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[How to treat pediatric fever in 2013 with little evidence-based?]

Jean-Yves Pauchard1, Mario Gehri2

  • 1Hôpital de I'Enfance Chemin de Montétan, Lausanne. jean-yves.pauchard@chuv.ch

Revue Medicale Suisse
|February 25, 2014
PubMed

Insights

For pediatric fever, paracetamol and ibuprofen offer similar efficacy and safety when used alone. Treatment is recommended only when fever causes discomfort, as antipyretics do not prevent febrile seizures.

Area of Science:

  • Pediatrics
  • Pharmacology

Context:

  • Fever management in children is a common clinical challenge.
  • Paracetamol and ibuprofen are the primary antipyretic agents used in pediatric populations.

Purpose:

  • To review the efficacy and safety of paracetamol and ibuprofen for treating pediatric fever.
  • To provide guidance on optimal antipyretic treatment strategies in children.

Summary:

  • Pediatric fever treatment primarily involves paracetamol and ibuprofen, which demonstrate similar efficacy and safety profiles.
  • Treatment is indicated when fever is associated with discomfort.
  • Monotherapy with either agent is preferred over combination or alternating regimens.
  • Current evidence suggests antipyretics do not prevent febrile seizures.

Impact:

  • Informs clinical practice regarding appropriate fever management in children.
  • Highlights the benefits of monotherapy for pediatric fever.
  • Clarifies the role of antipyretics in relation to febrile seizures, potentially reducing unnecessary medication use.

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