Objective: To determine the rate and risk indicators of bacterial meningitis among children 3-18 months of age with first febrile seizure following the Child Neurology Society Philippines (CNSP) Clinical Practice Guideline (CPG) on lumbar puncture. Methods: This is a cross sectional study of children presenting with first febrile seizure. Medical records were retrospectively reviewed and analyzed.  Results: A total of 870 patients aged 3-18 months had their first febrile seizure. Five hundred and fifty two had simple febrile seizures while 318 had complex febrile seizures. Compliance to the CNSP CPG is 96%. The overall lumbar puncture performance rate is 87%. Among those who had lumbar puncture 25 (3%) of 726 had confirmed bacterial meningitis and an additional 4 patients (<1%) had suspected bacterial meningitis. Majority (65%) of those with bacterial meningitis belonged to the 6-12 months age and 28% were beyond 12 months. The type of seizure and subtle clinical signs such as sleep disturbance, irritability, vomiting, decreased appetite, poor activity, rashes and the presence of ear discharge were not risk indicators for bacterial meningitis. Moderate malnutrition and depressed sensorium are 5 and 10 times more prevalent among those who had bacterial meningitis, respectively. Conclusion: The prevalence of bacterial meningitis in our cohort is low despite the lack of administration of meningitis-preventable vaccines. Although bacterial meningitis was common in the 6-12 months age group, still a considerable number of patients were beyond 12 months of age. Depressed sensorium and moderate malnutrition are the significant risk indicators for bacterial meningitis.