Factores desencadenantes de crisis convulsiva febril en niños de 6 meses a 5 años del Hospital General del Norte de Guayaquil IESS Los Ceibos desde agosto del 2022 hasta agosto del 2023.

Abstract

Introduction: Febrile seizures (CF) have a worldwide prevalence of around 4 to 5% of children, with an annual incidence of 460/100,000 children, being slightly more common in boys than in girls. Objective: Describe the triggering factors of febrile seizures in children from 6 months to 5 years of age at the IESS Los Ceibos Hospital from May 2022 to August 2023. Methodology: A relational, retrospective, observational and cross-sectional study was carried out in the emergency area of the General Hospital of the North of Guayaquil IESS Los Ceibos from August 2022 to August 2023. 100 patients with a diagnosis of febrile seizure were included. Upon entering the emergency room, the following variables were recorded: age, sex, type of crisis, temperature, triggering factor. The statistical analysis was done in the SPSS tool. Results: The most common triggering factor for febrile seizures was infection (75%), followed by hydroelectrolyte alterations (19%), family history (5%) and recent immunization (1%). The most common type of seizure was simple (61%). The age group with the highest prevalence was 1 year to <2 years (35%). The prevalence of the older sex was female (54%). There was no significant relationship between seizures and age and sex. Febrile status epilepticus was the most common complication (10%). Conclusion: Infections were the factors with the highest percentage attributed to the triggering of febrile crisis in children from 6 months to 5 years of age at Hospital IESS Los Ceibos; therefore, it is suggested to update management protocols with antibiotic therapy to reduce its incidence.