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DOI: 10.1177/000992289303200201 Physicians' Attitudes Toward the Diagnosis And Management of Fever in Children 3 Months to 2 Years of AgeDepartment of Pediatrics, Division of General Pediatrics, The Hospital for Sick Children, Toronto, Ontario, Canada
Department of Pediatrics, Division of General Pediatrics, The Hospital for Sick Children, Toronto, Ontario, Canada Ninety-seven primary-care physicians, including 73 family physicians and 24 pediatricians, were surveyed in order to ascertain their knowledge and attitudes regarding fever in children 3 months to 2 years of age. A rectal temperature between 37.0°C and 37.9°C was considered to indicate fever by 35% of physicians. Only 17% believed there was no danger from fever, while 12% believed that fever could cause brain damage. Seizures were considered a principal danger of fever by 49% of physicians, and 22% believed that brain damage could result from typical febrile seizures. While 70% chose relief of discomfort as the main purpose of antipyretic treatment, 30% would use temperature alone as an indication for antipyretics. It is concluded that although many physicians have an acceptable attitude toward the diagnosis and management of fever, a significant number still have exaggerated concerns.
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