Question

When should admission be considered in a child with febrile convulsions?

Answer 1

Admission should be considered in a child with febrile convulsions if they have complex febrile convulsions, are younger than 12 months, or show signs of meningitis or encephalitis.

Step-by-step explanation:

When considering admission in a child with febrile convulsions, several factors should be taken into account. Febrile convulsions are seizures that occur in children with a fever, usually between the ages of 6 months and 5 years. Admission should be considered in the following situations:

1. Complex febrile convulsions: These are seizures that last longer than 15 minutes or occur more than once within 24 hours. They are associated with a higher risk of underlying serious infection or central nervous system abnormalities. Admission allows for further evaluation and monitoring.
2. Age less than 12 months: Infants younger than 12 months have a higher risk of underlying serious bacterial infection. Admission is warranted to perform additional tests and assess for bacterial meningitis or other serious infections.
3. Signs of meningitis or encephalitis: Symptoms such as neck stiffness, altered mental status, focal neurological signs, or prolonged or recurrent seizures may indicate an infection of the brain or its covering. These children should be admitted for further evaluation and treatment.