title: Evaluation of adherence to a convulsion management protocol for children in Rwanda.
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 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.
authors: Child Neurology Service, Centre Neuropsychopathologique /CNPP, Kinshasa University Teaching Hospital, Kinshasa School of Medicine, University of Kinshasa, Po Box 825- Kinshasa, Republic Democratic of Congo.
authors: Célestin
authors: C
authors: Kaputu-Kalala-Malu
authors: Jean D'Amour
authors: JD
authors: Birindabagabo
authors: Timothy David
authors: TD
authors: Walker
authors: Eric
authors: E
authors: Mafuta-Musalu
authors: Olga
authors: O
authors: Ntumba-Tshitenge
authors: Pierre-Marie
authors: PM
authors: Preux
authors: Jean-Paul
authors: JP
authors: Misson
mesh_terms: D000328:Adult; D000927:Anticonvulsants / Q000627:therapeutic use*; D001569:Benzodiazepines / Q000627:therapeutic use*; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D019468:Disease Management; D018450:Disease Progression; D005260:Female; D019983:Guideline Adherence; D019538:Health Care Surveys; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D017410:Practice Guidelines as Topic; D012432:Rwanda; D013226:Status Epilepticus / Q000188:drug therapy*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
chemical_list: D000927:Anticonvulsants; D001569:Benzodiazepines
keywords: Rwanda; emergency therapy; epileptic seizures; guideline adherence