RISK FACTORS FOR FIRST SIMPLE FEBRIL ESEIZURES AMONG CHILDREN IN SULAIMANI GOVERNORATE

Volume 14 , Issue 2 , June 2024 , Pages 223-230

Authors

Semaa Riyadh Abdulatif 1 ; Ibrahim Khasraw Ghafoor 2

1 Specialist pediatrician, Bartella General Hospital M.O.H.-Naynawa, Kurdistan Region-Iraq

2 Assist. prof. of pediatric, College of Medicine, University of Sulaymani, Region-Iraq

DOI logo 10.17656/jsmc.10469

Keywords

Abstract

Background
Febrile seizures are common problems in children aged between 6-60 months, many studies were conducted
on the risk factors associated with the recurrence of simple febrile seizures. However, few research works have
been conducted on the risk factors concerning first simple febrile seizures.
Objectives
To determine the risk factors for the development of first febrile seizure attacks among children in Sulaymani
governorate.
Patients and Methods
A prospective case-control study was conducted at Dr. Jamal Ahmad Rashid Pediatric Teaching Hospital
in Sulaymani governorate, during the period from the 1st of April to the 1st of December 2019. A hundred
cases (100) diagnosed to have a first attack of simple febrile seizure who had been admitted to the emergency
department, were enrolled in our study, and another sex and age-matched 100 children with fever but without
seizures, were selected as controls. The age of both groups (cases & controls) ranged from 6 -60 months. A
specially designed questionnaire and oral consent were taken during the interview with the parents.
Results
The study showed that upper respiratory tract infections constituted a major cause of fever among cases, which
precipitated febrile seizure (76%) . Significant (,p.value <0.05) association has been noted between the first
febrile seizure attack and bottle feeding, prematurity, low birth weight, caesarian section, paternal smoking,
as well as family history of febrile seizures has shown a significant value with (P<0.05). Breastfeeding was a
protective factor.
Conclusion
There’s strong association between upper respiratory tract infections in children younger than five years and
first attack of simple febrile seizures. Normal vaginal delivery ,breast feeding and avoidance of smoking are
protectives for getting simple febrile seizures in susceptible children.

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  • Published at21 June 2024

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