Complex febrile seizures
- Post-ictal >1 hr
- Signs of meningitis
- ALready on Antibiotics
- Complex Partial Seizures
Admission and discharge depends on parental comfort, well/sick looking child but consider admission for the following groups:
- Complex febrile seizures
- A child with a febrile fit who is less than 18 months of age
- The child with no serious clinical findings but who is recently/currently taking antibiotics
- Children who do not have a clear focus of infection
- Provisional Committee on Quality Improvement, Subcommittee on Febrile Seizures:practice parameter: the neurodiagnostic evaluation of the child with a first simple febrile seizure. Pediatrics 97: 769, 1996.
- Subcommitte on Febrile Seizures, American Academy of Pediatrics: Neurodiagnostic evaluation of the child with a simple febrile seizure. Pediatrics 127: 389, 2011.
- Kimia AA, Capraro AJ, Hummel D, et al: Utility of lumbar puncture for first simple febrile seizure among children 6 to 18 months of age. Pediatrics 123: 6, 2009. [PMID: 19117854]
- SteeringCommitteeonQualityImprovementandManagement,SubcommitteeonFebrile Seizures: Febrile seizures: clinical practice guideline for the long-term management of the child with simple febrile seizures. Pediatrics 121: 1281, 2008.