Enduring large use of acetaminophen suppositories for fever management in children: a national survey of French parents and healthcare professionals’ practices

Bertille, Nathalie; Fournier-Charrière, E.; Pons, Gérard; Khoshnood, Babak

doi:10.1007/s00431-016-2732-8

Cited by 3 publications

(2 citation statements)

References 18 publications

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“…We were unable to restrict our analyses to younger children. Such a restriction may well modify parents' behaviors, owing to differences in practical issues (e.g., type of temperature measurement methods) or because fever phobia is more frequent among parents of very young children ( 37 ).…”

Section: Discussionmentioning

confidence: 99%

Symptomatic Management of Febrile Illnesses in Children: A Systematic Review and Meta-Analysis of Parents' Knowledge and Behaviors and Their Evolution Over Time

et al. 2018

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Recommendations to guide parents' symptomatic management of febrile illnesses in children have been published in many countries. The lack of systematic appraisal of parents' knowledge and behaviors and their evolution over time precludes an analysis of their impact and identification of targets for future educational messages. We systematically searched for studies published between 1980 and 2016 that reported a quantitative evaluation of knowledge and behaviors of >50 parents for managing fever in children. We used MEDLINE and tracked related articles, citations and co-authors personal files. Study selection and data extraction were independently performed by two reviewers. For each item of knowledge and behaviors, we calculated mean frequencies during the first and last quinquennials of the studied period and assessed temporal trends with inverse-variance weighted linear regression of frequencies over years. We observed substantial methodological heterogeneity among the 62 included articles (64 primary studies, 36,791 participants, 30 countries) that met inclusion criteria. Statistically significant changes over time were found in the use of rectal (98 to 4%) and axillary temperature measurement (1–19%), encouraging fluid intake (19–62%), and use of acetylsalicylic acid (60 to 1%). No statistically significant change was observed for the accurate definition of fever (38–55%), or the use of acetaminophen (91–92%) or ibuprofen (20–43%). Parents' knowledge and behaviors have changed over time but continue to show poor concordance with recommendations. Our study identified future targets for educational messages, including basic ones such as the definition of fever.

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Section: Discussionmentioning

confidence: 99%

Symptomatic Management of Febrile Illnesses in Children: A Systematic Review and Meta-Analysis of Parents' Knowledge and Behaviors and Their Evolution Over Time

et al. 2018

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“…In particular, the proper use of paracetamol and ibuprofen should be improved everywhere. For example, rectal formulations of paracetamol are still used by parents or prescribed by HCPs regardless of the presence of vomiting or diarrhea [30]. Given the different pattern of side effects, in the experts' opinion, the proper use of paracetamol and ibuprofen should maximize the benefit and improve the outcome in the short and long terms.…”

Section: Discussionmentioning

confidence: 99%

Paracetamol and Ibuprofen in the Treatment of Fever and Acute Mild–Moderate Pain in Children: Italian Experts’ Consensus Statements

et al. 2021

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Fever and pain are challenging symptoms in children and adolescents and are common reasons for consultations in primary care and hospital. Paracetamol and ibuprofen are currently the only recommended drugs for treating fever in Italy, but the therapeutic approaches are discrepant in the different settings. In Italy, paracetamol and ibuprofen are the most prescribed analgesics for acute mild–moderate pain in children; however, their use is often inappropriate in that fever is over-treated and pain is under-treated. An Italian board of experts analyzed the motivations for the misalignment between daily practice and guidelines of fever and acute mild–moderate pain management of the territory and hospitals. The expert opinion consensus process underscored the appropriate use of paracetamol and ibuprofen according to clinical scenarios, patients’ profiles, and the safety features of the drugs. Although patients’ profiles can indicate different benefits from paracetamol or ibuprofen, critical issues of fever and acute mild–moderate pain management persist in primary care and hospitals. These expert opinion consensus statements can be an across-the-board tool to harmonize the routine practice between the territory and hospitals, especially under special conditions (at-risk for dehydration, coagulation disorder patients, etc.). It can also promote educational activity about fever and acute mild–moderate pain management to enhance the milestones already achieved by Italian pediatricians.

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Role of Parental Attitudes Towards Rational Drug Use in Predicting Fever Management Practices

Akdeniz Kudubeş,

Bektaş,

Ayar

et al. 2023

cjms

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Enduring large use of acetaminophen suppositories for fever management in children: a national survey of French parents and healthcare professionals’ practices

Cited by 3 publications

References 18 publications

Symptomatic Management of Febrile Illnesses in Children: A Systematic Review and Meta-Analysis of Parents' Knowledge and Behaviors and Their Evolution Over Time

Symptomatic Management of Febrile Illnesses in Children: A Systematic Review and Meta-Analysis of Parents' Knowledge and Behaviors and Their Evolution Over Time

Paracetamol and Ibuprofen in the Treatment of Fever and Acute Mild–Moderate Pain in Children: Italian Experts’ Consensus Statements

Role of Parental Attitudes Towards Rational Drug Use in Predicting Fever Management Practices

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