FEVER in children – recommendations for primary care doctors – FEVER COMPASS

Doniec, Zbigniew; Jackowska, Teresa; Sybilski, Adam J.; Woroń, Jarosław; Mastalerz-Migas, Agnieszka

doi:10.5114/fmpcr.2021.102648

Cited by 4 publications

(2 citation statements)

References 64 publications

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“…Generally, a lower dose is given to infants, although these subjects could receive a higher dose, as the clearance of the drug is 98% of adult levels by 3 months of age [ 84 ]. In children >40 kg, 200–400 mg every 8 h with a maximum of 1600 mg/day are recommended [ 85 , 86 , 87 , 88 ]. The development of IB toxicity is uncommon for doses less than 100 mg/kg ingested over the total course of treatment.…”

Section: Treatment Of Pediatric Painmentioning

confidence: 99%

Pain Management in Children Admitted to the Emergency Room: A Narrative Review

Cunico,

Rossi,

Verdesca

et al. 2023

Pharmaceuticals

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Pain is a biopsychosocial experience characterized by sensory, physiological, cognitive, affective, and behavioral components. Both acute and chronic pain can have short and long-term negative effects. Unfortunately, pain treatment is often inadequate. Guidelines and recommendations for a rational approach to pediatric pain frequently differ, and this may be one of the most important reasons for the poor attention frequently paid to pain treatment in children. This narrative review discusses the present knowledge in this regard. A literature review conducted on papers produced over the last 8 years showed that although in recent years, compared to the past, much progress has been made in the treatment of pain in the context of the pediatric emergency room, there is still a lot to do. There is a need to create guidelines that outline standardized and easy-to-follow pathways for pain recognition and management, which are also flexible enough to take into account differences in different contexts both in terms of drug availability and education of staff as well as of the different complexities of patients. It is essential to guarantee an approach to pain that is as uniform as possible among the pediatric population that limits, as much as possible, the inequalities related to ethnicity and language barriers.

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Section: Treatment Of Pediatric Painmentioning

confidence: 99%

Pain Management in Children Admitted to the Emergency Room: A Narrative Review

Cunico,

Rossi,

Verdesca

et al. 2023

Pharmaceuticals

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“…Some of them are ISPA problems, diarrhoea, and seizures. These three diseases are caused due to infection to inflammation in the body and result in an increase in body temperature as a response (Doniec et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

Improving Management of Hyperthermia on Children Under 5 Years Comparative Study on Highest 3 Cases in Agricultural Area

Sulistyorini,

Dwi Merina,

Perdani Juliningrum

et al. 2023

NLJ

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Fever is the most common problem in children Giving antipyretics to treat fever gives a topical reaction and causes discomfort in children when they have a fever. Tepid sponge as a method of reducing temperature by administering water to the surface of the patient's skin to control body temperature based on the principles of evaporation and conduction of body temperature can cause comfort in children. The purpose of this study was to determine the effect of tepid sponge on decreasing body temperature in pediatric patients with ARI, diarrhea and seizures. The research design was a two group pretest-post-test design (tepid sponge) as the treatment given to the patients under five with ARI, diarrhea and febrile seizures in the inpatient room of RSD dr. Soebandi Jember and RSD dr. Abdoer Rahem Situbondo. 60 participants were involved as the sample of the study selected through purposive sampling. The results were analyzed using the Wilcoxon Sign Rank test with a significance level was set at α = 0.05. Tepid Sponge is effective for reducing body temperature in children. Nurses, families and parents can safely apply the Tepid Sponge as a hyperthermia management solution for pediatric patients.

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Definition and assessment of fever-related discomfort in pediatric literature: a systematic review

Milani,

Alberti,

Bonetti

et al. 2024

Eur J Pediatr

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Guidelines advocate that the symptomatic management of fever should prioritize alleviating the child's discomfort. We investigated the definition and assessment of discomfort in febrile children within the scientific pediatric literature. A systematic review was conducted in accordance with PRISMA 2020 guidelines and preregistered on the Prospero database (CRD42023471590). Databases including PubMed, Embase, and Cochrane were searched. Studies addressing discomfort in febrile children were eligible. Out of 794 initially identified articles, 27 original studies and seven guidelines specifically used the term ‘discomfort’. Only 14 original articles provided a definition of discomfort, revealing substantial heterogeneity and no clear-cut definition. Discomfort was often assessed subjectively, predominantly through parent or self-report, and only two studies used a scoring system for assessment. The definitions varied widely, with terms such as crying, irritability, shivering and chills, pain and distress, goosebumps commonly used and evaluation of observable modifications such as facial modifications. Overall, no consensus on a single, standardized definition was available. Conclusions: This systematic review shows the absence of a standardized definition and assessment of discomfort in febrile children. The findings of the present analysis might be the basis for building a consensus and developing a new tool to evaluate discomfort. What is Known:• Discomfort is currently considered the main criterion to guide antipyretic administration in children with fever.• Despite this clear-cut recommendation, it has been questioned whether a commonly accepted understanding and assessment of this condition exists. What is New:• This systematic review identifies a significant heterogeneity in definitions and assessment of discomfort in children with fever.• Both subjective parameters and observable modifications in physiological parameters should be included in a new and shared characterization of discomfort.

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FEVER in children – recommendations for primary care doctors – FEVER COMPASS

Cited by 4 publications

References 64 publications

Pain Management in Children Admitted to the Emergency Room: A Narrative Review

Pain Management in Children Admitted to the Emergency Room: A Narrative Review

Improving Management of Hyperthermia on Children Under 5 Years Comparative Study on Highest 3 Cases in Agricultural Area

Definition and assessment of fever-related discomfort in pediatric literature: a systematic review

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