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Fevers in Children, a Normal Healthy Response
For years parents have worried about their children getting fevers.
And for years many authorities, including most chiropractors have said
that fevers were a normal response of the body to certain situations.
Now
several health publications such as Mothering Magazine, WebMD and Reuters
Health have reported in several 2001 issues about how fevers are a normal
part of a child's defense system. However, according to a study in
the June 2001 issue of the journal Pediatrics, parents fears and
views about fevers have not changed significantly in 20 years.
The author of the study, Dr. Michael Crocetti of John's Hopkins Bayview
Medical Center in Baltimore, Maryland, described parents misconceptions by
stating, "In some parents' minds, childhood fevers are linked to the
risk of brain damage, seizures, and even death. And this fever fear may
result in parents over-medicating their children. These types of
fears are most likely passed down from generation to generation, and
if you look back over the centuries, fever was thought to be the worst
thing that could happen to you."
In the current study, Crocetti and his colleagues questioned 340 health
care providers--including parents, grandparents and guardians--on their
thoughts about childhood fevers and what to do about them. The researchers
then compared their new findings with those from a similar study conducted
20 years ago. They found that 56% of participants in the current
study were "very worried" about the potential harm of fever in
their children, and 44% mistakenly believed that a temperature of 102
degrees Fahrenheit was a "high" fever.
Paula Elbirt, MD, assistant professor of
pediatrics at Mount Sinai Medical Center and School of Medicine, in New
York says, "Fever is not a disease, it's a signal that the body is
working to battle an invasion from bacteria or a virus. Far from a
sign that something has gone horribly wrong, a fever can actually be an
indication that the body is actively fighting illness." Dr
Elbert elaborated by stating, "Fever signals the immune system to
produce antibodies and, in fact, taking away a fever may even hamper the
induction of the immune system to do its job. It's not necessarily a
direct horror show if you take the fever down, but the fever can have a
positive function." Elbirt concluded "Parents have to
learn about the true meaning of fever and how to respond to it,"
"Fever is not 99° -- it's not even 100°. It's over 100.4° in
a newborn or over 101° in an older child."
The study also indicated that because of the fear of fever, parents and
other caregivers are over-medicating children just because they are
running a temperature. The research team found that 14% of parents gave
acetaminophen and 44% gave ibuprofen at rates that were too frequent.
"This practice increases the potential for toxicity from the
medications," Crocetti added. He concluded, "It is going to take
a real concerted effort on behalf of pediatricians and other healthcare
providers to help parents understand what fever is and how to handle
it."
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