Reliability of health information for the public on the World Wide Web: systematic survey of advice on managing fever in children at home.
OBJECTIVE
To assess the reliability of healthcare information on the world wide web and therefore how it may help lay people cope with common health problems.


METHODS
Systematic search by means of two search engines, Yahoo and Excite, of parent oriented web pages relating to home management of feverish children. Reliability of information on the web sites was checked by comparison with published guidelines.


METHODS
Minimum temperature of child that should be considered as fever, optimal sites for measuring temperature, pharmacological and physical treatment of fever, conditions that may warrant a doctor's visit.


RESULTS
41 web pages were retrieved and considered. 28 web pages gave a temperature above which a child is feverish; 26 pages indicated the optimal site for taking temperature, most recommending rectal measurement; 31 of the 34 pages that mentioned drug treatment recommended paracetamol as an antipyretic; 38 pages recommended non-drug measures, most commonly tepid sponging, dressing lightly, and increasing fluid intake; and 36 pages gave some indication of when a doctor should be called. Only four web pages adhered closely to the main recommendations in the guidelines. The largest deviations were in sponging procedures and how to take a child's temperature, whereas there was a general agreement in the use of paracetamol.


CONCLUSIONS
Only a few web sites provided complete and accurate information for this common and widely discussed condition. This suggests an urgent need to check public oriented healthcare information on the internet for accuracy, completeness, and consistency.
Impicciatore
P
P
Laboratory for Mother and Child Health, Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy.
Pandolfini
C
C
Casella
N
N
Bonati
M
M
D018712:Analgesics, Non-Narcotic / Q000627:therapeutic use; D001831:Body Temperature; D002648:Child; D002675:Child, Preschool; D003195:Computer Communication Networks / Q000592:standards; D005334:Fever / Q000628:therapy*; D006701:Home Nursing; D006801:Humans; D008490:Medical Informatics / Q000592:standards*; D010808:Physical Examination; D010817:Physician-Patient Relations; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity
D018712:Analgesics, Non-Narcotic