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Parental Attitudes About Lumbar Puncture in Children With Suspected Central Nervous System Infection

Aslıhan Sahin1, Ahu Kara-Aksay1, Gulsah Demir2

  • 1From the Departments of Pediatric Infectious Diseases.

Pediatric Emergency Care
|July 18, 2023
PubMed

Insights

Parents

Area of Science:

  • Pediatrics
  • Neurology
  • Infectious Diseases

Background:

  • Lumbar puncture (LP) is a critical diagnostic procedure for suspected central nervous system infections in children.
  • Parental consent is essential for pediatric LP, but attitudes toward the procedure can vary.
  • Understanding parental concerns is vital to improve consent rates and ensure timely diagnosis.

Purpose of the Study:

  • To evaluate parental attitudes towards lumbar puncture (LP) in children with suspected central nervous system infections.
  • To identify key reasons for LP rejection by parents.
  • To determine factors influencing parental decisions regarding pediatric LP.

Main Methods:

  • A survey was administered to parents of children (1 month–18 years) for whom LP was recommended.
  • Parental sociodemographic characteristics and factors related to consent were statistically analyzed.
  • Reasons for refusal were documented, and logistic regression identified predictors of consent.

Main Results:

  • 34% of parents refused consent for LP.
  • The primary reason for refusal was fear of paralysis (82.3%).
  • Informed by specialist physicians significantly increased LP acceptance (7.1-fold higher) compared to resident physicians.

Conclusions:

  • The informed consent process significantly impacts parental acceptance of pediatric LP.
  • Standardizing the informed consent procedure, ensuring clear communication from specialist physicians, can enhance LP acceptance rates.
  • Addressing parental fears, particularly regarding paralysis, is crucial for improving consent for this vital diagnostic procedure.
Abstract

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