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Table 2 Physicians’ knowledge attitude and practices about epilepsy according to health facilities in Lao PDR (2009)

From: Is insufficient knowledge of epilepsy the reason for low levels of healthcare in the Lao PDR?

 

Province Hospital

District Hospital/Health Centers

Total

 

n = 63 (43.7%)

n = 81 (56.3%)

n = 144

Knowledge

Epilepsy is a communicable disease *

27 (42.9)

21 (25.9)

48 (33.3)

  - Transmitted by saliva

15 (55.6)

14 (66.7)

29 (60.4)

  - Transmitted by genes

10 (15.9)

11 (13.6)

21 (14.6)

Does not know any causes of epilepsy*

26 (41.3)

55 (67.9)

81 (56.3)

Diagnosis needs EEG or CT scan *

14 (22.2)

42 (51.9)

56 (38.8)

Cannot describe or classify seizures *

51 (81.0)

79 (97.5)

130 (90.3)

Knows one differential diagnosis of E *

33 (52.4)

28 (34.6)

61 (42.4)

Knows more than one long term AED *

34 (54.0)

14 (17.3)

48 (33.3)

Knows at least one AED *

51 (81.0)

28 (34.6)

79 (54.9)

  - Knows Phenobarbital alone *

29 (46.0)

11 (13.6)

40 (27.8)

  - Does not know the correct doses of PB *

25 (39.7)

16 (19.8)

41 (28.5)

  - Knows Diazepam alone

6 (9.5)

4 (4.9)

10 (6.9)

  - Does not know the correct doses of diazepam

4 (6.4)

5 (6.2)

9 (6.3)

Aware that discontinuing AED is life threatening*

46 (73.0)

33 (40.7)

79 (54.9)

Practice

Prescription in case of overt epilepsy

  - Prescribe AED *

41 (65.1)

25 (30.9)

66 (45.8)

  - Prescribe Phenobarbital alone *

34 (54.0)

14 (17.3)

48 (33.3)

  - Prescribe Diazepam alone

4 (6.4)

6 (7.4)

10 (7.0)

  - Prescribe a polytherapy

3 (4.8)

5 (6.2)

8 (5.6)

Number of seizures before prescribing AED

  - Does not know *

16 (25.4)

45 (55.6)

61 (42.4)

  - After one or more seizures

16 (25.4)

18 (22.2)

34 (23.6)

  - After two or more seizures *

23 (36.5)

10 (12.4)

33 (22.9)

  - After 3 or more seizures

5 (7.9)

7 (8.6)

12 (8.3)

Duration of AED treatment

  - Does not know *

44 (69.8)

75 (92.6)

119 (82.6)

  - Less than one month

3 (4.8)

5 (6.2)

8 (5.6)

  - One month to one year *

9 (14.3)

0

9 (6.3)

  - More than two years *

7 (11.1)

1 (1.2)

8 (5.6)

Time to discontinue AED in seizure-free patients

  - Does not know *

29 (46.0)

56 (69.1)

85 (59.0)

  - Between 1 to 2 years

21 (33.3)

16 (16.8)

37 (25.7)

  - After 2 years

6 (9.5)

4 (4.9)

10 (6.9)

  - Never

7 (11.1)

5 (6.2)

12 (8.3)

Give any advice to PWE *

57 (90.5)

47 (58.0)

104 (72.2)

  - Explain about the disease

1 (1.6)

1 (1.2)

2 (1.4)

  - Observance *

25 (39.7)

15 (18.5)

40 (27.8)

  - Avoid risk factors *

44 (69.8)

38 (49.9)

82 (56.9)

  - Avoid danger *

43 (68.3)

37 (45.7)

80 (55.6)

  1. * p < 0.05.
  2. AED: antiepileptic drugs, CT: Computerized Tomography, E: epilepsy, EEG: electroencephalography, PB: Phenobarbital, PWE: People With Epilepsy.