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Symptomatic fever management among 3 different groups of pediatricians in Northern Lombardy (Italy): results of an explorative cross-sectional survey

 

In the care of feverish children, symptomatic management is pivotal. Thus, the Italian Pediatric Society has recently published guidelines on fever management in children.

Our aim was to investigate whether pediatric hospitalists, community pediatricians and pediatric residents differ in their every-day clinical practice with respect to symptomatic management of feverish children.

Methods:
79 out of 118 physicians involved in pediatric care in an area of Northern Lombardy (Italy) filled in a modified version the questionnaire derived from the Swiss national survey on symptomatic fever management.

Results:
Pediatric hospitalists (N = 29), community pediatricians (N = 30) and pediatric residents (N = 20) did not differ with respect to temperature threshold for symptomatic fever treatment, role of general appearance in modulating the threshold for fever management, first choice antipyretic drug, frequency of ibuprofen prescription, prescription of physical antipyresis, influence of exaggerated fear of fever on its management and potential to reassure families about this fear.On the other side, some significant differences were found. Pediatric residents more frequently lower the treatment threshold in children with a past history of febrile seizures (P

Community pediatricians represent the unique investigated group using homeopathic remedies, both in the acute setting (P

Conclusions:
The present explorative inquiry globally shows limited discordance among pediatric residents, community pediatricians and pediatric hospitalists with respect to symptomatic fever management.

Author: Alberto BettinelliMaria Cristina ProveroFelice CogliatiAnna VillellaMaddalena MarinoniFrancesco SaettiniMario Giovanni BianchettiLuigi NespoliCino GalluzzoSebastiano Antonio Lava
Credits/Source: Italian Journal of Pediatrics 2013, 39:51

Published on: 2013-09-02

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