Prophylactic diazepam or phenobarbitone in febrile convulsions: a prospective, controlled study.

Abstract:

:After their first episode of febrile convulsions, 195 previously healthy children, aged 6--30 months, were given either diazepam or phenobarbitone for a year. Each child was assigned at random to one of the two medications: children admitted on even days were given a suppository containing 5 mg diazepam every 8 hours when the rectal temperature was greater than or equal to 38.5 degree C. Children admitted on odd days were given treatment with phenobarbitone, 3.5 +/- 1 mg/kg per day. 156 children completed treatment and outpatient control for a year, 83 in the diazepam and 73 in the phenobarbitone group. The rate of recurrence was independent of the prophylactic and 15--16 % of the children in both groups had new febrile convulsions within a year. The recurrence rate after 6 months was also similar, 11% in the diazepam group and 9% in the phenobarbitone group. New convulsions were of similar duration and severity in both groups. In both groups 6% of all febrile episodes led to new convulsions. Long-term treatment with phenobarbitone thus offered no advantage over intermittent diazepam.

journal_name

Arch Dis Child

authors

Knudsen FU,Vestermark S

doi

10.1136/adc.53.8.660

subject

Has Abstract

pub_date

1978-08-01 00:00:00

pages

660-3

issue

8

eissn

0003-9888

issn

1468-2044

journal_volume

53

pub_type

临床试验,杂志文章,随机对照试验
  • Staff stress and job satisfaction at a children's hospice.

    abstract::A study of staff stress and job satisfaction was undertaken in a children's hospice. In addition factors were investigated which might be stressful or which helped staff to manage in difficult circumstances. Three quarters were under comparatively little stress and in general showed very few psychological symptoms but...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.64.1.114

    authors: Woolley H,Stein A,Forrest GC,Baum JD

    更新日期:1989-01-01 00:00:00

  • Dissolution of bilateral staghorn cystine renal calculi.

    abstract::Bilateral staghorn renal calculi in a 7-year-old girl with cystinuria were dissolved over a period of 6 months, using a high fluid intake, urinary alkalinisation, and D-penicillamine. Even in children with extensive cystine urolithiasis, medical management may avert the need for surgery. ...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.54.10.795

    authors: Van Dugteren GR,Wiggelinkhuizen J

    更新日期:1979-10-01 00:00:00

  • Malaria and the Millennium Development Goals.

    abstract::Malaria, as a key disease of poverty, was singled out for special attention in the Millennium Project of 2000. Recent data suggest that malaria incidence and mortality are now declining all over the world. While these figures are cause for celebration, they must be interpreted carefully and with caution, particularly ...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/archdischild-2013-305441

    authors: Owens S

    更新日期:2015-02-01 00:00:00

  • An overview of respiratory problems in children with Down's syndrome.

    abstract::Respiratory disease is a common cause of morbidity and mortality in children with Down's syndrome (DS). Causes range from those problems common to many children with DS, such as a narrow airway or impaired immunity, to rare structural lesions, such as tracheal bronchus. Additionally, other organ systems or extrinsic f...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章,评审

    doi:10.1136/archdischild-2013-304611

    authors: Watts R,Vyas H

    更新日期:2013-10-01 00:00:00

  • Mannosidosis. Clinical and biochemical study.

    abstract::The clinical, radiological, and biochemical features of 2 male children with mannosidosis are described. Superficially they appeared to suffer from Hurler's syndrome, but the facies, eye signs, radiological and cytological features were atypical. Excess urinary oligosaccharides were found by thin-layer chromatography....

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.52.12.937

    authors: Milla PJ,Black IE,Patrick AD,Hugh-Jones K,Oberholzer V

    更新日期:1977-12-01 00:00:00

  • Tuberculosis in the United Kingdom and Republic of Ireland.

    abstract:AIMS:To describe the clinical features, diagnosis and management of children with tuberculosis in the United Kingdom and Republic of Ireland. METHODS:Cases of culture-confirmed and clinically diagnosed tuberculosis were reported to the British Paediatric Surveillance Unit from December 2003 to January 2005. RESULTS:3...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章,多中心研究

    doi:10.1136/adc.2007.133645

    authors: Teo SS,Riordan A,Alfaham M,Clark J,Evans MR,Sharland M,Novelli V,Watson JM,Sonnenberg P,Hayward A,Moore-Gillon J,Shingadia D,British Paediatric Surveillance Unit Childhood Tuberculosis Study Group.

    更新日期:2009-04-01 00:00:00

  • Comparison in use of health services between a deprived and an endowed community.

    abstract::Two hundred and twenty eight deprived children were compared with a matched sample of more endowed children living in the same urban area. Both groups were served by the same experienced primary health care team. The deprived group had a significantly higher number of general practitioner consultations and admissions ...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.62.4.392

    authors: Marsh GN,Channing DM

    更新日期:1987-04-01 00:00:00

  • Obesity and respiratory symptoms in primary school.

    abstract::The association of weight for height and triceps skinfold with seven respiratory symptoms has been examined using logistic regression analysis in 7800 5 to 11 year old children (6200 in England and 1600 in Scotland). The results support the view that overweight children have a greater liability to some respiratory sym...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.59.10.940

    authors: Somerville SM,Rona RJ,Chinn S

    更新日期:1984-10-01 00:00:00

  • Acute renal failure in early life.

    abstract::Data are presented on 25 children under 2 years of age with acute renal failure treated by peritoneal dialysis. The clinical features, treatment, complications, and outcome of the illnesses are described. 22 (88%) survived, and though the incidence of serious complications during the illness was high most regained ful...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.51.6.459

    authors: Griffin NK,McElnea J,Barratt M

    更新日期:1976-06-01 00:00:00

  • Lung function in children after repair of congenital diaphragmatic hernia.

    abstract::Sixteen children who had had congenital diaphragmatic herniae repaired either in the neonatal period (11), or in early childhood (5), were reviewed at between 7 and 19 years of age. Only minor abnormalities were shown in their chest x-rays and in a variety of lung function tests. This suggests that the long-term progn...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.52.11.902

    authors: Kerr AA

    更新日期:1977-11-01 00:00:00

  • Guillain-Barré syndrome in three siblings less than 2 years old.

    abstract::Three of five children who were born to consanguineous parents developed Guillain-Barré syndrome before they were 3 years old. The syndrome is rare in early childhood and we suggest that there may be a genetic element in the pathogenesis. ...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.66.9.1078

    authors: Bar-Joseph G,Etzioni A,Hemli J,Gershoni-Baruch R

    更新日期:1991-09-01 00:00:00

  • Inappropriate oral formulations and information in paediatric trials.

    abstract::Previously, quality of formulations information provided for oral medications used in paediatric clinical trials published in 10 highly cited journals between 2002 and 2004 raised concerns. This short report explores if there was any subsequent improvement on how the formulations used in trials involving children <12 ...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.2009.175661

    authors: Pandit S,Shah U,Kirby DJ,Nunn T,Tuleu C

    更新日期:2010-09-01 00:00:00

  • A systematic review of paediatric randomised controlled drug trials published in 2007.

    abstract:OBJECTIVE:To elucidate the current situation of randomised drug trials involving the paediatric population. METHODS:Systematic review of paediatric randomised controlled trials of medicinal products published in 2007. Three major databases were searched with validated search strategies; Medline, Embase and Cochrane Ce...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章,评审

    doi:10.1136/adc.2009.173591

    authors: Aripin KN,Choonara I,Sammons HM

    更新日期:2010-06-01 00:00:00

  • Achondroplasia Foramen Magnum Score: screening infants for stenosis.

    abstract:BACKGROUND:Achondroplasia is associated with foramen magnum stenosis (FMS) and significant risk of morbidity and sudden death in infants. A sensitive and reliable method of detecting infants who require decompressive surgery is required. This study aims to describe the incidence and severity of FMS in an unselected, se...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/archdischild-2020-319625

    authors: Cheung MS,Irving M,Cocca A,Santos R,Shaunak M,Dougherty H,Siddiqui A,Gringras P,Thompson D

    更新日期:2021-02-01 00:00:00

  • Prospective surveillance study of medium chain acyl-CoA dehydrogenase deficiency in the UK.

    abstract:BACKGROUND:Medium chain acyl-CoA dehydrogenase (MCAD) deficiency is a common disorder of fatty acid oxidation in north west Europe. It is very variable in its clinical consequences and is believed to be considerably underdiagnosed. OBJECTIVE:To investigate the diagnosis and outcome of MCAD deficiency in the UK. METHO...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.79.2.116

    authors: Pollitt RJ,Leonard JV

    更新日期:1998-08-01 00:00:00

  • Parents measuring pulses; an observational study.

    abstract::Parent reported pulse rates could provide important information on a child's clinical condition. The agreement between the parent's measurement of their child's pulse and a pulse oximeter was assessed following a brief educational intervention. Parents can be taught to measure the pulse of school age children, but hav...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.2002.025643

    authors: White J,Shepperd S,Yudkin P,Harnden A,Mant D

    更新日期:2004-03-01 00:00:00

  • Treatment of pseudomonas aeruginosa colonisation in cystic fibrosis.

    abstract::To test whether early treatment could postpone the chronic colonisation of the respiratory tract with mucoid strains of Pseudomonas aeruginosa in patients with cystic fibrosis, we performed a pilot study in 28 patients aged 2 to 18 years. A two week course of azlocillin (150 mg/kg/day) and tobramycin (10 to 15 mg/kg/d...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.64.7.1022

    authors: Steinkamp G,Tümmler B,Malottke R,von der Hardt H

    更新日期:1989-07-01 00:00:00

  • Evaluation of delayed puberty: what diagnostic tests should be performed in the seemingly otherwise well adolescent?

    abstract::Delayed puberty (DP) is defined as the lack of pubertal development by an age that is 2-2.5 SDs beyond the population mean. Although it generally represents a normal variant in pubertal timing, concern that DP could be the initial presentation of a serious underlying disorder has led to a diagnostic approach that is v...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章,评审

    doi:10.1136/archdischild-2015-310375

    authors: Abitbol L,Zborovski S,Palmert MR

    更新日期:2016-08-01 00:00:00

  • Therapeutic efficacy and safety of ACE inhibitors in the hypertensive paediatric population: a review.

    abstract:PURPOSE:Since 1997, strong incentives have been introduced worldwide to improve access to safe and effective medicines addressing the therapeutic needs of children. ACE inhibitors, the most prescribed antihypertensive drugs in the paediatric population, are one of the prototype drugs targeted by the legislation initiat...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章,评审

    doi:10.1136/archdischild-2016-310582

    authors: Snauwaert E,Vande Walle J,De Bruyne P

    更新日期:2017-01-01 00:00:00

  • Depression in paediatric chronic fatigue syndrome.

    abstract:OBJECTIVE:To describe the prevalence of depression in children with chronic fatigue syndrome (CFS)/myalgic encephalomyelitis (ME) and investigate the relationship between depression in CFS/ME and clinical symptoms such as fatigue, disability, pain and school attendance. DESIGN:Cross-sectional survey data using the Hos...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/archdischild-2012-303396

    authors: Bould H,Collin SM,Lewis G,Rimes K,Crawley E

    更新日期:2013-06-01 00:00:00

  • Renal transplantation in children less than 5 years of age.

    abstract::19 young children (less than 5 years old) have received 31 renal transplants from 4 live relatives and 27 cadaver donors. The 2-year allograft survival rate for the patients receiving their 1st allograft from the 4 live donors was 75 +/- 22% while for the patients receiving their 1st allograft from 15 cadaver donors w...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.55.7.532

    authors: Rizzoni G,Malekzadeh MH,Pennisi AJ,Ettenger RB,Uittenbogaart CH,Fine RN

    更新日期:1980-07-01 00:00:00

  • Controlled trial of trimeprazine tartrate for night waking.

    abstract::Mild hypnotics are often recommended for young children with sleep problems. This study assesses the efficacy of trimeprazine tartrate in 1 to 3 year old children with persistent and severe night waking in a double blind crossover trial with placebo. Children on treatment with trimeprazine had significantly fewer waki...

    journal_title:Archives of disease in childhood

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1136/adc.62.3.253

    authors: Simonoff EA,Stores G

    更新日期:1987-03-01 00:00:00

  • Mothers' reports of infant crying and soothing in a multicultural population.

    abstract:OBJECTIVES:To investigate the prevalence of infant crying and maternal soothing techniques in relation to ethnic origin and other sociodemographic variables. DESIGN:A questionnaire survey among mothers of 2-3 month old infants registered at six child health clinics in Amsterdam, the Netherlands. SUBJECTS:A questionna...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.79.4.312

    authors: van der Wal MF,van den Boom DC,Pauw-Plomp H,de Jonge GA

    更新日期:1998-10-01 00:00:00

  • Clinical longitudinal standards for height, weight, height velocity, weight velocity, and stages of puberty.

    abstract::New charts for height, weight, height velocity, and weight velocity are presented for clinical (as opposed to population survey) use. They are based on longitudinal-type growth curves, using the same data as in the British 1965 growth standards. In the velocity standards centiles are given for children who are early- ...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.51.3.170

    authors: Tanner JM,Whitehouse RH

    更新日期:1976-03-01 00:00:00

  • Phenobarbitone prophylaxis of intraventricular haemorrhage.

    abstract::Thirty preterm infants (birthweight under 1500 g) were treated with phenobarbitone to examine its effectiveness in reducing the incidence of intraventricular haemorrhage (IVH), the control group comprising 28 infants. The treated group had 57% incidence of IVH and mortality of 13% compared with 68% and 14%, respective...

    journal_title:Archives of disease in childhood

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1136/adc.61.2.196

    authors: Anwar M,Kadam S,Hiatt IM,Hegyi T

    更新日期:1986-02-01 00:00:00

  • Effectiveness of hand hygiene interventions in reducing illness absence among children in educational settings: a systematic review and meta-analysis.

    abstract:OBJECTIVE:To undertake a systematic review and meta-analysis to establish the effectiveness of handwashing in reducing absence and/or the spread of respiratory tract (RT) and/or gastrointestinal (GI) infection among school-aged children and/or staff in educational settings. DESIGN:Randomised-controlled trials (RCTs). ...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章,meta分析,评审

    doi:10.1136/archdischild-2015-308875

    authors: Willmott M,Nicholson A,Busse H,MacArthur GJ,Brookes S,Campbell R

    更新日期:2016-01-01 00:00:00

  • Cellobiose: mannitol differential permeability in small bowel disease.

    abstract::Cellobiose and mannitol absorption were studied in patients with suspected abnormal function of the small bowel mucosa. The urinary cellobiose:mannitol ratio was increased in subtotal villous atrophy, iron deficiency anaemia, and small intestinal Crohn's disease. The test seems a sensitive indicator of the integrity o...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.64.6.853

    authors: Hodges S,Ashmore SP,Patel HR,Tanner MS

    更新日期:1989-06-01 00:00:00

  • Dilemmas in undertaking research in paediatric intensive care.

    abstract::Providing evidence-based interventions for infants and children is important in paediatric intensive care, where decision making impacts most acutely on morbidity and mortality. However, despite the major progress of medicine in the 21st century, we still lack this evidence for majority of the decisions we make. In th...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章,评审

    doi:10.1136/archdischild-2013-304871

    authors: Kanthimathinathan HK,Scholefield BR

    更新日期:2014-11-01 00:00:00

  • Life expectancy in severe cerebral palsy.

    abstract::Cerebral palsy comprises an important component of paediatric and obstetric practice and has major medico-legal implications. The prognosis for survival in cerebral palsy determines the financial provision made in cases that come to litigation. Issues of data quality and estimation methods are critical. Estimating the...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章,评审

    doi:10.1136/adc.2005.075002

    authors: Hutton JL,Pharoah PO

    更新日期:2006-03-01 00:00:00

  • Congenital left heart obstruction: ethnic variation in incidence and infant survival.

    abstract:OBJECTIVE:To investigate the relationship between ethnicity and health outcomes among fetuses and infants with congenital left heart obstruction (LHO). DESIGN:A retrospective population-based review was conducted of fetuses and infants with LHO including all terminations, stillbirths and live births from 20 weeks' ges...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/archdischild-2018-315887

    authors: Cloete E,Sadler L,Bloomfield FH,Crengle S,Percival T,Gentles TL

    更新日期:2019-09-01 00:00:00