title: Physicians', nurses', and parents' attitudes to and knowledge about fever in early childhood.
abstract: This study investigated physicians', nurses' and parents' approach to fever in early childhood. A total of 2059 questionnaires was completed by the three groups. Though most of the responders (59.8%) believed that fever is a helpful bodily mechanism of the body, there was a significant difference between physicians (85.8%) and nurses and parents (63.9 and 43.1%, respectively) (P<0.001). The majority of parents (62.7%) believed it necessary to treat children with low-grade fever (<38 degrees C) without any other sign of illness, whereas the physicians and nurses did not (10.8 and 30.2%, respectively). Regarding antipyretic medication, 92.3% of the physicians and 84% of the nurses would start treatment for a fever 38-40 degrees C, whereas 38.8% of parents would do so for a fever of 37-38 degrees C. Febrile seizure served as a reason for antipyretic treatment for 34.3% of the nurses and 20% of the parents, compared to 8.7% of the physicians. Finally, fear of brain damage due to fever was noted in almost twice as many nurses as physicians (11.8% versus 7.2%) and in three times as many parents (24.0%) as physicians. Parents and some nurses consider fever a risk factor for serious morbidity, mostly febrile convulsions and brain damage, even though these associations have long since been disproven.
authors.affiliation: Schneider Children's Medical Center of Israel, Petah Tiqva, 49100, Israel.
authors.forename: Michael
authors.initials: M
authors.lastname: Sarrell
authors.forename: Herman Avner
authors.initials: HA
authors.lastname: Cohen
authors.forename: Ernesto
authors.initials: E
authors.lastname: Kahan
mesh_terms: D000328:Adult; D018712:Analgesics, Non-Narcotic / Q000627:therapeutic use; D001291:Attitude of Health Personnel; D002648:Child; D002675:Child, Preschool; D005334:Fever / Q000188:drug therapy / Q000628:therapy; D007722:Health Knowledge, Attitudes, Practice; D006279:Health Maintenance Organizations; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007557:Israel; D009726:Nurses / Q000523:psychology*; D010290:Parents / Q000523:psychology*; D010820:Physicians / Q000523:psychology*; D011795:Surveys and Questionnaires; D014505:Urban Population
chemical_list: D018712:Analgesics, Non-Narcotic