Fever in a child is one of the most common clinical symptoms american academy of pediatrics fever guidelines pdf by pediatricians and other health care providers and a frequent cause of parental concern. Fever, however, is not the primary illness but is a physiologic mechanism that has beneficial effects in fighting infection. There is no evidence that fever itself worsens the course of an illness or that it causes long-term neurologic complications.
Thus, 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. When counseling the parents or caregivers of a febrile child, the general well-being of the child, the importance of monitoring activity, observing for signs of serious illness, encouraging appropriate fluid intake, and the safe storage of antipyretics should be emphasized. Current evidence suggests that there is no substantial difference in the safety and effectiveness of acetaminophen and ibuprofen in the care of a generally healthy child with fever. Pediatricians should also promote patient safety by advocating for simplified formulations, dosing instructions, and dosing devices. Thus, the primary goal of treating the febrile child should be to improve the child9s overall comfort rather than focus on the normalization of body temperature. Fever Phobia Revisited: Have Parental Misconceptions About Fever Changed in 20 Years?
Determinants of antipyretic misuse in children up to 5 years of age: a cross-sectional study. Acetaminophen and ibuprofen dosing by parents. Alternating Antipyretics: Is This an Alternative? Brighton Collaboration Fever Working Group. Impact of temperature elevation on immunologic defenses. Acetaminophen: more harm than good for chickenpox?