Association between skin diseases and severe bacterial infections in children: case-control study
<p>Abstract</p> <p>Background</p> <p>Sepsis or bacteraemia, however rare, is a significant cause of high mortality and serious complications in children. In previous studies skin disease or skin infections were reported as risk factor. We hypothesize that children with...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2006-08-01
|
| Series: | BMC Family Practice |
| Online Access: | http://www.biomedcentral.com/1471-2296/7/52 |
| _version_ | 1818119200941539328 |
|---|---|
| author | van Suijlekom-Smit Lisette WA Schellevis François G Bernsen Roos MD Willemsen Sten P Koning Sander van der Wouden Johannes C Mohammedamin Robbert SA Koes Bart W |
| author_facet | van Suijlekom-Smit Lisette WA Schellevis François G Bernsen Roos MD Willemsen Sten P Koning Sander van der Wouden Johannes C Mohammedamin Robbert SA Koes Bart W |
| author_sort | van Suijlekom-Smit Lisette WA |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Sepsis or bacteraemia, however rare, is a significant cause of high mortality and serious complications in children. In previous studies skin disease or skin infections were reported as risk factor. We hypothesize that children with sepsis or bacteraemia more often presented with skin diseases to the general practitioner (GP) than other children. If our hypothesis is true the GP could reduce the risk of sepsis or bacteraemia by managing skin diseases appropriately.</p> <p>Methods</p> <p>We performed a case-control study using data of children aged 0–17 years of the second Dutch national survey of general practice (2001) and the National Medical Registration of all hospital admissions in the Netherlands. Cases were defined as children who were hospitalized for sepsis or bacteraemia. We selected two control groups by matching each case with six controls. The first control group was randomly selected from the GP patient lists irrespective of hospital admission and GP consultation. The second control group was randomly sampled from those children who were hospitalized for other reasons than sepsis or bacteraemia. We calculated odds ratios and 95% confidence intervals (CI). A two-sided p-value less than 0.05 was considered significant in all tests.</p> <p>Results</p> <p>We found odds ratios for skin related GP consultations of 3.4 (95% CI: [1.1–10.8], p = 0.03) in cases versus GP controls and 1.4 (95% CI: [0.5–3.9], p = 0.44) in cases versus hospital controls. Children younger than three months had an odds ratio (cases/GP controls) of 9.2 (95% CI: [0.81–106.1], p = 0.07) and 4.0 (95% CI: [0.67–23.9], p = 0.12) among cases versus hospital controls. Although cases consulted the GP more often with skin diseases than their controls, the probability of a GP consultation for skin disease was only 5% among cases.</p> <p>Conclusion</p> <p>There is evidence that children who were admitted due to sepsis or bacteraemia consulted the GP more often for skin diseases than other children, but the differences are not clinically relevant indicating that there is little opportunity for GPs to reduce the risk of sepsis and/or bacteraemia considerably by managing skin diseases appropriately.</p> |
| first_indexed | 2024-12-11T05:06:26Z |
| format | Article |
| id | doaj.art-e87e7502b83c4e6db31265e6f7f857c1 |
| institution | Directory Open Access Journal |
| issn | 1471-2296 |
| language | English |
| last_indexed | 2024-12-11T05:06:26Z |
| publishDate | 2006-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Family Practice |
| spelling | doaj.art-e87e7502b83c4e6db31265e6f7f857c12022-12-22T01:20:02ZengBMCBMC Family Practice1471-22962006-08-01715210.1186/1471-2296-7-52Association between skin diseases and severe bacterial infections in children: case-control studyvan Suijlekom-Smit Lisette WASchellevis François GBernsen Roos MDWillemsen Sten PKoning Sandervan der Wouden Johannes CMohammedamin Robbert SAKoes Bart W<p>Abstract</p> <p>Background</p> <p>Sepsis or bacteraemia, however rare, is a significant cause of high mortality and serious complications in children. In previous studies skin disease or skin infections were reported as risk factor. We hypothesize that children with sepsis or bacteraemia more often presented with skin diseases to the general practitioner (GP) than other children. If our hypothesis is true the GP could reduce the risk of sepsis or bacteraemia by managing skin diseases appropriately.</p> <p>Methods</p> <p>We performed a case-control study using data of children aged 0–17 years of the second Dutch national survey of general practice (2001) and the National Medical Registration of all hospital admissions in the Netherlands. Cases were defined as children who were hospitalized for sepsis or bacteraemia. We selected two control groups by matching each case with six controls. The first control group was randomly selected from the GP patient lists irrespective of hospital admission and GP consultation. The second control group was randomly sampled from those children who were hospitalized for other reasons than sepsis or bacteraemia. We calculated odds ratios and 95% confidence intervals (CI). A two-sided p-value less than 0.05 was considered significant in all tests.</p> <p>Results</p> <p>We found odds ratios for skin related GP consultations of 3.4 (95% CI: [1.1–10.8], p = 0.03) in cases versus GP controls and 1.4 (95% CI: [0.5–3.9], p = 0.44) in cases versus hospital controls. Children younger than three months had an odds ratio (cases/GP controls) of 9.2 (95% CI: [0.81–106.1], p = 0.07) and 4.0 (95% CI: [0.67–23.9], p = 0.12) among cases versus hospital controls. Although cases consulted the GP more often with skin diseases than their controls, the probability of a GP consultation for skin disease was only 5% among cases.</p> <p>Conclusion</p> <p>There is evidence that children who were admitted due to sepsis or bacteraemia consulted the GP more often for skin diseases than other children, but the differences are not clinically relevant indicating that there is little opportunity for GPs to reduce the risk of sepsis and/or bacteraemia considerably by managing skin diseases appropriately.</p>http://www.biomedcentral.com/1471-2296/7/52 |
| spellingShingle | van Suijlekom-Smit Lisette WA Schellevis François G Bernsen Roos MD Willemsen Sten P Koning Sander van der Wouden Johannes C Mohammedamin Robbert SA Koes Bart W Association between skin diseases and severe bacterial infections in children: case-control study BMC Family Practice |
| title | Association between skin diseases and severe bacterial infections in children: case-control study |
| title_full | Association between skin diseases and severe bacterial infections in children: case-control study |
| title_fullStr | Association between skin diseases and severe bacterial infections in children: case-control study |
| title_full_unstemmed | Association between skin diseases and severe bacterial infections in children: case-control study |
| title_short | Association between skin diseases and severe bacterial infections in children: case-control study |
| title_sort | association between skin diseases and severe bacterial infections in children case control study |
| url | http://www.biomedcentral.com/1471-2296/7/52 |
| work_keys_str_mv | AT vansuijlekomsmitlisettewa associationbetweenskindiseasesandseverebacterialinfectionsinchildrencasecontrolstudy AT schellevisfrancoisg associationbetweenskindiseasesandseverebacterialinfectionsinchildrencasecontrolstudy AT bernsenroosmd associationbetweenskindiseasesandseverebacterialinfectionsinchildrencasecontrolstudy AT willemsenstenp associationbetweenskindiseasesandseverebacterialinfectionsinchildrencasecontrolstudy AT koningsander associationbetweenskindiseasesandseverebacterialinfectionsinchildrencasecontrolstudy AT vanderwoudenjohannesc associationbetweenskindiseasesandseverebacterialinfectionsinchildrencasecontrolstudy AT mohammedaminrobbertsa associationbetweenskindiseasesandseverebacterialinfectionsinchildrencasecontrolstudy AT koesbartw associationbetweenskindiseasesandseverebacterialinfectionsinchildrencasecontrolstudy |