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

• DOI: 10.1007/s12098-018-2630-3
• Publication Date: 2018-02-13T19:19:45Z
• Authors: Vamsi Krishna Vaddi; Jitendra Kumar Sahu; Sumeet R. Dhawan; Renu Suthar; Naveen Sankhyan
• Keywords: Health Knowledge, Attitudes, Practice; India; Infant; Electroencephalography; 3. Good health; 03 medical and health sciences; Cross-Sectional Studies; 0302 clinical medicine; Adrenocorticotropic Hormone; Surveys and Questionnaires; Humans; Anticonvulsants; Clinical Competence; Pediatricians; Spasms, Infantile

To investigate the knowledge, attitude, and practice of Infantile Spasms among pediatricians.A survey was carried out among pediatricians serving in Punjab, Haryana, Chandigarh, Himachal Pradesh and Delhi. The survey was done by Survey Monkey Software through emails by using a structured questionnaire between July 2016 and December 2017.A total of 236 pediatricians responded to the survey. Most of the respondents (95.5%) correctly considered Infantile Spasms as a seizure type. The most preferred investigation was Electroencephalogram by 91.8% pediatricians; however, only 57.7% considered it to decide the treatment. Perinatal asphyxia was the most recognized etiology (60.7% pediatricians). For treatment of Infantile Spasms, 66.8% follow Nelson textbook of Pediatrics. Adrenocorticotropic hormone was the most preferred first choice drug by 40% pediatricians. Alternate anti-epileptic drug was considered by 60.9% pediatricians when there is no clinical response. Only 24% pediatricians considered treatment response as a complete cessation of spasms. Majority (90%) of pediatricians felt that there is a necessity for increased awareness and 62% pediatricians felt that available information was insufficient.A substantial number of pediatricians lack precise knowledge on evidence-based practice of Infantile Spasms. In developing countries, where pediatricians provide the initial management of Infantile Spasms, there is need to empower them and develop simplified national guidelines/consensus statement for management of Infantile Spasms.