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).