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Fever in Children: Should it be Treated?
Canadian Family Physician Medecin De Famille Canadien
|January 22, 2011
Summary
Fever is an elevated body temperature that aids infection defense and is rarely harmful. Treatment focuses on relieving discomfort, with acetaminophen as the first choice, and parent education is beneficial.
Area of Science:
- Pediatrics
- Immunology
- Physiology
Background:
- Fever, an elevated body temperature, differs from hyperthermia.
- Fever pathogenesis involves pyrogens, interleukin-1, and the thermoregulatory center.
- Fever plays a role in the immune response to infection.
Purpose of the Study:
- To differentiate fever from hyperthermia.
- To explain the pathogenesis and immune effects of fever.
- To provide guidance on fever management in children.
Main Methods:
- Literature review on fever pathogenesis and treatment.
- Analysis of the role of interleukin-1 in fever.
- Evaluation of treatment strategies for pediatric fever.
Main Results:
- Fever is a regulated elevation of body temperature, distinct from hyperthermia.
- Interleukin-1 is a key mediator in fever development and immune response.
- Fever itself is generally not harmful and may protect against infection.
Conclusions:
- Fever management in children primarily aims to alleviate discomfort.
- Acetaminophen is the recommended first-line treatment for fever.
- Parental education on fever management is crucial for effective care.
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The signs and symptoms of fever include hot and dry skin, flushed face, thirst, muscle aches, anorexia, headache, tachycardia, tachypnea, and fatigue. Elevated body temperature is reduced using two methods: pharmacological and nonpharmacological. Proper identification and treatment of the root cause of a fever is of utmost importance.
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A body temperature above 38°C (100.4 °F) is known as fever or pyrexia, and a person with fever is termed 'febrile.' Typically, the hypothalamus, a part of the brain that acts as the body's thermostat, regulates body temperature through a thermoregulatory setpoint. It receives signals from cold and warm thermal receptors throughout the body and adjusts the body's temperature accordingly. Fever occurs when this hypothalamic setpoint is altered, usually in response to an infection or illness.
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Here are the different types of fever:
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