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