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Krumholz, A., Wiebe, S., Gronseth, G.S., Gloss, D.S., Sanchez, A.M., Kabir, A.A., Liferidge, A.T., Martello, J.P., Kanner, A.M., Shinnar, S., Hopp, J.L. and French, J.A. (2015) Evidence-Based Guideline: Management of an Unprovoked First Seizure in Adults: Report of the Guideline Development Subcommittee of the American Academy of Neurology and the American Epilepsy Society. Neurology, 84, 1705-1713. https://doi.org/10.1212/WNL.0000000000001487

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• TITLE: Knowledge about the Management of Anti-Epileptic Drug Treatment among General Practitioners in Brazzaville, Congo

  AUTHORS: Josué Euberma Diatewa, Inès Frédérique Nsondé-Mondzié, Dinah Happhia Boubayi Motoula-Latou, Eliot Prince Galiéni Sounga-Banzouzi, Yacouba Kaba, Ghislain Armel Mpandzou, Paul Macaire Ossou-Nguiet

  KEYWORDS: Epilepsy, Drug Treatment, General Practitioners, Knowledge, Brazzaville

  JOURNAL NAME: Neuroscience and Medicine, Vol.14 No.2, June 25, 2023

  ABSTRACT: Background: Epilepsy is a chronic brain disorder. It often leads to disabilities and handicaps. In Africa, epilepsy is almost exclusively treated by general practitioners (GPs) because of a shortage of epilepsy specialists. It is therefore important to know the level of knowledge about epilepsy among GPs in order to improve their skills. Objectives: To assess the level of knowledge about the management of anti-epileptic drug treatment among GPs in Brazzaville; to investigate the relationship between demographic factors and GPs’ knowledge. Methods: This was a cross-sectional analytical study. It was conducted from 20 July to 1 September 2021. It focused on GPs working in public hospitals and private care centers in Brazzaville. Information on treatment aspects was collected through a standardized 11-item questionnaire. Results: Among the 137 participants, there were 84 (61.3%) men and 53 (38.7%) women. Of these participants, 36 (26.3%) were trained in Congo versus 101 (73.7%) in other countries. Only 21 (15.3%) GPs had good knowledge about the management of anti-epileptic drug treatment. The overall average knowledge score among GPs was low (31.4%). No significant associations were found between low and good levels of knowledge and gender (OR = 1.03; 95% CI = 0.40 - 2.68; p = 1.000), age groups (OR 0.05), training country (OR = 0.62; 95% CI = 0.19 - 1.98; p = 0.591), practice hospital (OR = 0.40; 95% CI = 0.05 - 3.20; p = 0.695) and duration of professional experience (OR 0.05). Conclusion: The study population has insufficient knowledge about the management of anti-epileptic drug treatment. Demographic factors have no impact on GPs’ knowledge. Epilepsy education programs are needed to improve GPs’ knowledge and skills.