Symptomatic Management of Fever by Swiss Board-Certified Pediatricians: Results From a Cross-Sectional, Web-Based Survey
Abstract Background Symptomatic management is often all that is recommended in children with fever. To date, only 2 nationwide surveys of pediatricians regarding their attitudes toward fever have been published. Objective The aim of this study was to describe the management of children with fever by...
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| Veröffentlicht in: | Clinical therapeutics 2012, Vol.34 (1), p.250-256 |
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| creator | Lava, Sebastiano A.G., MD Simonetti, Giacomo D., MD Ramelli, Gian Paolo, MD Tschumi, Sibylle, MD Bianchetti, Mario G., MD |
| description | Abstract Background Symptomatic management is often all that is recommended in children with fever. To date, only 2 nationwide surveys of pediatricians regarding their attitudes toward fever have been published. Objective The aim of this study was to describe the management of children with fever by pediatricians in Switzerland. Methods For this survey, an initial close-ended questionnaire was tested and subsequently corrected. Between June 2010 and March 2011, an invitation was sent via electronic mail containing a link to the final version of the questionnaire. The survey was not commercially sponsored. Results The questionnaire was sent to 900 pediatricians, of whom 322 (36%) responded. A total of 96% of respondents identified ≥38.5°C as the rectal temperature threshold for fever treatment, and 64% indicated that they prescribe antipyretics for the treatment of general discomfort. A total of 95% of respondents indicated that they prescribe paracetamol (acetaminophen) as the first choice of antipyretic drug, and 91% indicated that they often prescribe ibuprofen as well. An alternating regimen of 2 drugs and physical antipyresis were indicated as common practice by 77% and 65% of pediatricians, respectively. Homeopathic remedies are rarely prescribed ( |
| doi_str_mv | 10.1016/j.clinthera.2011.12.002 |
| format | Article |
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To date, only 2 nationwide surveys of pediatricians regarding their attitudes toward fever have been published. Objective The aim of this study was to describe the management of children with fever by pediatricians in Switzerland. Methods For this survey, an initial close-ended questionnaire was tested and subsequently corrected. Between June 2010 and March 2011, an invitation was sent via electronic mail containing a link to the final version of the questionnaire. The survey was not commercially sponsored. Results The questionnaire was sent to 900 pediatricians, of whom 322 (36%) responded. A total of 96% of respondents identified ≥38.5°C as the rectal temperature threshold for fever treatment, and 64% indicated that they prescribe antipyretics for the treatment of general discomfort. A total of 95% of respondents indicated that they prescribe paracetamol (acetaminophen) as the first choice of antipyretic drug, and 91% indicated that they often prescribe ibuprofen as well. An alternating regimen of 2 drugs and physical antipyresis were indicated as common practice by 77% and 65% of pediatricians, respectively. Homeopathic remedies are rarely prescribed (<10% of respondents). The most commonly prescribed routes of administration in children aged 18 months, 5 years, and 10 years were rectal (78%), oral (87%), and oral (99%), respectively. Ninety-two percent of respondents indicated that they believe that an exaggerated fear of fever is common among parents, but 81% stated that they do not lower the temperature threshold for initiating pharmacologic treatment exclusively to calm parents. Most respondents (95%) indicated a belief that it is possible to educate families about the fear of fever. Conclusions Based on the findings from the present survey, antipyretics are often prescribed to treat the general discomfort that accompanies fever. Nonetheless, a gap exists between available evidence and clinical practice. Guidelines should take this fact into account.</description><identifier>ISSN: 0149-2918</identifier><identifier>EISSN: 1879-114X</identifier><identifier>DOI: 10.1016/j.clinthera.2011.12.002</identifier><identifier>PMID: 22218087</identifier><language>eng</language><publisher>Bridgewater, NJ: EM Inc USA</publisher><subject>acetaminophen ; Adult and adolescent clinical studies ; Antipyretics - administration & dosage ; Antipyretics - adverse effects ; Anxiety disorders. Neuroses ; Attitude of Health Personnel ; Biological and medical sciences ; Body Temperature Regulation - drug effects ; Child ; Child, Preschool ; childhood ; Children & youth ; Cross-Sectional Studies ; Drug Administration Routes ; Evidence-Based Medicine ; Fear & phobias ; Fever ; Fever - diagnosis ; Fever - drug therapy ; Fever - physiopathology ; fever phobia ; Guideline Adherence ; Health Care Surveys ; Health Knowledge, Attitudes, Practice ; Humans ; ibuprofen ; Infant ; Internal Medicine ; Medical Education ; Medical sciences ; paracetamol ; Pediatrics ; Pediatrics - standards ; Pharmacology. Drug treatments ; Phobia ; Practice Guidelines as Topic ; Practice Patterns, Physicians' - standards ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Specialty Boards - standards ; Switzerland ; Treatment Outcome</subject><ispartof>Clinical therapeutics, 2012, Vol.34 (1), p.250-256</ispartof><rights>Elsevier HS Journals, Inc.</rights><rights>2012 Elsevier HS Journals, Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2012 Elsevier HS Journals, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c483t-fae379f931ba9806e63439e0408a6ecb4c1f133fad4a40c4a1fca8808f548f4f3</citedby><cites>FETCH-LOGICAL-c483t-fae379f931ba9806e63439e0408a6ecb4c1f133fad4a40c4a1fca8808f548f4f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1033160458?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3550,4024,27923,27924,27925,45995,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25493419$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22218087$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lava, Sebastiano A.G., MD</creatorcontrib><creatorcontrib>Simonetti, Giacomo D., MD</creatorcontrib><creatorcontrib>Ramelli, Gian Paolo, MD</creatorcontrib><creatorcontrib>Tschumi, Sibylle, MD</creatorcontrib><creatorcontrib>Bianchetti, Mario G., MD</creatorcontrib><title>Symptomatic Management of Fever by Swiss Board-Certified Pediatricians: Results From a Cross-Sectional, Web-Based Survey</title><title>Clinical therapeutics</title><addtitle>Clin Ther</addtitle><description>Abstract Background Symptomatic management is often all that is recommended in children with fever. To date, only 2 nationwide surveys of pediatricians regarding their attitudes toward fever have been published. Objective The aim of this study was to describe the management of children with fever by pediatricians in Switzerland. Methods For this survey, an initial close-ended questionnaire was tested and subsequently corrected. Between June 2010 and March 2011, an invitation was sent via electronic mail containing a link to the final version of the questionnaire. The survey was not commercially sponsored. Results The questionnaire was sent to 900 pediatricians, of whom 322 (36%) responded. A total of 96% of respondents identified ≥38.5°C as the rectal temperature threshold for fever treatment, and 64% indicated that they prescribe antipyretics for the treatment of general discomfort. A total of 95% of respondents indicated that they prescribe paracetamol (acetaminophen) as the first choice of antipyretic drug, and 91% indicated that they often prescribe ibuprofen as well. An alternating regimen of 2 drugs and physical antipyresis were indicated as common practice by 77% and 65% of pediatricians, respectively. Homeopathic remedies are rarely prescribed (<10% of respondents). The most commonly prescribed routes of administration in children aged 18 months, 5 years, and 10 years were rectal (78%), oral (87%), and oral (99%), respectively. Ninety-two percent of respondents indicated that they believe that an exaggerated fear of fever is common among parents, but 81% stated that they do not lower the temperature threshold for initiating pharmacologic treatment exclusively to calm parents. Most respondents (95%) indicated a belief that it is possible to educate families about the fear of fever. Conclusions Based on the findings from the present survey, antipyretics are often prescribed to treat the general discomfort that accompanies fever. Nonetheless, a gap exists between available evidence and clinical practice. Guidelines should take this fact into account.</description><subject>acetaminophen</subject><subject>Adult and adolescent clinical studies</subject><subject>Antipyretics - administration & dosage</subject><subject>Antipyretics - adverse effects</subject><subject>Anxiety disorders. Neuroses</subject><subject>Attitude of Health Personnel</subject><subject>Biological and medical sciences</subject><subject>Body Temperature Regulation - drug effects</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>childhood</subject><subject>Children & youth</subject><subject>Cross-Sectional Studies</subject><subject>Drug Administration Routes</subject><subject>Evidence-Based Medicine</subject><subject>Fear & phobias</subject><subject>Fever</subject><subject>Fever - diagnosis</subject><subject>Fever - drug therapy</subject><subject>Fever - physiopathology</subject><subject>fever phobia</subject><subject>Guideline Adherence</subject><subject>Health Care Surveys</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Humans</subject><subject>ibuprofen</subject><subject>Infant</subject><subject>Internal Medicine</subject><subject>Medical Education</subject><subject>Medical sciences</subject><subject>paracetamol</subject><subject>Pediatrics</subject><subject>Pediatrics - standards</subject><subject>Pharmacology. Drug treatments</subject><subject>Phobia</subject><subject>Practice Guidelines as Topic</subject><subject>Practice Patterns, Physicians' - standards</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Specialty Boards - standards</subject><subject>Switzerland</subject><subject>Treatment Outcome</subject><issn>0149-2918</issn><issn>1879-114X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqNkk9vEzEQxVcIREPhK4AlhLiwwbN2EpsDUhs1gFQEIiB6sybeMTjsn2Dvpuy3x6uEVuqJky-_9zzz3mTZM-BT4DB_vZ3ayjfdTwo4LTjAFIop58W9bAJqoXMAeXU_m3CQOi80qJPsUYxbzrnQs-JhdlIUBSiuFpPsz3qod11bY-ct-4gN_qCamo61jq1oT4FtBra-9jGy8xZDmS8pdN55KtlnKj12wVuPTXzDvlDsqy6yVWhrhmwZ2hjzNdnOtw1Wr9h32uTnGJNw3Yc9DY-zBw6rSE-O72n2bXXxdfk-v_z07sPy7DK3Uokud0hioZ0WsEGt-JzmQgpNXHKFc7IbacGBEA5LiZJbieAsqrSbm0nlpBOn2cuD7y60v3uKnal9tFRV2FDbR5PS0UIIxRP5_A65bfuQho8GuBAw53KmErU4UHbcMJAzu-BrDEOCzNiN2ZqbbszYjYHCpG6S8unRv9_UVN7o_pWRgBdHAKPFygVsrI-33ExqIUEn7uzAUcpt7ymYaD01NhUSUuCmbP1_DPP2jsfI-fTtLxoo3m5uYhKY9XhK4yUBcK7E4kr8BbxcxkA</recordid><startdate>2012</startdate><enddate>2012</enddate><creator>Lava, Sebastiano A.G., MD</creator><creator>Simonetti, Giacomo D., MD</creator><creator>Ramelli, Gian Paolo, MD</creator><creator>Tschumi, Sibylle, MD</creator><creator>Bianchetti, Mario G., MD</creator><general>EM Inc USA</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M7N</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>2012</creationdate><title>Symptomatic Management of Fever by Swiss Board-Certified Pediatricians: Results From a Cross-Sectional, Web-Based Survey</title><author>Lava, Sebastiano A.G., MD ; Simonetti, Giacomo D., MD ; Ramelli, Gian Paolo, MD ; Tschumi, Sibylle, MD ; Bianchetti, Mario G., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c483t-fae379f931ba9806e63439e0408a6ecb4c1f133fad4a40c4a1fca8808f548f4f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>acetaminophen</topic><topic>Adult and adolescent clinical studies</topic><topic>Antipyretics - administration & dosage</topic><topic>Antipyretics - adverse effects</topic><topic>Anxiety disorders. Neuroses</topic><topic>Attitude of Health Personnel</topic><topic>Biological and medical sciences</topic><topic>Body Temperature Regulation - drug effects</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>childhood</topic><topic>Children & youth</topic><topic>Cross-Sectional Studies</topic><topic>Drug Administration Routes</topic><topic>Evidence-Based Medicine</topic><topic>Fear & phobias</topic><topic>Fever</topic><topic>Fever - diagnosis</topic><topic>Fever - drug therapy</topic><topic>Fever - physiopathology</topic><topic>fever phobia</topic><topic>Guideline Adherence</topic><topic>Health Care Surveys</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Humans</topic><topic>ibuprofen</topic><topic>Infant</topic><topic>Internal Medicine</topic><topic>Medical Education</topic><topic>Medical sciences</topic><topic>paracetamol</topic><topic>Pediatrics</topic><topic>Pediatrics - standards</topic><topic>Pharmacology. Drug treatments</topic><topic>Phobia</topic><topic>Practice Guidelines as Topic</topic><topic>Practice Patterns, Physicians' - standards</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Specialty Boards - standards</topic><topic>Switzerland</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lava, Sebastiano A.G., MD</creatorcontrib><creatorcontrib>Simonetti, Giacomo D., MD</creatorcontrib><creatorcontrib>Ramelli, Gian Paolo, MD</creatorcontrib><creatorcontrib>Tschumi, Sibylle, MD</creatorcontrib><creatorcontrib>Bianchetti, Mario G., MD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical therapeutics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lava, Sebastiano A.G., MD</au><au>Simonetti, Giacomo D., MD</au><au>Ramelli, Gian Paolo, MD</au><au>Tschumi, Sibylle, MD</au><au>Bianchetti, Mario G., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Symptomatic Management of Fever by Swiss Board-Certified Pediatricians: Results From a Cross-Sectional, Web-Based Survey</atitle><jtitle>Clinical therapeutics</jtitle><addtitle>Clin Ther</addtitle><date>2012</date><risdate>2012</risdate><volume>34</volume><issue>1</issue><spage>250</spage><epage>256</epage><pages>250-256</pages><issn>0149-2918</issn><eissn>1879-114X</eissn><abstract>Abstract Background Symptomatic management is often all that is recommended in children with fever. To date, only 2 nationwide surveys of pediatricians regarding their attitudes toward fever have been published. Objective The aim of this study was to describe the management of children with fever by pediatricians in Switzerland. Methods For this survey, an initial close-ended questionnaire was tested and subsequently corrected. Between June 2010 and March 2011, an invitation was sent via electronic mail containing a link to the final version of the questionnaire. The survey was not commercially sponsored. Results The questionnaire was sent to 900 pediatricians, of whom 322 (36%) responded. A total of 96% of respondents identified ≥38.5°C as the rectal temperature threshold for fever treatment, and 64% indicated that they prescribe antipyretics for the treatment of general discomfort. A total of 95% of respondents indicated that they prescribe paracetamol (acetaminophen) as the first choice of antipyretic drug, and 91% indicated that they often prescribe ibuprofen as well. An alternating regimen of 2 drugs and physical antipyresis were indicated as common practice by 77% and 65% of pediatricians, respectively. Homeopathic remedies are rarely prescribed (<10% of respondents). The most commonly prescribed routes of administration in children aged 18 months, 5 years, and 10 years were rectal (78%), oral (87%), and oral (99%), respectively. Ninety-two percent of respondents indicated that they believe that an exaggerated fear of fever is common among parents, but 81% stated that they do not lower the temperature threshold for initiating pharmacologic treatment exclusively to calm parents. Most respondents (95%) indicated a belief that it is possible to educate families about the fear of fever. Conclusions Based on the findings from the present survey, antipyretics are often prescribed to treat the general discomfort that accompanies fever. Nonetheless, a gap exists between available evidence and clinical practice. Guidelines should take this fact into account.</abstract><cop>Bridgewater, NJ</cop><pub>EM Inc USA</pub><pmid>22218087</pmid><doi>10.1016/j.clinthera.2011.12.002</doi><tpages>7</tpages></addata></record> |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present); ProQuest Central UK/Ireland |
| subjects | acetaminophen Adult and adolescent clinical studies Antipyretics - administration & dosage Antipyretics - adverse effects Anxiety disorders. Neuroses Attitude of Health Personnel Biological and medical sciences Body Temperature Regulation - drug effects Child Child, Preschool childhood Children & youth Cross-Sectional Studies Drug Administration Routes Evidence-Based Medicine Fear & phobias Fever Fever - diagnosis Fever - drug therapy Fever - physiopathology fever phobia Guideline Adherence Health Care Surveys Health Knowledge, Attitudes, Practice Humans ibuprofen Infant Internal Medicine Medical Education Medical sciences paracetamol Pediatrics Pediatrics - standards Pharmacology. Drug treatments Phobia Practice Guidelines as Topic Practice Patterns, Physicians' - standards Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Specialty Boards - standards Switzerland Treatment Outcome |
| title | Symptomatic Management of Fever by Swiss Board-Certified Pediatricians: Results From a Cross-Sectional, Web-Based Survey |
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