ABSTRACT 717

• DOI: 10.1097/01.pcc.0000449443.76685.c9
• Publication Date: 2014-05-05T23:48:04Z
• Authors: S. Stokes; J. Boulton; A. Fsher; A. D’Amico; K. Oliver

Background and aims: Sepsis is a life-threatening illness with mortality rate of 30–60%. The Aboriginal childhood population the Kimberley region northwest Australia suffered post-neonatal from preventable sepsis ten times that non-Aboriginal population. Aims: To reduce incidence death through an intervention strategy: Febrile Child Policy (FCP). Methods: This study has been approved WA Department Health ethics process. FCP required health staff to follow explicit steps in clinical assessment using standardised cut-points for vital signs; investigation by septic workup urinalysis culture, throat swab, blood CRP WCC; treatment parenteral antibiotic all children under age 5 years who presented febrile no obvious source infection. evidence benefit deaths prevented was assessed comparison prior (Epoch 1) 3 following 2) implementation FCP. Results: babies fell 8.2 Epoch 1 4.9 per 1000 2, but remained same (0.8; 0). There were recorded during 2 presenting illnesses. Conclusions: successfully raised clinicians’ index suspicion potentially lethal sepsis; sepsis-related mortality; reduced social financial care burdens. Due low statistical power significance will take become apparent, evident.