Aim of the study. - To assess the place of ibuprofen in the treatment of fever in children. Patients and methods. - An anonymous self-questionnaire was submitted to the parents of 156 children aged less than 15 years ...Aim of the study. - To assess the place of ibuprofen in the treatment of fever in children. Patients and methods. - An anonymous self-questionnaire was submitted to the parents of 156 children aged less than 15 years and 3 months consulting for a fever in a pediatric emergency care unit. Questions related antipyretic drugs availability at home and their administration modality to the febrile child. Results. - Acetaminophen (liquid or rectal) was the first drug owned by families (N=149, 96% ). Ibuprofen was owned by 79 families (51% ). The antipyretic drug administered as a first intention treatment was acetaminophen in 131 children (77% ), ibuprofen in 27 (17% ) and aspirin in 6 children (4% ). An antipyretic bitherapy was received by 58 children (35% ), nearly always acetaminophen and ibuprofen (N=48, 87% ). The use of a bitherapy was more frequent when ibuprofen was the first drug used. Children who received an antipyretic bitherapy as compared to those who received a monotherapy exhibited significantly a higher fever level and long lasting fever period. Antipyretic drugs given to the sick children were prescribed by a physician in more than 90% of cases. Conclusion. - Ibuprofen was largely used in febrile children. This drug has almost always been prescribed by a physician. However, due to its side effects, ibuprofen should be used only in high and badly tolerated fever that is not altered by a well conducted acetaminophen monotherapy.展开更多
文摘Aim of the study. - To assess the place of ibuprofen in the treatment of fever in children. Patients and methods. - An anonymous self-questionnaire was submitted to the parents of 156 children aged less than 15 years and 3 months consulting for a fever in a pediatric emergency care unit. Questions related antipyretic drugs availability at home and their administration modality to the febrile child. Results. - Acetaminophen (liquid or rectal) was the first drug owned by families (N=149, 96% ). Ibuprofen was owned by 79 families (51% ). The antipyretic drug administered as a first intention treatment was acetaminophen in 131 children (77% ), ibuprofen in 27 (17% ) and aspirin in 6 children (4% ). An antipyretic bitherapy was received by 58 children (35% ), nearly always acetaminophen and ibuprofen (N=48, 87% ). The use of a bitherapy was more frequent when ibuprofen was the first drug used. Children who received an antipyretic bitherapy as compared to those who received a monotherapy exhibited significantly a higher fever level and long lasting fever period. Antipyretic drugs given to the sick children were prescribed by a physician in more than 90% of cases. Conclusion. - Ibuprofen was largely used in febrile children. This drug has almost always been prescribed by a physician. However, due to its side effects, ibuprofen should be used only in high and badly tolerated fever that is not altered by a well conducted acetaminophen monotherapy.
