Health professionals are also concerned about the increasing number of parents who give their children alternate doses of paracetamol and ibuprofen without leaving sufficient gaps between them.
"Our review found that overdosing with ibuprofen is now a particular concern, both in terms of dosage and frequency" says nurse researcher Anne Walsh from Queensland University of Technology in Australia.
"We also discovered that some parents are giving their children one fever-reducing drug and then trying another type within a few hours if the first one doesn't have the desired result."
The Australian research team reviewed more than 70 studies published worldwide since 1980 to see how parental attitudes and practices had changed when it came to treating common childhood fevers.
They found that:
The researchers also discovered that parents consistently treat childhood fevers based on inaccurate temperature readings and suggest that they would be better off focussing on their child's general well-being rather than just how hot they are.
"Parents knowledge about normal body temperature and what constitutes a feverish temperature is poor" adds Anne Walsh, from the University's Institute of Health and Biomedical Innovation.
"They classify mild fever as high and actively reduce temperatures, sometime normal temperatures, with fever-reducing drugs such as paracetamol and ibuprofen.
"Overdoses have sharply increased over the last 20 years and recent studies have suggested that parents are giving children higher than recommended doses in about a third of cases.
"Other parents underdose their children and, when their temperature hasn't reduced to a level they consider satisfactory, they seek professional assistance, placing burdens on already strained healthcare systems."
Other key findings included:
"Caring for a feverish child is emotionally challenging for parents and the limited improvements in knowledge, attitudes and practices highlighted by our research point to the need for a closer examination of the subject" says Anne Walsh.
"It is also very important that parents receive advice and guidance from healthcare professionals before their child experiences his or her first feverish episode.
"Fever management education needs to highlight the benefits of mild fever and equip parents with the knowledge and skills they need to manage mild to moderate fevers."
However the authors stress that although effective parental education will improve knowledge and reduce unnecessary concerns, parents shouldn't hesitate to ask for professional advice if they are worried about a child's fever.
Notes to editors
Management of childhood fever by parents: literature review. Ann Walsh and Helen Edwards, Institute of Health and Biomedical Innovation, Queensland University of Technology, Australia. Journal of Advanced Nursing. Volume 54.2, pages 217 to 227.
Journal of Advanced Nursing, which is celebrating its 30th anniversary in 2006, is read by experienced nurses, midwives, health visitors and advanced nursing students in over 80 countries. It informs, educates, explores, debates and challenges the foundations of nursing health care knowledge and practice worldwide. Edited by Professor Alison Tierney, it is published 24 times a year by Blackwell Publishing Ltd, part of the international Blackwell Publishing group. www.journalofadvancednursing.com
Last reviewed: By John M. Grohol, Psy.D. on 21 Feb 2009
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