Epidemiology of Guillain-Barré Syndrome in Iranian Children Aged 0-15 Years (2008-2013). 2021

Seyed Hassan Tonekaboni, and Sussan Mahmoudi, and Fatemeh Abdollah Gorji, and Habibe Nejad Biglari, and Mohammad Mahdi Taghdiri, and Koroush Etemadi, and Mohammad Ghofrani, and Abdollah Karimi, and Mohammad Rezaei Zadeh
Pediatrics Neurology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

OBJECTIVE 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. 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 Chi-square 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. CONCLUSIONS 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.

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