Who’s afraid of fever?

@article{Richardson2015WhosAO,
  title={Who’s afraid of fever?},
  author={Martin Richardson and Edward Purssell},
  journal={Archives of Disease in Childhood},
  year={2015},
  volume={100},
  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… 
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Analysis of Nurses’ and Physicians’ Attitudes, Knowledge, and Perceptions toward Fever in Children: A Systematic Review with Meta-Analysis
TLDR
Nurses’ and physicians’ perceptions and attitudes regarding fever management in children indicate an overtreatment of this sign, and the use of educational programs to modify attitudes, perceptions, and knowledge about fever in children and improve clinical practice in nurses is given a recommendation grade of D.
Analysis of Nurses’ and Physicians’ Attitudes, Knowledge, and Perceptions toward Fever in Children: A Systematic Review with Meta-Analysis
TLDR
Nurses’ and physicians’ perceptions and attitudes regarding fever management in children indicate an overtreatment of this sign, and the use of educational programs to modify attitudes, perceptions, and knowledge about fever in children and improve clinical practice in nurses is given a recommendation grade of D.
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References

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TLDR
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 Pediatricians should also promote patient safety by advocating for simplified formulations, dosing instructions, and dosing devices.
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
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TLDR
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.
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TLDR
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.
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TLDR
Parents perceive fever as being dangerous because they have a poor knowledge and measure it inaccurately, and needless consultations and hospital admissions could be avoided by a change in perception.
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TLDR
A few small studies demonstrate that tepid sponging helps to reduce fever in children, and two reviewers independently assessed trial methodological quality.
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TLDR
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
TLDR
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?
TLDR
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.
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