Published online June 2, 2008
PEDIATRICS Vol. 121 No. 6 June 2008, pp. 1281-1286 (doi:10.1542/peds.2008-0939)
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CLINICAL PRACTICE GUIDELINE

Febrile Seizures: Clinical Practice Guideline for the Long-term Management of the Child With Simple Febrile Seizures

Steering Committee on Quality Improvement and Management, Subcommittee on Febrile Seizures

Febrile seizures are the most common seizure disorder in childhood, affecting 2% to 5% of children between the ages of 6 and 60 months. Simple febrile seizures are defined as brief (<15-minute) generalized seizures that occur once during a 24-hour period in a febrile child who does not have an intracranial infection, metabolic disturbance, or history of afebrile seizures. This guideline (a revision of the 1999 American Academy of Pediatrics practice parameter [now termed clinical practice guideline] "The Long-term Treatment of the Child With Simple Febrile Seizures") addresses the risks and benefits of both continuous and intermittent anticonvulsant therapy as well as the use of antipyretics in children with simple febrile seizures. It is designed to assist pediatricians by providing an analytic framework for decisions regarding possible therapeutic interventions in this patient population. It is not intended to replace clinical judgment or to establish a protocol for all patients with this disorder. Rarely will these guidelines be the only approach to this problem.

Key Words: fever

Abbreviations: AAP—American Academy of Pediatrics


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The following policy statement has been revised:

Practice Parameter: Long-term Treatment of the Child With Simple Febrile Seizures

Pediatrics 103: 1307-1309. [Full Text]



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eLetters:

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Febrile Seizures and Brugada Syndrome
Robert M Campbell
Pediatrics Online, 20 Jun 2008 [Full text]