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Knowledge, Attitude and Practice (KAP) Study of Pediatricians on Infantile Spasms

Vamsi Krishna Vaddi1, Jitendra Kumar Sahu2, Sumeet R Dhawan1

  • 1Division of Pediatric Neurology, Department of Pediatrics, Postgraduate Institute of Medical Education & Research, Chandigarh, 160012, India.

Indian Journal of Pediatrics
|February 15, 2018
PubMed

Insights

Pediatricians show gaps in knowledge and practice regarding Infantile Spasms (IS). Improved awareness and simplified guidelines are crucial for effective early management of this seizure type.

Area of Science:

  • Pediatric Neurology
  • Epileptology
  • Clinical Practice Research

Background:

  • Infantile Spasms (IS) are a severe epilepsy syndrome requiring timely diagnosis and treatment.
  • Pediatricians play a critical role in the initial management of IS, particularly in developing countries.
  • Current knowledge, attitudes, and practices among pediatricians regarding IS management require investigation.

Purpose of the Study:

  • To assess the knowledge, attitude, and practice (KAP) of pediatricians concerning Infantile Spasms.
  • To identify areas of deficiency in the understanding and management of IS among healthcare providers.
  • To inform the development of targeted educational interventions and clinical guidelines.

Main Methods:

  • A cross-sectional survey was conducted among 236 pediatricians in North India (Punjab, Haryana, Chandigarh, Himachal Pradesh, Delhi).
  • Data were collected using a structured questionnaire administered via Survey Monkey Software between July 2016 and December 2017.
  • The survey explored diagnostic approaches, etiological understanding, treatment preferences, and perceived information needs regarding IS.

Main Results:

  • While most pediatricians recognized IS as a seizure type (95.5%), knowledge gaps were evident in its management.
  • Electroencephalogram (EEG) was the preferred investigation (91.8%), but its role in treatment decisions was limited (57.7%).
  • Treatment responses were often inadequately assessed (only 24% considered complete cessation of spasms), and a majority felt awareness and information were insufficient (90% and 62%, respectively).

Conclusions:

  • Significant deficits exist in pediatricians' evidence-based knowledge and practice concerning Infantile Spasms.
  • There is a pressing need to enhance pediatricians' capacity in managing IS through education and simplified national guidelines.
  • Empowering frontline healthcare providers is essential for improving outcomes for infants with IS, especially in resource-limited settings.
Abstract

Keywords:
Epileptic spasmsInfantile epilepsyKAP studyWest syndrome

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