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

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.