Korean J healthc assoc Infect Control Prev.  2018 Jun;23(1):8-13. 10.14192/kjhaicp.2018.23.1.8.

Survey of Pediatricians' Perceptions on the Vaccination of Children with History of Febrile Seizures and Epilepsy

• Jung JW
• Oh SR
• Yoon SH
• Lee KW
• Kim CA
• Son BH

• KMID: 2414498
• DOI: http://doi.org/10.14192/kjhaicp.2018.23.1.8

Abstract

BACKGROUND
Some pediatricians have been reported to be reluctant to vaccinate children with a history of febrile seizures and epilepsy. Pediatricians should conduct an investigation regarding the degree of implementation and need for preventive vaccination in children with history of febrile seizures and epilepsy and the incidence of side effects that actually occur to evaluate the penetration rate needed for children with a history of seizures in the country.
METHODS
The survey was conducted using a questionnaire sent to 326 members of the Pusan Pediatrics Society. The survey was conducted from March to June 2016. A total of 115 responses were received.
RESULTS
Of 115 members, 72 (62.6%) vaccinated children with a history of febrile seizures and epilepsy, 98 (85.2%) responded positively to the need for vaccination for these children, and 79 (68.6%) were unsure of its safety. When asked what was the sufficient monitoring time needed before vaccinating since the last seizure or well-controlled epilepsy, 26 (22.6%) and 29 members (25.2%) responded more than 6 months, which was the most common answer in both cases.
CONCLUSION
Establishing a guideline for the appropriate monitoring period and indication of vaccination in children with history of febrile seizures and epilepsy is required to reassure pediatricians and patients about the vaccination.

Keyword

Epilepsy; Febrile seizure; Guideline; Vaccination

MeSH Terms

Busan
Child*
Epilepsy*
Humans
Incidence
Pediatrics
Seizures
Seizures, Febrile*
Vaccination*

Figure

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  Fig. 1 The degree of implementation for preventive vaccination of children with a history of febrile seizures and epilepsy.

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  Fig. 2 Awareness of vaccine safety of children with a history of febrile seizures and epilepsy.

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  Fig. 3 Monitoring period after the last episode of febrile seizures and well controlled epilepsy.

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