Weekly First-aid Topic: How to deal with children’s fever?
From:Beijing Municipal Health Commission
Date:12/23/2022

Winter is the season with a high incidence of colds and fevers of children. Many parents do not know what to do with it. How to deal with children’s fever?

The armpits and ears are the places for temperature measurement generally. Taking armpit temperature as an example, the temperature of 37.5-38°C means low fever, 38.1-38.9°C is moderate fever, and 39.0-40.9°C is high fever. If the patient’s temperature is above 41.0 °C, it is ultra-high fever. When your child has a fever, antipyretics are not necessarily taken. Antipyretic therapy is recommended when the child's axillary temperature above 38.2°C (oral temperature ≥38.5°C, or anal temperature ≥39°C) and/or there is significant discomfort. Physical cooling is recommended for children under 3 months of age. It should be noted that there are only two antipyretic drugs suitable for children, namely ibuprofen and acetaminophen. For children 6 months and older, ibuprofen and acetaminophen can be used. For babies aged 3-6 months, acetaminophen is recommended.

Fever is just one of many manifestations of illness. It means that the child's body is actively fighting the disease. Antipyretic medicine is given to your child to bring the body temperature down to normal levels, relieve the uncomfortable symptoms caused by fever, and make your child feel more comfortable. If the child sleeps comfortably and steadily and breathing stably, the body temperature is below 38.5°C, and there is no startle performance, there is no need to wake up the child to take antipyretic drugs. Rest allows everyone to recover from the infection more quickly. If your child has a fever, it is necessary to give him a good rest, which is good for recovery. Due to the imperfect development of the thermoregulatory center of infants and young children, their body temperature fluctuates greatly, and their high fever is not parallel to the disease. The concomitant symptoms should be observed.

For example, some children have a high fever of 39.0 ° C, but they have good spirits, appetite, and warm limbs, and there is no convulsion or other manifestations. Parents do not need to be too anxious. They can reduce fever and wait patiently. On the contrary, some children have a body temperature of 38 ° C, but their spirit and appetite is poor, and they are often awakened during sleep. The patents should send the child to the hospital as soon as possible. In conclusion, parents should not only focus on body temperature, it is important to pay attention to the mental state of the child.

When your child has a fever, it is necessary to go to the hospital immediately once the following symptoms appear.

1. Persistent high fever, obvious dehydration manifestations such as reduced volume of urine and tears,

2. Frequent vomiting, diarrhea, and difficulty in eating of infants under 6 months old, premature infants or infants with chronic diseases (such as malnutrition, or congenital heart disease),

3. Bleeding in the stool,

4. In addition to diarrhea, coma, convulsions and other symptoms appear,

5. Cough with hissing sound, difficulty in breathing, or fever accompanied by abdominal pain, vomiting and other symptoms.