Efficacy of a diazepam suppository at preventing febrile seizure recurrence during a single febrile illness.

Abstract:

PURPOSE:To assess the efficacy of diazepam suppositories at preventing febrile seizure recurrence during a single febrile illness to determine how to treat children with a febrile seizure on presentation at the hospital. METHODS:We studied 203 children with febrile seizures from December 2004 through March 2006. On admission between December 2004 and May 2005, a diazepam suppository was administered to the patients. Patients seen between June 2005 and March 2006 were not treated with antiepileptic drugs on admission. RESULTS:We saw a significant difference in the rate of recurrence of febrile seizures between children treated with diazepam and those who were not. Recurrences were observed in 2 (2.1%) of 95 children treated with diazepam and in 16 (14.8%) of 108 untreated children. For the 108 untreated patients, the median age was 22.8 months in those with recurrences and 30.6 months in those without, confirming that a younger age was related to a recurrence. CONCLUSIONS:A diazepam suppository after a febrile seizure will reduce the incidence of recurrent febrile seizures during the same febrile illness. However, a diazepam suppository after a febrile seizure should be used after carefully considering the benefits and potential adverse effects.

journal_name

Brain Dev

journal_title

Brain & development

authors

Hirabayashi Y,Okumura A,Kondo T,Magota M,Kawabe S,Kando N,Yamaguchi H,Natsume J,Negoro T,Watanabe K

doi

10.1016/j.braindev.2008.07.010

subject

Has Abstract

pub_date

2009-06-01 00:00:00

pages

414-8

issue

6

eissn

0387-7604

issn

1872-7131

pii

S0387-7604(08)00174-5

journal_volume

31

pub_type

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