4th Pediatric Infectious Diseases Conference
 
 
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Specialist Answers
Question
What is extended febrile convulsions? 2. is loading dose of phenobarbitone/ phenytoin is necessary to control convulsions? 3. what are the onset of action durations of hydrocortisone and dexamethasone?
Answer
Dexamethasone has high anti-inflammatory action (almost 20-30 times that of hydrocortisone) and longer half life (36-54 hours) as compared to hydrocortisone (8-12 hours). Dexamethasone effect starts within 6 hours and peaks at 24 hours. Hydrocortisone effect starts within 1-2 hours.
Loading dose of phenobarbitone is required if the patient had acute and uncontrolled convulsions. In a child with convulsive history but no convulsions at presentation, loading dose in not required.
Most of the febrile convulsions are brief and last for a few minutes. Prolonged convulsion may make the child prone to epilepsy and medial temporal sclerosis.
 
 
 
Pedi Poll
Today's Poll
Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?
No, it should be used only after drug sensitivity report
Yes, under guidance of an infectious disease expert
Educational Section
 
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