Author/Authors :
TONEKABONI, Hassan Pediatrics Neurology Research Center - Shahid Beheshti University of Medical Sciences - Tehran, Iran , MAHMOUDI, Sussan National polio Eradication Focal Point - Ministry of Health and Medical Education - Tehran, Iran , ABDOLLAH GORJI, Fatemeh Clinical Research Development Center - Mofid Children’s Hospital - Shahid Beheshti University of Medical Sciences - Tehran, Iran , NEJAD BIGLARI, Habibe Pediatric Neurology Department - Kerman University of Medical Sciences - Kerman, Iran , TAGHDIRI, Mohammad Mahdi Pediatrics Neurology Research Center - Shahid Beheshti University of Medical Sciences - Tehran, Iran , ETEMADI, Koroush Department of Epidemiology - Faculty of Health - Shahid Beheshti University of Medical Sciences - Tehran, Iran , GHOFRANI, Mohammad Pediatrics Neurology Research Center - Shahid Beheshti University of Medical Sciences - Tehran, Iran , KARIMI, Abdollah Pediatrics Infectious Research Center - Shahid Beheshti University of Medical Sciences - Chairman of National Certification Committee for Polio Eradication - Tehran, Iran , REZAEI ZADEH RUKERD, Mohammad Student Research Committee - School of Medicine - Kerman University of Medical Sciences - Kerman, Iran
Abstract :
Guillain-Barré Syndrome (GBS) is an acute inflammatory
polyneuropathy characterized by a rapid progressive symmetric
weakness. The GBS is the most common cause of acute flaccid
paralysis (AFP) in most parts of the world. This study was carried out
to investigate the epidemiological features of GBS in Iranian children.
Materials & Methods
The data were extracted using the AFP surveillance system that is
a national screening program to detect all cases of AFP aged 0-15
years around the country. National Population Statistics data and AFP
demographic data during 2008-2013 intervals were obtained from the
relevant authorities in the Ministry of Health in Iran. The GBS cases
were then extracted from the aforementioned database. The Chisquare
test and Fisher’s exact test were used for statistical analysis.
Results
A total of 1884 cases of GBS were identified in the study period, and
the average annual incidence rate was 1.72 per 100,000 individuals.
The highest incidence rate was within the range of 0-5 years. There
was no statistically significant relationship between the incidence of
GBS and the season in the whole country.
Conclusion
High costs of GBS treatment, morbidity and occasional mortality,
and number of new cases, which is estimated to be approximately
300 individuals per year, need the particular attention of the health
system.
Keywords :
Iran , Guillain-Barré Syndrome , Incidence , Children , Epidemiology