Investigating the prevalence of febrile convulsion in Kayseri, Turkey: An assessment of the risk factors for recurrence of febrile convulsion and for development of epilepsy

Canpolat, Mehmet; Per, Hüseyin; Gümüş, Hakan; Elmalı, Ferhan; Kumandaş, Sefer

doi:10.1016/j.seizure.2018.01.007

Cited by 49 publications

(81 citation statements)

References 44 publications

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“…In our enrolled cases who consisted of children presented with UTI, FC was occurred in 5 of 80 boys (6.25%), 20 of 704 girls (2.85 %) and 25 of 784 enrolled cases (3.2%). Comparing with Turkish study (6), the prevalence rates of FC in our subjects among girls and total population were lower (2.85% vs. 4.2% and 3.2% vs.4.3% respectively), whereas the prevalence rate of FC for boys was higher (6.25% vs.4.3%). The population studies by Canpolat et al (6) were completely different from our cases.…”

Section: Discussioncontrasting

confidence: 76%

“…Comparing with Turkish study (6), the prevalence rates of FC in our subjects among girls and total population were lower (2.85% vs. 4.2% and 3.2% vs.4.3% respectively), whereas the prevalence rate of FC for boys was higher (6.25% vs.4.3%). The population studies by Canpolat et al (6) were completely different from our cases. They studied FC cases with different infectious etiologies as the source of FC arising from upper and lower respiratory systems, gastrointestinal and urinary tract.…”

Section: Discussioncontrasting

confidence: 76%

“…Etiologies of FC in Canpolat's study (6) were respiratory tract infection (67.6%), acute gastroenteritis (14.4%), UTI (8.1%), acute otitis media (7.7%), post-vaccination fever (2.2%) and nonspecific infections (0.4%). Little data is available about prevalence and incidence rates of UTI among children presented by FC, however frequency of UTI in children with FC have been evaluated in different studies (5,(9)(10)(11).…”

Section: Discussionmentioning

confidence: 95%

“…Turkish study (6) used The international league against epilepsy (ILAE) criteria for diagnosis of FC. Based on ILAE criteria (21-23) FC defines for seizures occur in ages one month up to 7 years in the absence of electrolytes abnormalities and CNS infections.…”

Section: Discussionmentioning

confidence: 99%

“…FC, the most common types of seizure in children, affects 2-5% of pediatric population (3), however the incidence rate of 14% had been reported by some old studies (4). The sources of infection in FC patients is different including upper respiratory tract infections, viral infections such as roseola infantum, pneumonia, otitis media, gastroenteritis and UTI (5)(6)(7)(8).…”

Section: Introductionmentioning

confidence: 99%

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An observational epidemiological study of febrile convulsion due to urinary tract infection

2019

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Introduction: Febrile convulsion (FC) is the most common seizure disorder in childhood. Few studies focused on epidemiologic characteristics of urinary tract infections accompanied by FC. Objectives: To evaluate prevalence and incidence rates of FC among children with urinary tract infection. Patients and Methods: An observational study in epidemiology was performed in nephrology clinic of a tertiary children hospital from June 2002 to 2016. Totally 1242 cases were followed and those aged 6-60 months enrolled in the study. Demographic characteristics were compared between patients with and without FC. Results: 784 cases including 704 girls (89.8%) and 80 boys (10.2%) enrolled. Twenty-five patients (3.18%) presented with FC. FC occurred in 25 of 503 cases (5%) with febrile urinary tract infection. Twenty girls and 5 boys were in FC and 684 girls and 75 boys were in non-FC groups (P = 0.1). The average age in FC and non-FC groups were 15.52±8.4 and 25.16± 16 months respectively (P = 0.004). Patients were divided into 2 age sub-groups: 6-24 and 26-60 months. A significantly higher number of cases in FC compared with non-FC group were in age subgroup of 6-24 months (P = 0.028). Conclusion: Our study revealed a prevalence rate of 3.18% and an incidence rate of 5% for FC among children with urinary tract infection. Also FC subjects had a significantly younger age at presentation than non-FC cases. We found that FC as presentation of urinary tract infection occurred up to 3 years old, and there is no significant gender difference between FC and non-FC cases. ABSTRACTImplication for health policy/practice/research/medical education: FC is not a common presentation of UTI, but seems it exclusively occurs following febrile UTI in the first 3 years of life with majority of cases in 6-12 months. In children 3 up to 5 years, rarely urinary tract infection presents as FC.

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Section: Discussioncontrasting

confidence: 76%

Section: Discussioncontrasting

confidence: 76%