Petechiae In Children (PIC) Study: Defining A Clinical Decision Rule for The Management Of Fever and Non-Blanching Rashes In Children Including The Role Of Point Of Care Testing For Procalcitonin & Neisseria Meningitidis DNA.

Belfast Health and Social Care Trust

Status: Completed

Conditions: Meningitis; Meningococcal Sepsis; Meningococcal Disease; Meningococcal Infections; Meningitis, Meningococcal; Sepsis

Study type: Observational

Funder types: Other

Identifiers

NCT03378258

EAT/5313/16

17/NI/0169 (Other Identifier)

Details and patient eligibility

About

A fever and a non-blanching rash is a relatively common reason for a child to attend an emergency department. A fever and a non-blanching rash can be an early sign of a life-threatening infection known as meningococcal disease. The aim of the PIC study is to determine how best to diagnose early meningococcal disease in children.

In particular the investigators are interested in researching how quick bedside tests can be used to do this.

Full description

A fever an a non-blanching rash is a relatively common presentation the the emergency department. A minority of children with a fever and a non-blanching rash with have a life-threatening infection. Currently it is very difficult to determine those children that require urgent treatment from those that have a simple viral illness.

The aim of the PIC study is to research how to better diagnose those serious infections earlier.

Data from the study will be used to test the effectiveness of current practice and to identify areas where current practice could be improved.

Enrollment: 1,329 patients

Sex: All

Ages: Under 18 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Fever (recorded or reported) 38 degrees Centigrade or higher and a non-blanching rash (at the time of presentation)
• Features of meningococcal sepsis/meningitis

Exclusion criteria

• Known haematological conditions such as haematological malignancy, idiopathic thrombocytopenic purpura and coagulopathy