KL Kwong, WK Chak, KT So

Abstract

Basic standards for the process of paediatric epilepsy care were identified and applied in a clinical audit. Recommended elements of good practice include quality of prescribing practice, medical records, use of neuroimaging and requests for electroencephalogram (EEG). We reviewed medical records for patients with newly diagnosed epilepsy and requests for EEG. Four standards regarding epilepsy care were met in 100% and seven out of 8 standards were met in 75% of cases. Documentation of advice given to parents about possible side effects of drugs was only recorded in 13% of patients. The prescription of first line antiepileptic drugs and adequate dosage before considering a first line drug to have failed was achieved in 100% of our patients. One third of clinicians ordering EEG for the purpose of diagnosing epilepsy or convulsion. Requests were considered appropriate in 37% of cases. The present study suggested that we could improve our patient management in better provision and documentation of parental education concerning side effects of drug. Practical advice and recommendations were required in the role and clinical relevance of EEG.