Quality statement 3: Management of petechial rash

Quality statement

Children and young people presenting with a petechial rash receive antibiotics in accordance with NICE guidance.

Quality measure

Structure: Evidence of local arrangements for children and young people presenting with a petechial rash to receive antibiotics in accordance with NICE guidance.

Process: Proportion of children and young people presenting with a petechial rash who receive antibiotics in accordance with NICE guidance.

Numerator – the number of people in the denominator who receive antibiotics in accordance with NICE guidance.

Denominator – the number of children and young people presenting with a petechial rash.

What the quality statement means for different audiences

Service providers ensure systems are in place for children and young people presenting with a petechial rash to receive antibiotics in accordance with NICE guidance.

Healthcare professionals give antibiotics to children and young people presenting with a petechial rash in accordance with NICE guidance.

Commissioners ensure they commission services that ensure children and young people presenting with a petechial rash receive antibiotics in accordance with NICE guidance.

Children and young people with a rash of small red or purple spots that doesn't fade when a glass is pressed firmly against the skin (a non-blanching rash) have appropriate investigations and receive antibiotics if their healthcare professional considers them at risk of bacterial meningitis or meningococcal septicaemia (blood poisoning).

Source guidance

Meningitis (bacterial) and meningococcal septicaemia in under 16s: recognition, diagnosis and management (2010) NICE guideline CG102, recommendations 1.3.2 (key priority for implementation) and 1.3.3 to 1.3.6

Data source

Structure: Local data collection.

Process: Local data collection.

Definitions

The NICE guideline on meningitis (bacterial) and meningococcal septicaemia in under 16s provides information on the correct prescribing of antibiotics for children and young people presenting with a petechial rash.

NICE guidance on the management of petechial rash is also available in diagrammatical form, see the NICE Pathway on bacterial meningitis and meningococcal septicaemia in under 16s.