A Prospective Case Series on the Hospital Management of Simple Febrile Seizures in Children

Aim: Simple febrile seizures (SFS) are common neurological events in children aged 6 months to 5 years, presenting as brief, generalized seizures associated with fever, without CNS infection or metabolic abnormalities.To evaluate the clinical management of SFS in children admitted to a government hospital. Methods: A prospective case series was conducted in the Department of Pediatrics, Government Medical College, Nagapattinam, from October to December 2024. Forty children with SFS were included. Data on treatment strategies and outcomes were recorded using a structured case report form. Results: Of the 40 children, 52.5% were female and 47.5% male. Benzodiazepines were administered in 97.5% of cases, primarily lorazepam (47.5%) and midazolam (30%). Clobazam was used for followup in 67.5%. Antipyretics (100%)—mostly paracetamol in syrup (45%), tablet (37.5%), and injectable (17.5%) forms—were universally given. IV fluids, mainly DNS, were used in 60% of cases. Despite viral etiology, antibiotics were prescribed in 85%, and anti epileptics in 20%. Discussion SFS is effectively managed with antipyretics and benzodiazepines. However, the routine use of antibiotics and antiepileptics should be reassessed to prevent unnecessary treatment