DefinePK

Abstract

Abstract
Objective: To determine Knowledge, Attitude and Practice of Pakistani Pediatricians regarding Infantile Spasms.
Study Design
Descriptive Cross-sectional study.
Place and Duration of Study
Online survey across Pakistan from January 2023 to March 2023.
Material and Methods
This descriptive study enrolled 117 pediatricians from January 2023-March 2023 through online survey. All the practicing pediatricians from Pakistan were invited to participate in the study by sharing the google form in WhatsApp group of pediatricians. Data of Knowledge, Attitude and Practices regarding Infantile Spasm was collected. Data analysis was performed by SPSS version 26 using descriptive statistics to determine the frequency and percentages for of Knowledge, Attitude and Practices towards Infantile Spasm.
Results
Majority of the pediatricians 109(93.2%) correctly identified infantile spasm as a type of seizure. Jerks occurring in clusters were recognized as pointers by 92(78.6%) subjects whereas Salaam Seizures by only 2 (1.7%) subjects. Atlesat 1 case per month was seen by 89(76%) participants. EEG & MRI were available to 84(82.9%) & & 74(63.2%) setups for diagnosis. Knowing etiology was considered Very Important by 64(54.7%) subjects. Most of the subjects had correct idea regarding first drug of choice. Regarding treatment response almost 60% of the subjects had understanding. Complete response was correctly identified as spasm cessation for 4 weeks by 33(28.2%) subjects only. Nelson's Textbook of Pediatrics was used as guideline by 89(76.1%).
 
Conclusion
Pediatricians are managing children with infantile spasm. They have some knowledge but to make is more precise there is dire need to improve knowledge, attitude and practices of pediatricians of Pakistan. 
Key words
Infantile spasm, Pediatrician, West Syndrome, Knowledge, Attitude, practice