Skin Diseases and Severe Infections in Children
Author Information
Author(s): Mohammedamin Robbert SA, van der Wouden Johannes C, Koning Sander, Willemsen Sten P, Bernsen Roos MD, Schellevis François G, van Suijlekom-Smit Lisette WA, Koes Bart W
Primary Institution: Erasmus MC-University Medical Center Rotterdam
Hypothesis
Children with sepsis or bacteraemia more often presented with skin diseases to the general practitioner than other children.
Conclusion
Children admitted for sepsis or bacteraemia consulted the GP more often for skin diseases than other children, but the differences are not clinically relevant.
Supporting Evidence
- Children with sepsis or bacteraemia consulted the GP more often for skin diseases than controls.
- The odds ratio for skin diseases was 3.4 in cases versus GP controls.
- Only 5% of cases consulted the GP for skin diseases prior to admission.
Takeaway
Kids who get really sick from infections sometimes had skin problems before, but it's not a big enough deal for doctors to worry about too much.
Methodology
A case-control study using data from the second Dutch national survey of general practice and the National Medical Registration of all hospital admissions in the Netherlands.
Limitations
The probability of a GP consultation for skin disease was only 5% among cases, indicating limited opportunity for GPs to reduce sepsis risk.
Participant Demographics
Children aged 0–17 years, with a mix of genders and socio-economic backgrounds.
Statistical Information
P-Value
0.03
Confidence Interval
[1.1–10.8]
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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