizureManagementPrognostic factorsRecommendations for caregiversRed flags

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