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[Treatment of febrile convulsions in infants]
1Service de pédiatrie générale et urgences pédiatriques, hôpital Robert-Debré, Paris, France.
Insights
This guideline recommends intrarectal diazepam for acute complex febrile seizures. For preventing recurrence, it suggests daily sodium valproate or intermittent diazepam during fevers.
Area of Science:
- Pediatric Neurology
- Clinical Management Guidelines
Context:
- Febrile seizures are common in children.
- Management strategies require clear guidelines.
Purpose:
- To outline current best practices for managing febrile seizures.
- To provide evidence-based recommendations for treatment and prevention.
Summary:
- First-line therapy for acute complex or prolonged febrile seizures is intrarectal diazepam (0.5 mg/kg).
- Preventive strategies for seizure recurrence include daily monotherapy (preferably sodium valproate) or intermittent diazepam during febrile episodes.
Impact:
- Aims to standardize care and improve outcomes for children with febrile seizures.
- Provides clinicians with a clear framework for effective febrile seizure management.
Abstract:
Guidelines for the management of febrile seizures are presented. Intrarectal administration of diazepam (0.5 mg/kg) is the first line therapy for complex or prolonged seizures. Preventive treatment of recurrence is mainly indicated in case of complex seizures using either prolonged daily monotherapy, preferentially sodium valproate, or intermittent administration of diazepam during febrile illnesses.