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ORIGINAL ARTICLE
Year : 2017  |  Volume : 26  |  Issue : 2  |  Page : 104-111

Factors affecting compliance to treatment among children with epilepsy attending at a paediatric neurology clinic of a tertiary hospital in Enugu


1 Department of Paediatrics, University of Nigeria Teaching Hospital, Ituku/Ozalla, Enugu/College of Medicine, University of Nigeria Enugu campus, Enugu, Nigeria
2 Department of Community Medicine, University of Nigeria Teaching Hospital, Ituku/Ozalla, Enugu/ University of Nigeria Enugu Campus, Enugu, Nigeria

Correspondence Address:
J N Eze
Department of Paediatrics, University of Nigeria Teaching Hospital, Ituku – Ozalla, Enugu/College of Medicine, University of Nigeria Enugu campus, Enugu
Nigeria
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Source of Support: None, Conflict of Interest: None


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BACKGROUND: This study aimed to determine the factors affecting compliance to treatment among children with epilepsy in Enugu,Nigeria. METHODS: Children with diagnosis of epilepsy were consecutively recruited.Their 6 months retrospective and 1 month prospective data were collected; and analyzed using SPSS version 20.0 (p < 0.05). RESULTS: Fifty six children with epilepsy (mean age= 9.7 ± 4.1 years) were studied. Generalized tonic clonic epilepsy was noted in 41.1% (23/56) of them.Thirty six (64.3%) complied strictly with the treatment regimen. Polytherapy, high cost of drugs, multiple drug dosages and drug related side effects affected compliance. Majority (79.4%, 27/34) of patients on monotherapy and a few (27.2%, 6/22) on poly-therapy had good seizure control (p<0.001). CONCLUSION: Poor drug compliance is a major constraint to adequate seizure control in children with epilepsy in our setting.Addressing the problem of poor compliance will enable them to achieve optimal seizure control.


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