publication . Article . 2013

Evaluation of Adherence to a Convulsion Management Protocol for Children in Rwanda

Jean D'Amour Birindabagabo; Pierre-Marie Preux; Olga Ntumba-Tshitenge; Timothy David Walker; Célestin Kaputu-Kalala-Malu; Eric Mafuta-Musalu; Jean-Paul Misson;
Open Access
  • Published: 13 Dec 2013 Journal: Journal of Tropical Pediatrics, volume 60, pages 124-128 (issn: 0142-6338, eissn: 1465-3664, Copyright policy)
  • Publisher: Oxford University Press (OUP)
  • Country: Belgium
Abstract
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...
Subjects
free text keywords: Pediatrics, Perinatology, and Child Health, Infectious Diseases, epileptic seizures, emergency therapy, guideline adherence, Rwanda, : Neurology [Human health sciences], : Neurologie [Sciences de la santé humaine], : Pediatrics [Human health sciences], : Pédiatrie [Sciences de la santé humaine], Health professionals, Medicine, business.industry, business, Benzodiazepine, medicine.drug_class, Intensive care medicine, medicine.medical_specialty, Status epilepticus, medicine.symptom, Initial treatment, Emergency medicine, Poor adherence, Convulsion, Pharmacological management, Initial therapy
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