Who’s afraid of fever?

  title={Who’s afraid of fever?},
  author={Martin Richardson and Edward Purssell},
  journal={Archives of Disease in Childhood},
  pages={818 - 820}
The nurses on the children's ward used to have a very fixed approach to fever in young children. If the child had a temperature of 38°C, they would strip the child down and ask the junior doctor on duty to write up some paracetamol. If the child had a temperature of 39°C, they would ask the doctor to write up ibuprofen as well as paracetamol. The doctors would readily comply with these requests. These practices raise a number of questions. Why are we trying to reduce body temperature in a… 

Il sintomo febbre: l'interpretazione e la corretta gestione

Current evidence is shown on the role of fever, the most correct methods for its measurement, the reasonable use of drugs for the symptomatic control of fever and the approach to be followed in the management of fever in the child aged less than 5 years.

Fever in Children: Pearls and Pitfalls Please share how this access benefits you. Your story matters

The epidemiology and measurement of fever, the meaning of fever and associated clinical signs in children of different ages and under special conditions are reviewed, including fever in children with cognitive impairment, recurrent fevers, and fever of unknown origin.

Fever in Children: Pearls and Pitfalls

The epidemiology and measurement of fever, the meaning of fever and associated clinical signs in children of different ages and under special conditions are reviewed, including fever in children with cognitive impairment, recurrent fevers, and fever of unknown origin.

Assessment of knowledge and practices of parents regarding childhood fever management in Kuala Lumpur, Malaysia

The results revealed improper practice in managing childhood fever among parents in Malaysia and suggested that the care of febrile children was motivated by fever phobia.

The Maternal Experiences of Child Care with Fever: a Qualitative Study

Since the occurrence of fever is associated with concerns of parents and self-medication to control fever and discomfort of mothers, it is essential to design and implement the appropriate family-centered interventions to improve awareness and the performance of parents.

Fever: Views in Anthroposophic Medicine and Their Scientific Validity

  • David D Martin
  • Medicine
    Evidence-based complementary and alternative medicine : eCAM
  • 2016
A scoping review was conducted to characterize how fever is viewed in anthroposophic medicine and discuss the scientific validity of these views, which postulates that fever can be of short-term and long-term benefit in several ways.

Hydrotherapeutic Heat Application as Support in Febrile Patients: A Scoping Review.

The literature suggests that hydrotherapeutic heat application is a common and well-appreciated method in Middle Eastern and Asian regions to support febrile patients and may improve comfort, prevent unnecessarily high fever, and save biological energy.

Fever and Pain Management in Childhood: Healthcare Providers’ and Parents’ Adherence to Current Recommendations

There is an urgent need to improve the dissemination of the current recommendations concerning fever and pain management among healthcare providers and parents in order to avoid mistaken and sometimes risky attitudes, common therapeutic errors, and the unnecessary overloading of emergency department resources.

Knowledge, Attitude and Practices of Mothers towards Fever and Its Home Management among Under Five Children in Kom Hamada City, Behira Governorate, Egypt

The study highlights the numerous misconceptions regarding fever management and suggests health education of mothers is needed to improve mother’s practice.



Clinical Report—Fever and Antipyretic Use in Children

The primary goal of treating the febrile child should be to improve the child’s overall comfort rather than focus on the normalization of body temperature, and there is no substantial difference in the safety and effectiveness of acetaminophen and ibuprofen.

Why is the evidence not affecting the practice of fever management?

Fever is a very common complaint in children and is the single most common non-trauma-related reason for visits to the emergency department.1 Parents are concerned about fever and its potential

Fever phobia: misconceptions of parents about fevers.

  • B. Schmitt
  • Medicine
    American journal of diseases of children
  • 1980
A review of the literature showed that the only serious complications of fever were febrile status epilepticus and heat stroke, two rare entities and health education to counteract "fever phobia" should be a part of routine pediatric care.

Fever phobia: the pediatrician's contribution.

To determine how pediatricians treat fever in their practice, a self-administered questionnaire to a sample of members of the American Academy of Pediatrics who lived in Massachusetts found that pediatricians always or often tried to educate families about fever during sick-child visits, yet only 38% addressed the dangers of fever.

Physical methods for treating fever in children.

A few small studies demonstrate that tepid sponging helps to reduce fever in children, and two reviewers independently assessed trial methodological quality.

Parental fever phobia and its evolutionary correlates.

  • E. Purssell
  • Medicine, Psychology
    Journal of clinical nursing
  • 2009
While many parents expressed high levels of worry about fever and used inappropriate treatments, this must be balanced against benefits such as increased vigilance and close attention to hydration, which form part of a conserved response to fever.

Paracetamol plus ibuprofen for the treatment of fever in children (PITCH): randomised controlled trial

Parents, nurses, pharmacists, and doctors wanting to use medicines to supplement physical measures to maximise the time that children spend without fever should use ibuprofen first and consider the relative benefits and risks of using paracetamol plus ib uprofen over 24 hours.

Do antipyretics prevent febrile convulsions?

A 1 year old child is admitted following their first febrile seizure (FS) and the nursing staff ask you to prescribe an antipyretic, and later you come to advise the parents on methods of preventing further febRIle seizures.

Feverish illness in children: Assessment and initial management in children younger than 5 years

Poor compliance with local antibiotic and NICE guidelines regarding prescribing antibiotics for children under three months of age and poor documentation of the assessment of a child at the time of admission are identified.