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

Hew, Yu Hua; Blebil, Ali Qais; Dujaili, Juman Abdulelah; Khan, Tahir Mehmood

doi:10.1007/s40267-018-0564-5

Cited by 12 publications

(15 citation statements)

References 35 publications

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“…Similar to the current study, Hew et al found high scores on the PFMS and showed that the care burden of the parents was very high in the monitoring of febrile children (26). In different countries similar to Turkiye, it was found that parents were very afraid of fever and frequently checked their children during fever follow-up and treatment (27)(28)(29).…”

Section: Discussionsupporting

confidence: 84%

“…In a population-based study conducted by Hew et al in Malaysia, high PFMS total scores were obtained in parents. While mothers were fighting fire; they generally aimed to administer antipyretics (81.4%), to monitor temperature (86.0%), and to comply with medical advice (69.8%) (29). However, in Australia, parents were found to be delayed in taking their children to the doctor in the case of fever (28).…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of Fever Management and Rational Drug Use in Mothers of Children Under the Age of Five

Yazıcı¹,

Kutlu²

2022

jmed

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Objective: The aim of this study was to evaluate the parental practices towards fever management and rational drug use in mothers with children under the age of five. Materials and Method:This research was planned as a cross-sectional analytical study. The study was conducted on 342 mothers with children under five years of age who applied to family health centers (FHCs). The Parental Fever Management Scale (PFMS-TR) and Rational Drug Use Scale (RDUS) were applied to the participants. Results:The average age of the mothers was 30.8±5.7 years, and 50.6% (n=173) had high school education or above. Of the participants, 89.5% (n=306) stated that they had a thermometer at home and 49.7% (n=170) first sensed that their children had a fever by touching them, while 38% (n=130) understood by their appearance, and 38.3% (n=126) applied to FHCs first for treatment. There was a significant correlation between the mothers' PFMS scores and their age, marital, planned pregnancy, educational status and place of residence (p<0.05). There was a significant relationship between the RDUS scores and age at marriage, age at first birth, employment status, kinship status with spouse, presence of caregivers, educational status, place of residence, family type, and economic situation (p<0.05). Conclusion:Although almost all of the mothers had a thermometer at home, it was noteworthy that only one-tenth detected the fever using a thermometer. It was observed that mothers who have a high school education or above, are employed, marry at an advanced age, and give birth after the age of 22, use the drugs more rationally. The family physician is mostly the first person to that parents apply. Informing the parents of a febrile child about how they should approach the situation will both relax the family and reduce unnecessary applications to health institutions.

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Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Evaluation of Fever Management and Rational Drug Use in Mothers of Children Under the Age of Five

Yazıcı¹,

Kutlu²

2022

jmed

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“…In studies conducted at different times in the literature, the educational status of mothers varied. 8,[10][11][12]16 In the study conducted by Aburaida et al 6 65.2% of the mothers were university graduates. It may be because the data of the study were collected on an online platform.…”

Section: Discussionmentioning

confidence: 96%

“…[5][6][7] It also constitutes the most common reason for drug use in childhood. 8 The ability of parents to perform fever management safely and effectively has an important place in ensuring proper drug use. 9 The majority of parents do not use antipyretic drugs at the appropriate dose and time interval.…”

Section: Introductionmentioning

confidence: 99%

Determination of Fever Management and Rational Drug Use of Mothers with Children Under Six Years Old

Karakul

Doğan

2022

HRJ

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Background: Fever is one of the most common problems of childhood, which worries mothers. An insufficient level of knowledge about when and how to intervene in fever causes children to be exposed to inadequate and/or wrong practices and to use unnecessary or improper doses of antipyretics and antibiotics Aim: In this study, it was aimed to examine the fever management and rational drug use of mothers with children under six years old. Material and Method: The research is of descriptive type. It was conducted with 276 mothers between January and March 2021.Introductory Information Form, Parental Fever Management Scale (PFMS) and Rational Drug Use Scale (RDUS) were used. The data were analyzed by number and percentage distribution, mean standard deviation, Mann Whitney U and Kruskal-Wallis and correlation test. Results: It was determined that 25% of the mothers participating in the study were 30 years old and younger. The mean total score for PFMS is 28.71±3.86; RDU scale is 39.28±3.18. There was a statistically significant difference between the mothers taking their children to the doctor to fever, the children being hospitalized due to high fever before, the children having convulsions due to fever, and measuring the fever of the children when they got a fever, and the total score of the parental fever management scale. It was found that there was a statistically significant difference between the education level of the mothers, the place of residence, income level, and the total score of the rational drug use scale and getting information from someone when fever occurred. Conclusion: Based on the result of this study, It was determined that the mothers had good fever management and had rational knowledge of drug use. In addition, mothers' education level, place of residence, income level and the fact that they receive information from someone during febricity increase the knowledge of rational drug use. Therefore, it can be suggested that education programs for mothers on fever management and rational drug use.

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“…Until now, no conclusive answer exists on whether fever is bene cial or harmful (17-21). However, fever is routinely suppressed, to curb the extra metabolic and cardiorespiratory demand that it levies on the patient, as well as to reduce fever-associated discomfort (22-25), and most of the time, involves over the counter drugs without medical advice (23,(26)(27)(28). Some studies have connected the onset and progression of chronic in ammatory diseases to the suppression of acute in ammation, including fever (29-34), stating it to be one of the factors contributing to the growing global burden of chronic in ammatory diseases (29,35).…”

mentioning

confidence: 99%

Long-term Health Effects of Antipyretic Drug Use in the Ageing Population: A Systematic Review

Mahesh

Werf

Mallappa³

et al. 2021

Preprint

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Background: It is unclear whether fever suppression is beneficial or harmful in the long term in the elderly, due to different immune profile and body temperature compared to the young. Our objective was to determine the long-term health effects of antipyretic treatment in the elderly during infections.Methods: A systematic review was carried out using PubMed, Embase and Cochrane CENTRAL databases. Studies with a sample age ≥60 years investigating any antipyretic drug during infections, comparing with any other drug/therapy/placebo/none were included. Studies in which these drugs were used in roles other than antipyresis were excluded. Databases were searched from their inception until the date of last analysis (27/03/2021). Primary outcome was the onset or worsening of chronic inflammatory diseases. Secondary outcomes were fever reduction, length of hospital stay, patient satisfaction, mortality, laboratory parameters indicative of morbidity, and progress to complications. The Risk of Bias (ROB) was assessed for each study type with the respective ROB formats– Cochrane’s ROB tool for RCTs, ROBINS-I tool for observational studies, Joanna Brigg’s critical appraisal tool for case series and the Cochrane handbook prescribed domains for case reports. Narrative synthesis was performed because high heterogeneity rendered meta-analysis impossible.Results: Of 11481, 17 studies (2 RCTs, 7 observational, 1 case series and 7 case reports) were included. No studies investigated the primary outcome and patient-reported outcomes.The Risk-of-bias of the studies was unclear to high. Fever reduction was significant in the RCTs, in the antipyretic group. BP drop was significant in five studies, in the antipyretic group. Morbidity indicators and length of stay were available only in studies that reported adverse events. Mortality was significant for these drugs in one observational study. The certainty of evidence (GRADE) was low to very low for all outcomes, including fever reduction and mortality. Discussion/Conclusions: There is insufficient evidence regarding the long-term benefit or harm from fever suppression with antipyretics during infections in the elderly. Systematic review registration: This study was funded by the Taylor’s University Ageing Flagship Program and the protocol was registered on PROSPERO (registration number: CRD42020160854)

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

Cited by 12 publications

References 35 publications

Evaluation of Fever Management and Rational Drug Use in Mothers of Children Under the Age of Five

Evaluation of Fever Management and Rational Drug Use in Mothers of Children Under the Age of Five

Determination of Fever Management and Rational Drug Use of Mothers with Children Under Six Years Old

Long-term Health Effects of Antipyretic Drug Use in the Ageing Population: A Systematic Review

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