Sepsis awareness and understanding in Australian parents: A National Child Health Poll survey

Abstract

AimThe primary aim of the study was to assess parental awareness and understanding of childhood sepsis. Secondary aims included parental knowledge of the signs and symptoms of sepsis, and what parents would do if they suspected sepsis in their own child.MethodsAn online questionnaire was administered as part of The Royal Children's Hospital National Child Health Poll. The Poll is a quarterly online survey of a sample of Australian families with at least one child aged 0–17 years old, representative by age, sex and state of residence. The questionnaire collected information on parental sepsis awareness, and for those defined as sepsis aware, information was gathered on sepsis knowledge, signs and symptoms, and how they would respond if they thought their child had sepsis. Signs and symptoms highly likely to be suggestive of sepsis were predefined based on published sepsis guidelines and awareness campaigns.ResultsThe questionnaire was completed by 3352 parents. Of those, 2065 (61.6%) had heard of the term sepsis and 2818 (84.1%) had heard of at least one alternate term for sepsis and were classified as ‘sepsis aware’. Of the ‘sepsis aware’ parents, 82.9% knew that sepsis was a life‐threatening condition, but only 33.8% knew that once diagnosed, sepsis may not be curable. Only 27.8% thought that they could recognise the signs of sepsis in their own child. Less than half of respondents correctly identified signs and symptoms that were highly likely to be suggestive of sepsis. Seventy‐one per cent of parents said they would seek urgent care at a hospital emergency department or other facility if they thought their child had sepsis, but only 37.3% said they would consider calling an ambulance.ConclusionThere are considerable knowledge gaps in parental awareness and knowledge of sepsis, particularly sepsis recognition. Parental education should target these knowledge gaps in order to improve healthcare‐seeking behaviour and communication between parents and healthcare providers in order to facilitate early sepsis diagnosis and treatment.

Sepsis epidemiology in Australian and New Zealand children (SENTINEL): protocol for a multicountry prospective observational study

“…Parents are at the front line of early sepsis recognition, yet only 27% think they could recognise the signs of sepsis in their own children. 41 Coroner investigations repeatedly highlight the failure of healthcare providers to heed parental concerns, contributing to delays in sepsis recognition and timely treatment. 42 In a collaboration between emergency physicians, paediatricians and critical care physicians, this study will provide a landscape analysis of community-acquired childhood sepsis in Australia and NZ through the PREDICT network.…”

“…Parents are at the front line of early sepsis recognition, yet only 27% think they could recognise the signs of sepsis in their own children. 41 Coroner investigations repeatedly highlight the failure of healthcare providers to heed parental concerns, contributing to delays in sepsis recognition and timely treatment. 42…”