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) |