Incidencia de meningitis bacteriana en pacientes menores de 2 años con convulsión febril compleja en el área de emergencia del Hospital de Niños Dr. Roberto Gilbert Elizalde periodo enero 2016 – diciembre 2017.

Abstract

Background: Febrile seizures are the most common neurological manifestation in infants up to 5 years of age. They are defined as seizures accompanied by fever, in the absence of neurological pathology or neuroinfection. Compliance with the vaccination schemes has allowed to reduce the incidence of cases of febrile seizures in patients with meningitis and therefore the performance of the lumbar puncture. Objective: To determine the incidence of bacterial meningitis under 2 years of age with a diagnosis of febrile seizure onset in the HRG emergency. Materials and methods: A retrospective incidence study were conducted. We included patients under 2 years admitted to the HRG emergency area with a diagnosis of bacterial meningitis. The incidence of complex febrile seizures, the sensitivity, and the positive and negative predictive value of the lumbar puncture were measured. Results: 59% of the patients with a diagnosis of febrile seizures were of complex type. Of these, 69.41% underwent lumbar puncture, with 13.56% of these being positive for a pathological result. The incidence of bacterial meningitis was 3.65%, being 66.6% female. Conclusion: The incidence of bacterial meningitis in patients with complex febrile seizures was low. The most susceptible age group was those under 12 months of age.