FEVER in children – recommendations for primary care doctors – FEVER COMPASS

Zbigniew Doniec; Teresa Jackowska; Adam Sybilski; Jarosław Woroń; Agnieszka Mastalerz-Migas

doi:10.5114/fmpcr.2021.102648

eISSN: 2449-8580
ISSN: 1734-3402

Family Medicine & Primary Care Review

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1/2021
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CONTINUOUS MEDICAL EDUCATION (CME)

abstract:

Original article

FEVER in children – recommendations for primary care doctors – FEVER COMPASS

Zbigniew Doniec

^{1, 2}

,

Teresa Jackowska

³

,

Adam Sybilski

⁴

,

Jarosław Woroń

⁵

,

Agnieszka Mastalerz-Migas

⁶

Department of Pneumonology of the Institute of Tuberculosis and Lung Diseases, Regional Department in Rabka-Zdroj, Rabka-Zdroj Poland
Institute of Health Sciences, Podhale State College of Applied Sciences in Nowy Targ, Nowy Targ, Poland
Department of Paediatrics, Medical Centre for Postgraduate Education, Warsaw, Poland
Second Department of Paediatrics, Medical Centre for Postgraduate Education, Warsaw, Poland
Chair of Pharmacology, Department of Clinical Pharmacology, Jagiellonian University Medical College, Cracow, Poland
Department of Family Medicine, Wroclaw Medical University, Wroclaw, Poland

Family Medicine & Primary Care Review 2021; 23(1): 99–115

DOI: https://doi.org/10.5114/fmpcr.2021.102648

Online publish date: 2021/04/02

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In children, fever is a symptom of a wide spectrum of diseases, ranging from common self-limiting viral upper respiratory tract infections to serious life-threatening diseases. The aim of the diagnostic procedure is to identify the cause of fever, determine indications for outpatient treatment, plan the appropriate pharmacological therapy or reveal the need for hospitalisation. Paracetamol and ibuprofen are antipyretics recommended for symptomatic treatment of children; however, the medications should not be used in combination or alternately, except in specific clinical situations. The drugs may be applied to treat fever and topical reactions after vaccination, but not prophylactically in order to reduce the incidence of fever or local discomfort after vaccination. Both medications can be used in patients with asthma, with the exception of intolerant children. Children with confirmed or suspected COVID-19 may be treated with paracetamol and ibuprofen in accordance with clinical indications and dosage recommendations.

keywords:

FEVER in children – recommendations for primary care doctors – FEVER COMPASS

Zbigniew Doniec 1, 2 , Teresa Jackowska 3 , Adam Sybilski 4 , Jarosław Woroń 5 , Agnieszka Mastalerz-Migas 6

fever, children, antipyretics, vaccinations, COVID-19

Zbigniew Doniec

^{1, 2}

,

Teresa Jackowska

³

,

Adam Sybilski

⁴

,

Jarosław Woroń

⁵

,

Agnieszka Mastalerz-Migas

⁶