Fever in children

14. 9. 2015

Fever is not a disease in itself, it is just a symptom of the disease and belongs to the body's defence mechanisms, so there is no need to resist it at all costs from the onset. It is defined as a rise in body temperature (or core body temperature) above 38.5 °C, measured rectally (in the buttocks). When properly reducing fever (above 38°C) with medications, it is essential that they are given at a dose calculated accurately according to the child's body weight to avoid not only overdose but also underdose.

When to see a doctor:

  • Repeated vomiting
  • Child is flaccid, unresponsive to common addresses
  • Motility disturbances
  • Stiff neck - child cannot bend head
  • Marbled skin
  • Blood spots on the skin (do not fade, do not disappear when pressed)
  • Significantly cold hands, feet
  • Persistent temperature for 24 hours without dropping - over 39.5°C measured in armpit
  • When the child does not drink enough
  • Always with a child younger than 3 months
  • When fever does not go down on the 3rd day
  • When you are concerned about the child's condition

Proper fever reduction in children:

The most commonly used medicines contain the active ingredient paracetamol and ibuprofen and are available in syrup or suppository form, suitable for young children, in addition to tablets. They are sold over the counter without a prescription.

Active ingredient paracetamol - medicines: Paralen, Panadol - 10-15mg/kg/dose up to a total daily dose of max 50-60mg/kg/day, administered at 6 hour intervals
Active substance ibuprofen - Drugs: Brufen, Nurofen, Ibalgin, Ibuberl - 5-10mg/kg/dose up to a total daily dose of 20-30mg/kg/day, administered at intervals of 8 hours

+ Physical fever reduction:
In addition to the use of drugs, so-called physical methods can be used to reduce fever - especially sponge baths or wraps. The water used in these treatments should never be ice cold but lukewarm (about 29-32°). The room temperature should be around 24°C.

Remember that the child must not be left unattended during fever and must be checked repeatedly - all over, including the condition of the skin. It is important that they drink enough, ideally lukewarm drinks. Try to keep the child as comfortable and calm as possible, and seek professional help if you are concerned about his or her condition.

Source: 1. http://www.cpsjep.cz
2. http://www.who.int/child-adolescent health/New_Publications/CHILD_HEALTH/WHO_ARI_93.30.htm