NICE guideline: feverish illness in children—assessment and initial management in children younger than 5 years

Davis, Tessa

doi:10.1136/archdischild-2013-304792

Cited by 79 publications

(77 citation statements)

References 2 publications

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“…It is widely acknowledged in clinical guidelines that alternating antipyretics is not recommended practice for the management of fever [27]. However, this review illustrates that such practice is prevalent, often on the recommendations of healthcare professionals.…”

Section: Discussionmentioning

confidence: 97%

“…The review included studies whose focus was on children aged 5 years of age or younger. We excluded older children so as to conform to current evidence-based guidelines [27]. Therefore, the results of this study may not be generalisable to parents of older children.…”

Section: Strengths and Limitationsmentioning

confidence: 87%

“…Studies with a focus on children aged 6 years of age or older so as to conform to current guidelines. These guidelines refer to children aged 5 years of age and under [27] Quantitative studies using questionnaire design with parents regarding management of fever or febrile illness in children Parents of any age Int J Clin Pharm and Dissemination's Guidance for Undertaking Reviews in Health Care [30]. Thematic synthesis was used to synthesise data from studies using a semi-structured interview or focus group methodology [31].…”

Section: Methodsmentioning

confidence: 99%

“…Children aged 6 years of age and over were excluded as current guidelines refer to children aged 5 years of age and younger [27]. A data extraction form was designed by MK based on examples used in the literature [28].…”

Section: Methodsmentioning

confidence: 99%

“…There is a clear knowledge gap between the recommendations of guidelines and national organisations [27] and what parents and other caregivers understand and implement [10,19,20]. Acknowledging this gap and targeting interventions to close it will improve health outcomes for children.…”

Section: Introductionmentioning

confidence: 93%

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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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Section: Discussionmentioning

confidence: 97%

Section: Strengths and Limitationsmentioning

confidence: 87%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 93%

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Drivers for inappropriate fever management in children: a systematic review

et al. 2016

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Combined and alternating paracetamol and ibuprofen therapy for febrile children

Wong

Stang

Ganshorn

et al. 2013

Cochrane Database of Systematic Reviews

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Educational interventions on fever management in children: A scoping review

2019

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Background Numerous studies have been conducted specifically to target “fever phobia” and inappropriate fever management skills. However, despite educational intervention, caregivers continue to adopt inappropriate and non‐evidence‐based practices. Aims To collect and examine peer‐reviewed literature for active educational interventions aimed at improving fever management in children and profile them based on: who provided the training, training location, how the intervention was delivered, outcomes of training, and how it was measured. Design Scoping Review. Methods MEDLINE, EMBASE, CINAHL, PubMED, PsycINFO, and IPA were searched from January 1980–December 2016. Study location, type of intervention, intervention target, study aim(s), sample size, instruments, outcome measures, and results were extracted. Results Thirty‐seven studies met the inclusion criteria. Most targeted parents with the remainder focused on healthcare professionals. The interventions and their outcome measures varied significantly from structured group training sessions to video interventions and many using a combination of methods. Most interventions reported a positive impact in outcomes such as knowledge, health service use, or fever management skills. Conclusion More standardized educational platforms targeted at both caregivers and healthcare professionals with appropriate evaluation methods should be developed and made widely available.

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NICE guideline: feverish illness in children—assessment and initial management in children younger than 5 years

Cited by 79 publications

References 2 publications

Drivers for inappropriate fever management in children: a systematic review

Drivers for inappropriate fever management in children: a systematic review

Combined and alternating paracetamol and ibuprofen therapy for febrile children

Educational interventions on fever management in children: A scoping review

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