Article Figures & Data
Tables
Characteristics n (%) Gender Male 178 (59.3) Female 122 (40.7) Age in years 25-30 65 (21.7) 31-40 130 (43.3) 41-50 72 (24.0) 51-60 26 (8.7) >60 7 (2.3) Nationality Saudi 199 (66.3) Non-Saudi 101 (33.7) Current position Consultant 119 (39.7) Specialist 92 (30.7) Resident 89 (29.7) Specialty General Pediatrics 134 (44.7) Pediatric Neurology 63 (21.0) Family Medicine 39 (13.0) Emergency Physicians 64 (21.3) Years in practice <5 127 (42.3) 5-10 85 (28.3) 10-15 53 (17.7) 15-20 35 (11.7) Place of work Government hospital 269 (89.7) Private hospital 31 (10.3) Level of care Primary care 30 (10.0) Secondary care 72 (24.0) Tertiary care 198 (66.0) Aware of guidelines for management of Febrile Seizure Yes 206 (68.7) No 94 (31.3) - Table 2
Comparison of correct answers towards knowledge of guidelines for management of febrile seizure in relation to the position of study subjects.
Items Correct answer P-value Resident (n=89) Specialist (n=92) Consultant (n=119) n (%) K1- Febrile seizure is accompanied by fever without intracranial infection, metabolic disturbance, or history of afebrile seizure. 75(84.3) 79(85.9) 103(86.6) 0.895 K2- In febrile seizure, the temperature is 38°C or above 64(71.9) 66(71.7) 90(75.6) 0.766 K3- Febrile seizure occurs at 6-60 months of age. 75(84.3) 76(82.6) 106(89.1) 0.374 K4- Febrile seizure is the most common convulsive event in children younger than 60 months of age. 65(73.0) 72(78.3) 105(88.2)ǂ 0.018* K5- There are 2 types of febrile seizure: simple and complex. 68(76.4) 74(80.4) 105(88.2)ǂ 0.032* K6- Simple febrile seizure is a generalized seizure, lasts for less than 15 min, and does not recur within 24 hours. 69(77.5) 79(85.9) 106(89.1)ǂ 0.044* K7- Complex febrile seizure is a focal seizure, lasts more than 15 min, and recurs within 24 hours. 70(78.7) 73(79.3) 100(84.0) 0.551 K8- Children who had a simple febrile seizure had no evidence of increased mortality or mental retardation. 74(83.1) 72(78.3) 106(89.1) 0.101 ↵* Statistically significant - p<0.05 (by χ2-test), ǂK4 - Significantly higher than Resident & Specialist; K5 - Significantly higher than Resident & Specialist; K6 - Significantly higher than Resident, but not different from Specialist (by residual analysis)
- Table 3
Comparison of correct answers towards knowledge of guidelines for management of febrile seizure between the study subjects of general pediatrics and pediatric neurology specialties.
Items General pediatrics (n=134) Pediatric neurology (n=63) P-value* n(%) n(%) K1- Febrile seizure is accompanied by fever without intracranial infection, metabolic disturbance, or history of afebrile seizure. 115 (85.8) 55(87.3) 0.778 K2- In febrile seizure, the temperature is 38 °C or above. 103 (76.9) 42(66.7) 0.130 K3- Febrile seizure occurs at 6-60 months of age. 110(82.1) 57(90.5) 0.127 K4- Febrile seizure is the most common convulsive event in children younger than 60 months of age. 99(73.9) 53(84.1) 0.110 K5- There are 2 types of febrile seizure: simple and complex. 109(81.3) 54(85.7) 0.449 K6- Simple febrile seizure is a generalized seizure, last for less than 15 min, and does not recure within 24 hours. 112(83.6) 56(88.9) 0.327 K7- Complex febrile seizure is a focal seizure, lasts more than 15 min, and recure within 24 hours. 105(78.4) 56(88.9) 0.074 K8- Children who had a simple febrile seizure had no evidence of increased mortality or mental retardation. 115(85.8) 52(82.5) 0.550 - Table 4
Comparison of mean scores of attitude towards the management of febrile seizure in relation to the professional category of responders.
Items Mean±SD score P-value Resident Specialist Consultant A1- Lumbar puncture should be performed in any infant younger than 12 months, who presents with a seizure and fever, without meningeal signs. 3.54±1.48 2.90±1.57ǂ 3.47±1.54 0.008* A2- Lumbar puncture is an option in the child who presents with a seizure and fever and was pre-treated with antibiotics. 3.10±1.27 3.36±1.51 3.28±1.40 0.449 A3- EEG should not be performed in the evaluation of a neurologically healthy child with a simple febrile seizure. 3.93±1.28 3.98±1.47 4.19±1.32 0.325 A4- EEG should not be performed in the evaluation of a neurologically healthy child with a complex febrile seizure. 2.51±1.22 2.64±1.39 2.64±1.30 0.720 A5- Electrolytes (calcium, phosphorus, magnesium, blood glucose) and complete cell count should not be performed routinely for the sole purpose of identifying the cause of febrile seizure. 2.46±1.43ǂ 3.09±1.63 3.07±1.59 0.008* A6- Neuroimaging should not be performed in the routine evaluation of the child with simple febrile seizure. 4.00±1.18ǂ 4.27±1.31 4.46±1.05 0.021* A7- Neuroimaging should not be performed in the routine evaluation of the child with complex febrile seizure. 2.45±1.18 2.59±1.39 2.79±1.32 0.167 A8- Continuous use of phenobarbital is recommended for the treatment of febrile seizure. 1.65±0.97 1.67±1.19 1.59±1.17 0.844 A9- Continuous use of levetiracetam is recommended for the treatment of febrile seizure. 1.56±0.85 1.75±1.20 1.63±1.06 0.474 A10- Continuous use of valproic acid is recommended for the treatment of febrile seizure. 1.60±0.87 1.66±1.16 1.52(0.95 0.591 A11- Intermittent use of oral diazepam during febrile illness is recommended for the treatment of febrile seizure. 2.77±1.43 2.78±1.61 2.71±1.54 0.921 A12- Continuous use of antiepileptic drugs is recommended for the treatment of complex febrile seizure. 2.40±1.23 2.48±1.35 2.34±1.27 0.728 A13- If seizure is prolonged more than 5 min, the treatment is rectal diazepam or buccal midazolam. 4.05±1.08 4.13±1.28 4.17±1.14 0.789 A14- Regular use of antipyretic drugs will prevent febrile seizure. 3.00±1.39 2.53±1.43 2.60±1.54 0.065 ↵* Statistically significant - p<0.05 (by One-way Anova)ǂ, A1 - Significantly lower than Resident & Consultant; A5 - Significantly lower than Specialists & Consultant; A6 - Significantly lower than Consultant but not different with specialist (by Tukey’s test).
- Table 5
Comparison of mean scores of attitude towards the management of febrile seizure in relation to the specialties of study subjects.
Items General pediatric Pediatric neurology Family medicine Emergency P-value Mean±SD score A1- Lumbar puncture should be performed in any infant younger than 12 months, who presents with a seizure and fever, without meningeal signs. 3.53±1.45 3.90±1.39 3.21±1.59 2.36±1.48ǂ <0.001* A2- Lumbar puncture is an option in the child who presents with a seizure and fever and was pre-treated with antibiotics. 3.13±1.40 3.44±1.43 3.10±1.29 3.39±1.43 0.362 A3- EEG should not be performed in the evaluation of a neurologically healthy child with a simple febrile seizure 4.01±1.33 4.40±1.20 3.67±1.47 4.03±1.44 0.060 A4- EEG should not be performed in the evaluation of a neurologically healthy child with a complex febrile seizure. 2.48±1.22 2.83±1.39 2.54±1.45 2.67±1.31 0.344 A5- Electrolytes (calcium, phosphorus, magnesium, blood glucose) and complete cell count should not be performed routinely for the sole purpose of identifying the cause of febrile seizure. 2.57±1.52 3.10±1.60 2.38±1.41ǂ 3.67±1.48 <0.001* A6- Neuroimaging should not be performed in the routine evaluation of the child with simple febrile seizure. 4.22±1.15 4.52±1.08 3.64±1.40ǂ 4.48±1.11 0.001* A7- Neuroimaging should not be performed in the routine evaluation of the child with complex febrile seizure. 2.38±1.12ǂ 3.02±1.41 2.31±1.42ǂ 2.95±1.36 0.001* A8- Continuous use of phenobarbital is recommended for the treatment of febrile seizure. 1.62±1.03 1.43±1.03 1.92±1.09 1.69±1.34 0.177 A9- Continuous use of levetiracetam is recommended for the treatment of febrile seizure. 1.63±0.95 1.48±1.0 1.90±0.99 1.69±1.30 0.263 A10- Continuous use of valproic acid is recommended for the treatment of febrile seizure. 1.54±0.89 1.41±0.93 1.87±1.03 1.67±1.22 0.122 A11- Intermittent use of oral diazepam during febrile illness is recommended for the treatment of febrile seizure. 2.87±1.51 2.87±1.62 2.97±1.42 2.25±1.48ǂ 0.031* A12- Continuous use of antiepileptic drugs is recommended for the treatment of complex febrile seizure. 2.60±1.27 1.92±1.18ǂ 2.54±1.27 2.36±1.31 0.005* A13- If seizure is prolonged more than 5 min, the treatment is rectal diazepam or buccal midazolam. 4.15±1.11 4.37±1.11 3.74±1.09 4.06±1.32 0.067 A14- Regular use of antipyretic drugs will prevent febrile seizure. 2.90±1.45 2.24±1.41ǂ 2.92±1.40 2.58±1.54 0.017* ↵* Statistically significant p<0.05 (By One way Anova), ǂA1- Significantly lower than other 3 specialties, A5- Significantly lower than other 3 specialties, A6- Significantly lower than other 3 specialties, A7- Significantly lower than other 2 specialties, A11- Significantly lower than other 3 specialties, A12- Significantly lower than other 3 specialties, A14- Significantly lower than other 3 specialties (by Tukey’s test). EEG - Electroencephalogram, LP - Lumbar puncture
In this issue
Jump to section
Related Articles
Cited By...
- No citing articles found.