Physicians' attitudes toward the diagnosis and management of fever in children 3 months to 2 years of age

Clin Pediatr (Phila). 1993 Feb;32(2):66-70. doi: 10.1177/000992289303200201.

Abstract

Ninety-seven primary-care physicians, including 73 family physicians and 24 pediatricians, were surveyed in order to ascertain their knowledge and attitudes regarding fever in children 3 months to 2 years of age. A rectal temperature between 37.0 degrees C and 37.9 degrees C was considered to indicate fever by 35% of physicians. Only 17% believed there was no danger from fever, while 12% believed that fever could cause brain damage. Seizures were considered a principal danger of fever by 49% of physicians, and 22% believed that brain damage could result from typical febrile seizures. While 70% chose relief of discomfort as the main purpose of antipyretic treatment, 30% would use temperature alone as an indication for antipyretics. It is concluded that although many physicians have an acceptable attitude toward the diagnosis and management of fever, a significant number still have exaggerated concerns.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Age Factors
  • Body Temperature
  • Child, Preschool
  • Education, Medical, Continuing
  • Family Practice / education
  • Family Practice / methods*
  • Fever* / complications
  • Fever* / diagnosis
  • Fever* / therapy
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Infant
  • Marital Status
  • Parents
  • Pediatrics / education
  • Pediatrics / methods*
  • Physicians / psychology*
  • Surveys and Questionnaires