Article (Scientific journals)
Evaluation of Adherence to a Convulsion management Protocol for Children in Rwanda
kaputu-kalal-malu, Célestin; D'Amour Birindabagabo, Jean; Walker, Timothy David et al.
2014In Journal of Tropical Pediatrics, 60 (2), p. 124-128
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Keywords :
epileptic seizures; emergency therapy; guideline adherence; Rwanda
Abstract :
[en] Inappropriate seizure management may result in high morbidity and mortality. We assessed the adherence of health professionals in southern Rwanda to a national protocol for pharmacological management of seizures in children. A questionnaire featuring a 5-year-old child with generalized prolonged seizures was administered. The questions focused on the choice of initial treatment and the sequence of management following failure of the initial treatment choice. Benzodiazepine was chosen as initial therapy by 93.7% of physicians and 90.9% of nurses. Only 49.2% of physicians and 41% of nurses would repeat the initial treatment in case of failure of the first dose and 47% of doctors would wait 30 min to intervene. In case of refractory status epilepticus, 34% of physicians would give three doses of benzodiazepine, whereas 19% did not know what to do. These results suggest poor adherence to national protocol.
Disciplines :
Neurology
Pediatrics
Author, co-author :
kaputu-kalal-malu, Célestin;  Université de Kinshasa > Centre de Neuropschopathologie
D'Amour Birindabagabo, Jean;  Butare Hospital, Rwanda > pediatrics
Walker, Timothy David;  Butare Teaching Hospital, Rwanda > Internal médicine
Mafuta-Musalu, Eric;  University of Kinshasa > School of Public Health
Ntumba-Tshitenge, Olga;  Butare Hospital, Rwanda > Pediatrics
Preux, Pierre-Marie;  Université de Limoges, France > Institut de Neuroépidémiologie et neurologie tropicale
MISSON, Jean-Paul ;  Centre Hospitalier Universitaire de Liège - CHU > Pédiatrie CHR
Language :
English
Title :
Evaluation of Adherence to a Convulsion management Protocol for Children in Rwanda
Publication date :
2014
Journal title :
Journal of Tropical Pediatrics
ISSN :
0142-6338
eISSN :
1465-3664
Publisher :
Oxford University Press - Journals Department
Volume :
60
Issue :
2
Pages :
124-128
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 30 April 2014

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