Management of children with fever
Fever, is an increase in body temperature under the control and influence of the central nervous system. The body temperature increases due to a series of reactions called the febrile response for the defense of the body against microorganisms, foreign bodies and antigens. Fever is one of the most frequent symptoms encountered during childhood. It consists of 10-20% of the emergency room referrals. Although fever is usually caused by simple viral infections which improve in a short time and seldom caused by life-threatening infections that could affect the future quality of life in children, it can be associated to serious family concerns. This concern is shared by some physicians from time to time who are interested in children, which results in additional examination and treatment, and practices are carried out incorrectly especially by young physicians, despite the fact that fever is known as a natural defense mechanism. Infections, inflammatory causes, toxic causes, neoplasms-malignancies and many other causes can cause fever. When assessing a child with fever for the diagnosis and treatment of any life-threatening disease, patient’s age, immune status, the degree and duration of fever, presence and degree of toxicity, other localizing findings and antibiotic usage history should be taken into consideration. In the treatment of fever, paracetamol, ibuprofen, ketoprofen are used more safely where as nimesulid, salicylate and metamizol are not recommended. World Health Organization (WHO), do not recommend the use of antipyretic agents in healthy children routinely, but to use them to reduce the body temperature of 39°C and above.