ABSTRACT
Objectives To determine the incidence, clinical presentation and outcome of group B haemolytic streptococcal (GBS) sepsis Design, setting and method This was a two year retrospective observational analysis at Colombo South Teaching hospital. All clinically suspected and bacteriologically confirmed cases of GBS sepsis in infants up to three month of age were analysed. Data was obtained from individual clinical notes and records at the Department of Microbiology. Results There were 21 cases, an incidence of 1.06 per 1000 live births. Thirteen (62%) were male. Seven (33%) were premature. Thirteen (62%) were early onset and 08 (38%) were late onset. Main presenting features on admission were respiratory 11 (52%), poor activity/feeding 09 (43%) and fever 08 (38%). Complications were mainly neurological (48%) Mortality was 4.7 %.
ABSTRACT
Objectives To evaluate demographic, clinical and management aspects of febrile convulsions. Method A prospective study was carried out on all children admitted to Lady Ridgeway Hospital with a diagnosis of febrile convulsions during June and July 2002. Children with a history of afebrile seizures and those with evidence of a neurodevelopmental deficit or central nervous system infection were excluded. Data was obtained from medical records and direct interview of parents/guardians of children with febrile convulsions using a pre-tested validated questionnaire. Results 330 children were admitted with febrile convulsions. Male to female ratio was 3:2. The mean age was 22 months. Approximately 25% had a history of febrile convulsions in first degree relatives. 25% had complex febrile seizures. 80% of seizures occurred within 24 hours of the onset of fever. 24 (7%) children received long term prophylaxis for recurring febrile convulsions. Upper respiratory tract infection was the commonest trigger factor. 48% of the parents/guardians did not have a satisfactory knowledge of first aid.