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2010•Archives of Disease in ChildhoodRequires access

Recognising haemorrhagic rash in children with fever: a survey of parents' knowledge

Marie Aurel, François Dubos, Baptiste Motte, Isabelle Pruvost, F. Leclerc, Alain Martinot

Open publisher page 6 citations

Abstract

BACKGROUND: Early recognition and treatment of meningococcal disease improves its outcome. Haemorrhagic rash is one of the most specific signs that parents can learn to recognise. OBJECTIVE: To determine the percentage of parents able to recognise a haemorrhagic rash and perform the tumbler test. METHODS: 123 parents of children consulting for mild injuries were interviewed about the significance and recognition of haemorrhagic rash in febrile children. RESULTS: Although 88% of parents undressed their children when they were febrile, it was never to look specifically for a skin rash. Only 7% (95% CI 3% to 12%) were able to recognise a petechial rash and knew the tumbler test. CONCLUSION: Information campaigns about the significance of haemorrhagic rash and about the tumbler test are needed.

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What this paper is about

BACKGROUND: Early recognition and treatment of meningococcal disease improves its outcome. Haemorrhagic rash is one of the most specific signs that parents can learn to recognise. OBJECTIVE: To determine the percentage of parents able to recognise a haemorrhagic rash and perform the tumbler test. METHODS: 123 parents of children consulting for mild injuries were interviewed about the significance and recognition of haemorrhagic rash in febrile children. RESULTS: Although 88% of parents undressed their children when they were febrile, it was never to look specifically for a skin rash. Only 7% (95% CI 3% to 12%) were able to recognise a petechial rash and knew the tumbler test. CONCLUSION: Information campaigns about the significance of haemorrhagic rash and about the tumbler test are needed.

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Available abstract

BACKGROUND: Early recognition and treatment of meningococcal disease improves its outcome. Haemorrhagic rash is one of the most specific signs that parents can learn to recognise. OBJECTIVE: To determine the percentage of parents able to recognise a haemorrhagic rash and perform the tumbler test. METHODS: 123 parents of children consulting for mild injuries were interviewed about the significance and recognition of haemorrhagic rash in febrile children. RESULTS: Although 88% of parents undressed their children when they were febrile, it was never to look specifically for a skin rash. Only 7% (95% CI 3% to 12%) were able to recognise a petechial rash and knew the tumbler test. CONCLUSION: Information campaigns about the significance of haemorrhagic rash and about the tumbler test are needed.

Key concepts: Rash, Medicine, Petechial rash, Test (biology), Dermatology, Pediatrics, Surgery, Biology

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