Fever Literacy and Fever Phobia

Wallenstein, Matthew B.; Schroeder, Alan R.; Hole, Michael K.; Ryan, Christina M.; Fijalkowski, Natalia; Alvarez, Elysia; Carmichael, Suzan L.

doi:10.1177/0009922812472252

Cited by 63 publications

(78 citation statements)

References 46 publications

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“…However, it is widely known that parents overtreat fever during childhood. [24][25][26] Therefore, an opportunity exists to decrease unnecessary exposure to analgesics and the medication errors that occur with analgesic use. Furthermore, it is also well established that antimicrobial agents are overprescribed by medical professionals, and antihistamines are frequently used inappropriately to treat nonallergic upper respiratory congestion.…”

Section: Discussionmentioning

confidence: 99%

Out-of-Hospital Medication Errors Among Young Children in the United States, 2002–2012

et al. 2014

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OBJECTIVE: To investigate out-of-hospital medication errors among young children in the United States. METHODS: Using data from the National Poison Database System, a retrospective analysis of out-of-hospital medication errors among children <6 years old from 2002 through 2012 was conducted. RESULTS: During 2002–2012, 696 937 children <6 years experienced out-of-hospital medication errors, averaging 63 358 episodes per year, or 1 child every 8 minutes. The average annual rate of medication errors was 26.42 per 10 000 population. Cough and cold medication errors decreased significantly, whereas the number (42.9% increase) and rate (37.2% increase) of all other medication errors rose significantly during the 11-year study period. The number and rate of medication error events decreased with increasing child age, with children <1 year accounting for 25.2% of episodes. Analgesics (25.2%) were most commonly involved in medication errors, followed by cough and cold preparations (24.6%). Ingestion accounted for 96.2% of events, and 27.0% of medication errors were attributed to inadvertently taking or being given medication twice. Most (93.5%) cases were managed outside of a health care facility; 4.4% were treated and released from a health care facility; 0.4% were admitted to a non–critical care unit; 0.3% were admitted to a critical care unit; and 25 children died. CONCLUSIONS: This is the first comprehensive study to evaluate the epidemiologic characteristics of out-of-hospital medication errors among children <6 years of age on a national level. Increased efforts are needed to prevent medication errors, especially those involving non–cough and cold preparations, among young children.

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Section: Discussionmentioning

confidence: 99%

Out-of-Hospital Medication Errors Among Young Children in the United States, 2002–2012

et al. 2014

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“…Consequently, it is one of the main reasons for paediatric consultations at emergency departments (EDs) [7]. In the USA 60 million clinic visits per year are due to fever in children, costing an estimated $10 billion in 2010 [10][11][12]. Parents also seek reassurance from a variety of other sources including the internet, family, friends, books and magazines and other healthcare practitioners [3,4,7].…”

Section: Introductionmentioning

confidence: 99%

Drivers for inappropriate fever management in children: a systematic review

et al. 2016

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Background Fever is one of the most common childhood symptoms and accounts for numerous consultations with healthcare practitioners. It causes much anxiety amongst parents as many struggle with managing a feverish child and find it difficult to assess fever severity. Over- and under-dosing of antipyretics has been reported. Aim of the review The aim of this review was to synthesise qualitative and quantitative evidence on the knowledge, attitudes and beliefs of parents regarding fever and febrile illness in children. Method A systematic search was conducted in ten bibliographic databases from database inception to June 2014. Citation lists of studies and consultation with experts were used as secondary sources to identify further relevant studies. Titles and abstracts were screened for inclusion according to pre-defined inclusion and exclusion criteria. Quantitative studies using a questionnaire were analysed using narrative synthesis. Qualitative studies with a semi-structured interview or focus group methodology were analysed thematically. Results Of the 1565 studies which were screened for inclusion in the review, the final review comprised of 14 studies (three qualitative and 11 quantitative). Three categories emerged from the narrative synthesis of quantitative studies: (i) parental practices; (ii) knowledge; (iii) expectations and information seeking. A further three analytical themes emerged from the qualitative studies: (i) control; (ii) impact on family; (iii) experiences. Conclusion Our review identifies the multifaceted nature of the factors which impact on how parents manage fever and febrile illness in children. A coherent approach to the management of fever and febrile illness needs to be implemented so a consistent message is communicated to parents. Healthcare professionals including pharmacists regularly advise parents on fever management. Information given to parents needs to be timely, consistent and accurate so that inappropriate fever management is reduced or eliminated. This review is a necessary foundation for further research in this area.

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“…www.e-chnr.org 부모의 과도한 걱정과 낮은 건강문해가 해열제와 의료서비스의 사 용을 증가시키며 [4,5], 제약회사와 대중매체가 이를 더 부추기는 것으 로 보고되고 있다 [6]. 부모들의 발열에 대한 낮은 건강문해는 발열과 같은 경한 건강문제로 응급실을 방문하는 것과의 관련성이 높은 것으 로 나타났다 [4,5].…”

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“…부모들의 발열에 대한 낮은 건강문해는 발열과 같은 경한 건강문제로 응급실을 방문하는 것과의 관련성이 높은 것으 로 나타났다 [4,5]. 이상에서 항바이러스 활동이 증진된다 [6,21].…”

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Knowledge and Practice of Fever Management by Mothers of Preschool Children at Home

Park¹,

Kwon²

2017

Child Health Nurs Res

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Purpose:The purposes of this review were to address misconceptions of childhood fever and fever management practice among parents and health care providers, and to identify the scientific evidences against such misconceptions and practices. Methods: Journal databases and clinical guidelines from 2000 to 2015 were searched. The search terms were fever, fever management, misconception, myth, fiction, fact, fever phobia, child, antipyretics, tepid bath, alternating use/combined use of antipyretics, and physical cooling method. Results: There are significant gaps between current concepts and practices, and the scientific evidence. Misconceptions and unrealistic concerns about childhood fever still exist among parents and even health care providers, worldwide. The evidences suggest that antipyretics should be given carefully with the aim of relieving discomfort or pain rather than decreasing the temperature itself. Alternating use of antipyretics should be discouraged due to the risk of confusion and error. Antipyretics do not prevent febrile convulsions. Moreover, the scientific evidence does not support tepid sponge massage. Conclusion: Evidence-based childhood fever management interventions should be targeted toward parents and health care providers. By adopting an evidence-based approach to nursing interventions, pediatric nurses can ensure children receive appropriate and safe fever management.

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Fever Literacy and Fever Phobia

Abstract: Our finding that 0% of parents correctly defined fever is both surprising and unsettling, and it should inform future discussions of fever between parents and clinicians.

Cited by 63 publications

References 46 publications

Out-of-Hospital Medication Errors Among Young Children in the United States, 2002–2012

Out-of-Hospital Medication Errors Among Young Children in the United States, 2002–2012

Drivers for inappropriate fever management in children: a systematic review

Knowledge and Practice of Fever Management by Mothers of Preschool Children at Home

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