Pregledni rad
https://doi.org/10.26800/LV-145-supl1-34
New guidelines for diagnosis and treatment of febrile seizures in Croatia
Jelena Radić Nišević
orcid.org/0000-0002-5935-9566
; Referentni centar Ministarstva zdravstva Republike Hrvatske za epilepsije i konvulzivne bolesti razvojne dobi,
Ivana Kolić
Igor Prpić
Sažetak
Febrile seizures are the most common childhood convulsive disorder, which is why doctors should familiarize with the proper assessment and treatment of this common condition. It is defined as any seizure accompanied by fever, without central nervous system infection, occurring in children between 6 months and 5 years of age. Five criteria have been used to classify as simple or complex febrile seizures. This classification offers different guidelines for clinical practice, especially the decision to perform a lumbar puncture to rule out intracranial infection. In 2012, the Croatian Society for Pediatric Neurology created the first guidelines for the rational diagnosis and therapy of febrile convulsions, which were performed in all hospitals in Croatia. Although the guidelines have been of great help to many clinicians, new medical evidence and understanding the clinical entities that present with febrile seizures, which vary from a self-limiting disorder without long-term consequences, through self-limiting and drug-controlled entities to severe epileptic encephalopathies, the new guidelines contribute to setting diagnoses in the emergency clinic, include recommendations on hospitalization, use of electroencephalography, neuroimaging tests, prophylaxis with diazepam and antipyretics. Although the new guidelines contain new clinical recommendations, they leave some unresolved questions that future clinical research should offer.
Ključne riječi
FEBRILE SEIZURES; GUIDELINES; CROATIA
Hrčak ID:
300861
URI
Datum izdavanja:
17.4.2023.
Posjeta: 1.126 *