Related Experiment Videos
[Management of paediatric fever: is parents' skill appropriate?]
1MCA, département de médecine générale, faculté de médecine de Nancy, université Henri-Poincaré, centre d'investigation clinique, INSERM, CHU de Nancy, hôpital Jeanne d'Arc, BP 90303, 54201 Toul cedex, France. jm.boivin@chu-nancy.fr
Insights
Parents often lack knowledge on managing paediatric fever, leading to unsuitable treatments. Targeted information is crucial for parents in disadvantaged areas to improve child fever management.
Area of Science:
- Pediatrics
- Public Health
- Pharmacology
Context:
- Paediatric fever is a common reason for medical consultations.
- Parental knowledge and practices regarding fever management vary significantly with socio-economic status.
- A study was conducted in Metz, France, to assess fever knowledge across different socio-economic groups.
Purpose:
- To evaluate parental knowledge and practices related to managing fever in children and infants.
- To identify disparities in fever management based on socio-economic conditions.
- To inform targeted public health interventions.
Summary:
- Fever threshold (38°C) and measurement methods are generally known, with few errors in physical antipyretic measures.
- Acetaminophen is preferred over ibuprofen, and aspirin use is declining.
- However, parental knowledge gaps regarding medication components lead to unsuitable antipyretic treatments, including overdosage and drug interactions.
Impact:
- Significant gaps in knowledge and harmful management practices were observed among parents in disadvantaged socio-economic conditions.
- There is a need for targeted health information campaigns for populations in areas with unfavorable socio-economic conditions.
- Improving parental education can lead to safer and more effective paediatric fever management.
Unlabelled:
Paediatric fever is a frequent reason of consulting a paediatrician or a general practitioner (30% of paediatric consultations).
Aim Of The Study:
This investigation aimed at reporting the knowledge level concerning child's and infant's fever in a urban population and the resulting practices. Two thousand and six hundred questionnaires were distributed in June 2004 in the 29 scholar institutions of Metz agglomeration (France) classified in 3 categories according to socio-economical conditions of parents: 3 institutions of city centre (high socioeconomical conditions), 18 sub-urban institutions (intermediary conditions) and 8 institutions located in priority education zones (ZEP) (defavorable conditions).
Results:
One thousand and thirty-eight questionnaires could be analyzed (40%): 176 in city centre, 634 in sub-urban zones and 228 in ZEP. Fever threshold at 38 degrees C is well-known and fever measuring methods used are mostly in accordance with the recommendations. The best room temperature was known and the use of antipyretic physical means underlined only a few cases of obvious mistakes. All parents were informed about worrying signs related with fever even if doctor's resort was excessive. Acetaminophen was the reference molecule before ibuprofen whereas the use of aspirin was decreasing. Antipyretic treatments methods used by parents were often unsuitable, leading to therapeutical inefficacy, overdosage or noxious drug interactions, mainly because of a lack of knowledge about drug components.
Conclusion:
This investigation underlines insufficient knowledge and noxious management practices among parents with unfavourable socio-economical conditions which lead us to recommend targeted information preferentially in areas gathering together most unfavourable socio-economical condition populations.
Related Concept Videos
Methods of reducing fever
Pharmacological Methods of Reducing Fever:
Increased Body Temperature
Patterns of Fever
Tonsillitis II: Management
Types of Fever
Here are the different types of fever:
Pneumonia IV: Management
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include: