At 21:35 14/09/98 -0700, parisa arman wrote:
>I have a question, How do you decide on doing LP in a febrile child
>who presents with seizure?
We have recently done a retrospective study of 139 children presenting in
our ED with a simple febrile seizure to know which were our current
practice. 45.3% of them were under 18 months-old. 24.5% of the patients
were admitted and the rest were controlled by phone until they were
afebrile. Only 2 LP were done and no meningitis were detected in any child.
It confirms our opinion that LP have just to be performed when you
clinically suspect meningitis. I think that in our country that idea is
widespread. Perhaps in other countries, because of legal implications, the
situation is different, but as other members of the list stated there is
not literature supporting the idea that this group of patients presenting
with simple fs have more risk to have meningitis.
Dr. Juan Jos=E9 Garcia Garcia
Pediatric Emergency Department
Hospital Sant Joan de D=E9u
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