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Febrile Seizures in Children in a Low-Resource Setting: A Hospital-Based Cross-Sectional Study from Eastern Libya
Zinelabedin Mohamed1, Mohamed Baklola2, Aisha Ahmeedah1
1Faculty of Medicine, Tobruk University, Tobruk, Libya.
Avicenna Journal of Medicine
|April 20, 2026
Summary
Febrile seizures (FSs) are common in young children, with most cases being simple. A family history of epilepsy and high white blood cell counts are linked to complex FSs, guiding management in resource-limited areas.
Area of Science:
- Pediatrics
- Neurology
- Epidemiology
Background:
- Febrile seizures (FSs) are the most common seizure disorder in children under five.
- They cause parental distress and significant healthcare utilization.
- Limited data exist from low-resource settings.
Purpose of the Study:
- To assess the hospital-based prevalence of FSs in children in eastern Libya.
- To determine the clinical characteristics of FSs.
- To identify factors associated with FSs.
Main Methods:
- A retrospective cross-sectional study was conducted at Tobruk Medical Center.
- 140 children aged 6-60 months admitted with FSs were included.
- Data were extracted from medical records and caregiver interviews.
Main Results:
- The hospital-based prevalence of FSs was 5.7%.
- Simple FSs constituted 87.9% of cases; complex FSs were 12.1%.
- Family history of epilepsy (29.4% vs 6.5%) and higher white blood cell counts were associated with complex FSs.
Conclusions:
- FSs are common in young children in this resource-limited setting, predominantly simple types.
- Risk factors for complex FSs include family history of epilepsy and elevated white blood cell counts.
- These findings emphasize the need for risk stratification and tailored management strategies.
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