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Background: Febrile convulsions can be managed at home and usually has a good prognosis. The lack of knowledge about management and prevention can cause parental discomfort and increase rates of unnecessary health care services utilization. Objectives: To identify the level of knowledge, concerns and beliefs regarding febrile convulsion and its management among mothers of children aged between six months to five years attending pediatric clinics and primary health care centers at King Abdulaziz Medical City-Western Region, Saudi Arabia. Methods: This is an analytical cross-sectional study. It included a sample of 400 mothers during the period (May-July, 2018). Data were collected using a valid questionnaire filled manually by the participants. Data were analyzed using the statistical package for the social sciences (SPSS, version 21.0). Results: The mean age of mothers was 31.7±5.8 years. Only 13.3% reported previous history of child febrile convulsion. The main source of information was internet 51.6%. The majority (82%) reported having medical thermometer at home. Overall, the knowledge score ranged between 0 and 14, out of a possible maximum of 17. The median (IQR) was 6 (4-8). Higher maternal educational level was significantly associated with higher knowledge regarding febrile convulsions (P-value=0.008). Almost all the participants (99%) agreed that parents should know how to manage children with febrile convulsions. Conclusion: Knowledge of mothers was insufficient in the aspects of febrile convulsion. The concerns and believes were generally encouraging. Therefore, health education campaigns are needed to raise awareness regarding febrile convulsions and first-aid management among parents.
Abdulla, M. M., & Abdulhadi, F. S. (2015). Knowledge, attitudes, and practices (KAP) regarding Febrile Convulsions among Iraqi under 5 children’s mothers attending pediatric department in a teaching hospital in Baghdad. Int J, 3(6), 973-83.9.
Al-Ajlouni SF, Kodah IH. Febrile convulsions in children. Neurosciences 2000; 5 (3): 151-155
Al-Nouri, L., & Basheer, K. (2005). Mothers' perceptions of fever in children. Journal of tropical pediatrics, 52(2), 113-116.doi: 10.1093/tropej/fmi076.
Armon, K., Stephenson, T., MacFaul, R., Hemingway, P., Werneke, U., & Smith, S. (2003). An evidence and consensus based guideline for the management of a child after a seizure. Emergency medicine journal, 20(1), 13-20. doi: 10.1136/emj..1.13.
Balslev, T. (1991). Parental reactions to a child's first febrile convulsion: a follow‐up investigation. Acta Pædiatrica, 80(4), 466-469.doi: 10.1111/j.1651-2227.1991.tb11883.x.
Betz, M. G., & Grunfeld, A. F. (2006). ‘Fever phobia’in the emergency department: a survey of children's caregivers. European Journal of Emergency Medicine, 13(3), 129-133. doi: 10.1097/01.mej.0000194401.15335.c7.
De, S., Tong, A., Isaacs, D., & Craig, J. C. (2014). Parental perspectives on evaluation and management of fever in young infants: an interview study. Archives of disease in childhood, 99(8), 717-723. doi: 10.1136/archdischild-2013-305736.
Fields, E., Chard, J., Murphy, M. S., & Richardson, M. (2013). Assessment and initial management of feverish illness in children younger than 5 years: summary of updated NICE guidance. Bmj, 346. doi: 10.1136/bmj.f2866
Ghasemi, F., Valizadeh, F., & Mohsenzadeh, A. (2005). Educational needs of mothers of children with febrile convulsion, Planetarium. J Khorramabad, 1(1), 1-4. doi: http://dx.doi.org/10.18203/2349-3291.ijcp20180546
Huang, M. C., Liu, C. C., & Huang, C. C. (1998). Effects of an educational program on parents with febrile convulsive children. Pediatric neurology, 18(2), 150-155. doi: 10.1016/s0887-8994(97)00171-9.
Kayserili, E., Ünalp, A., Apa, H., Asilsoy, S., Hizarcioğlu, M., Gülez, P., & Agin, H. (2008). Parental knowledge and practices regarding febrile convulsions in Turkish children. Turkish Journal of Medical Sciences, 38(4), 343-350. doi: 10.4103/MJBL.MJBL_89_18
Kelly, M., Sahm, L. J., Shiely, F., O’Sullivan, R., McGillicuddy, A., & McCarthy, S. (2016). Parental knowledge, attitudes and beliefs regarding fever in children: an interview study. BMC Public Health, 16(1), 1-7. doi: https://doi.org/10.1186/s12889-016-3224-5
Kheir, A. E. M., Ibrahim, S. A., & Yahia, E. A. K. (2014). Knowledge, attitude and practice of Sudanese mothers towards home management of febrile convulsions.
Kwong, K. L., Lam, S. Y., Que, T. L., & Wong, S. N. (2006). Influenza A and febrile seizures in childhood. Pediatric neurology, 35(6), 395-399.doi: 10.1016/j.pediatrneurol.2006.07.005.
Laino, D., Mencaroni, E., & Esposito, S. (2018). Management of pediatric febrile seizures. International journal of environmental research and public health, 15(10), 2232. doi: 10.3390/ijerph15102232
Langer, T., Pfeifer, M., Soenmez, A., Tarhan, B., Jeschke, E., & Ostermann, T. (2011). Fearful or functional-a cross-sectional survey of the concepts of childhood fever among German and Turkish mothers in Germany. BMC pediatrics, 11(1), 1-7. doi: 10.1186/1471-2431-11-41.
Ling, S. G. (2000). Parental response and understanding towards febrile convulsion. The Medical Journal of Malaysia, 55(4), 419-423.
Millichap, J. G., & Millichap, J. J. (2006). Role of viral infections in the etiology of febrile seizures. Pediatric neurology, 35(3), 165-172.doi: 10.1016/j.pediatrneurol.2006.06.004.
Najimi, A., KASIRI, D. N., ESMAEILI, A. A., & SHARIFIRAD, G. R. (2011). THE EFFECT OF EDUCATIONAL PROGRAM ON KNOWLEDGE, ATTITUDE AND PRACTICE OF MOTHERS REGARDING PREVENTION OF FEBRILE SEIZURE IN CHILDREN. doi: 10.4103/2277-9531.112703
Ofovwe, G. E., & Ofovwe, C. E. (2007). Knowledge, Attitude And Expectation of Mothers of Children With Neurologic Disorders Attending The Paediatric Neurology Clinic, University Of Benin Teaching Hospital, Benin City, Nigeria. Journal of Medicine and Biomedical Research, 6(1-2), 59-65. doi: 10.4314/jmbr.v6i1.10704
Ofovwe, G. E., Ibadin, O. M., Ofovwe, E. C., & Okolo, A. A. (2002). Home management of febrile convulsion in an African population: a comparison of urban and rural mothers' knowledge attitude and practice. Journal of the neurological sciences, 200(1-2), 49-52. doi: 10.1016/s0022-510x(02)00128-4.
Palliana, R. R., Sigh, D. K., & Borade, A. (2010). Zinc deficiency as a risk factor of febrile seizure. Pediatric on call, 1-7.5.
Parmar, R. C., Sahu, D. R., & Bavdekar, S. B. (2001). Knowledge, attitude and practices of parents of children with febrile convulsion. Journal of postgraduate medicine, 47(1), 19.
Ravanipour, M., Akaberian, S., & Hatami, G. (2014). Mothers’ perceptions of fever in children. Journal of Education and Health Promotion, 3. doi: 10.4103/2277-9531.139679
Sadleir, L. G., & Scheffer, I. E. (2007). Febrile seizures. Bmj, 334(7588), 307-311. doi: 10.1136/bmj. 39087.691817.AE.
Schmitt, B. D. (1980). Fever phobia: misconceptions of parents about fevers. American journal of diseases of children, 134(2), 176-181.
Swanson, W. H., & Cohen, J. M. (2003). Color vision. Ophthalmology Clinics of North America, 16(2), 179-203. doi: 10.1016/s0896-1549(03)00004-x.
Zeglam, A. M., Alhmadi, S., & Beshish, A. (2010). Auditing the attitude and knowledge of parents of children with febrile seizures. African Journal of Neurological Sciences, 29(1), 3-8. doi:10.4314/AJNS.V29I1