原创力文档parental and medical knowledge and management of fever in italian pre-school children父母和医学知识和管理在意大利学龄前儿童发烧.pdfVIP
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parental and medical knowledge and management of fever in italian pre-school children父母和医学知识和管理在意大利学龄前儿童发烧
Chiappini et al. BMC Pediatrics 2012, 12:97
/1471-2431/12/97
RESEARCH ARTICLE Open Access
Parental and medical knowledge and
management of fever in Italian pre-school
children
1,3* 1 2 2 1 1
Elena Chiappini , Alessandra Parretti , Paolo Becherucci , Monica Pierattelli , Francesca Bonsignori , Luisa Galli
and Maurizio de Martino1
Abstract
Background: Guidelines for the management of fever in children have been recently published, however
“fever phobia” is still spreading. To provide information which may sustain educational interventions tailored to our
population we investigated the parental and medical knowledge and management of fever in preschool children.
Methods: A questionnaire was administered to a convenient sample of Italian parents and paediatricians.
The questionnaire elicited information about definition and cause of fever, concerns about fever, method of
temperature measurement, and treatment modalities.
Results: Overall, 388 parents and 480 paediatricians were interviewed. All the parents believed that fever could
cause at least one harmful effect and 89.9% (n = 349) believed that, if left untreated, it can cause brain damage or
seizures. Parents used multiple resources to obtain information about fever but 67.8% (n = 264) considered
paediatricians as their primary resource. Several wrong behaviours were found in the same proportions among
parents and paediatricians: 78.5% of paediatricians (n = 377) and 77.8% of parents (n = 302) used physical method to
reduce fever (P = 0.867); 27.0% of paediatricians (n = 103) and 21.4% (n = 83) of parents declared to alternate
ibuprofen and acetaminophen (P = 0.953). Differently, 73.1% (n = 351) of paediatricians preferred oral to
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