[Facing fever in the pediatric patient: Checklist as a tool for parents].

Autor:	Moreno Sánchez A; Servicio de Pediatría, Hospital Universitario Miguel Servet, Zaragoza, España. Electronic address: ameliamorenosanchez111@gmail.com., Molina Herranz D; Servicio de Pediatría, Hospital Universitario Miguel Servet, Zaragoza, España., Aroza Ruano JM; IES Politécnico Hermenegildo Lanz, Granada, España., Carmen Marcén G; Servicio de Pediatría, Hospital Universitario Miguel Servet, Zaragoza, España., Salinas Salvador B; Servicio de Pediatría, Hospital Universitario Miguel Servet, Zaragoza, España., Ordoñez Alonso MÁ; Pediatría Atención Primaria, Centro de Salud La Corredoria, Oviedo, Asturias, España.
Jazyk:	Spanish; Castilian
Zdroj:	Semergen [Semergen] 2024 Apr; Vol. 50 (3), pp. 102134. Date of Electronic Publication: 2023 Dec 03.
DOI:	10.1016/j.semerg.2023.102134
Abstrakt:	Introduction: In Western Europe, 20%-40% of children with fever request health care. Most of them present trivial viral infections, however, it is essential in pediatrics to distinguish patients who present a severe infection. This process begins with the recognition of the seriousness and the subsequent search for medical attention by the parents. Methodology: Analytical and cross-sectional observational study. One hundred patients were selected in two health centers. Sociodemographic data were collected, together with the responses to a checklist containing the signs and symptoms to request health care in case of fever. Subsequently, the checklist was filled out by the pediatrician. Results: The mean age of the patients was 5.41 years. 50% consulted in the first 48h of fever evolution. In 42%, the response to all the items on the checklist was exactly the same between the companion and the pediatrician. There were no significant differences according to variables: first episode of fever (P=.262), age of the patient (P=.859), having a sibling (P=.880), family relationship of the companion (P=.648) or educational level of the companion (P=.828). Conclusions: Medical consultations for fever in pediatrics are carried out very early. A high percentage do not present alarm signs when they consult. There is a need to expand training on the alarm signs of fever in all parents, regardless of the number of children, age or educational level. The checklist as a tool for home assessment of fever has received high marks for its usefulness. (Copyright © 2023 Sociedad Española de Médicos de Atención Primaria (SEMERGEN). Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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