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Hot or Not? Myths and Misconceptions About Antipyretics for Pediatric Fever
1Division of Emergency Medicine at Children's National Hospital, Washington, DC, USA; Department of Pediatrics and Emergency Medicine at George Washington University School of Medicine & Health Sciences.
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Fever is one of the most common reasons for pediatric emergency visits, yet misconceptions continue to shape caregiver behavior and clinical practice. This review examines 5 common myths and misconceptions: (1) fever is harmful, (2) higher fever signals more severe illness, (3) antipyretics prevent febrile seizures, (4) clinical improvement after antipyretics rules out serious infection, and (5) alternating antipyretics is superior to monotherapy. Emergency medicine clinicians should prioritize distress-relieving care, careful assessment for serious illness, and effective caregiver education to reduce fever phobia and promote safe, evidence-based use of antipyretics.
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