Cargando…

Symptomatic Management of Fever in Children: A National Survey of Healthcare Professionals’ Practices in France

Despite the production and dissemination of recommendations related to managing fever in children, this symptom saturates the practices of primary healthcare professionals (HPs). Data on parent practices related to fever are available, but data on HPs’ practices are limited. We studied HPs’ practice...

Descripción completa

Detalles Bibliográficos
Autores principales: Bertille, Nathalie, Pons, Gerard, Khoshnood, Babak, Fournier-Charrière, Elisabeth, Chalumeau, Martin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4658127/
https://www.ncbi.nlm.nih.gov/pubmed/26599740
http://dx.doi.org/10.1371/journal.pone.0143230
_version_ 1782402482067996672
author Bertille, Nathalie
Pons, Gerard
Khoshnood, Babak
Fournier-Charrière, Elisabeth
Chalumeau, Martin
author_facet Bertille, Nathalie
Pons, Gerard
Khoshnood, Babak
Fournier-Charrière, Elisabeth
Chalumeau, Martin
author_sort Bertille, Nathalie
collection PubMed
description Despite the production and dissemination of recommendations related to managing fever in children, this symptom saturates the practices of primary healthcare professionals (HPs). Data on parent practices related to fever are available, but data on HPs’ practices are limited. We studied HPs’ practices, determinants of practices and concordance with recommendations in France. We conducted a national cross-sectional observational study between 2007 and 2008 among French general practitioners, primary care pediatricians and pharmacists. HPs were asked to include 5 consecutive patients aged 1 month to 12 years with acute fever. HPs completed a questionnaire about their practices for the current fever episode. We used a multilevel logistic regression model to assess the joint effects of patient- and HP-level variables associated with this behavior. In all, 1,534 HPs (participation rate 13%) included 6,596 children (mean age 3.7 ± 2.7 years). Physicians measured the temperature of 40% of children. Primary HPs recommended drug treatment for 84% of children (including monotherapy for 92%) and physical treatment for 62% (including all recommended physical treatments for 7%). HPs gave written advice or a pamphlet for 13% of children. Significant practice variations were associated with characteristics of the child (age, fever level and diagnosis) and HP (profession and experience). In France, despite the production and dissemination of national recommendations for managing fever in children, primary HPs’ observed practices differed greatly from current recommendations, which suggests potential targets for continuing medical education.
format Online
Article
Text
id pubmed-4658127
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-46581272015-12-02 Symptomatic Management of Fever in Children: A National Survey of Healthcare Professionals’ Practices in France Bertille, Nathalie Pons, Gerard Khoshnood, Babak Fournier-Charrière, Elisabeth Chalumeau, Martin PLoS One Research Article Despite the production and dissemination of recommendations related to managing fever in children, this symptom saturates the practices of primary healthcare professionals (HPs). Data on parent practices related to fever are available, but data on HPs’ practices are limited. We studied HPs’ practices, determinants of practices and concordance with recommendations in France. We conducted a national cross-sectional observational study between 2007 and 2008 among French general practitioners, primary care pediatricians and pharmacists. HPs were asked to include 5 consecutive patients aged 1 month to 12 years with acute fever. HPs completed a questionnaire about their practices for the current fever episode. We used a multilevel logistic regression model to assess the joint effects of patient- and HP-level variables associated with this behavior. In all, 1,534 HPs (participation rate 13%) included 6,596 children (mean age 3.7 ± 2.7 years). Physicians measured the temperature of 40% of children. Primary HPs recommended drug treatment for 84% of children (including monotherapy for 92%) and physical treatment for 62% (including all recommended physical treatments for 7%). HPs gave written advice or a pamphlet for 13% of children. Significant practice variations were associated with characteristics of the child (age, fever level and diagnosis) and HP (profession and experience). In France, despite the production and dissemination of national recommendations for managing fever in children, primary HPs’ observed practices differed greatly from current recommendations, which suggests potential targets for continuing medical education. Public Library of Science 2015-11-23 /pmc/articles/PMC4658127/ /pubmed/26599740 http://dx.doi.org/10.1371/journal.pone.0143230 Text en © 2015 Bertille et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Bertille, Nathalie
Pons, Gerard
Khoshnood, Babak
Fournier-Charrière, Elisabeth
Chalumeau, Martin
Symptomatic Management of Fever in Children: A National Survey of Healthcare Professionals’ Practices in France
title Symptomatic Management of Fever in Children: A National Survey of Healthcare Professionals’ Practices in France
title_full Symptomatic Management of Fever in Children: A National Survey of Healthcare Professionals’ Practices in France
title_fullStr Symptomatic Management of Fever in Children: A National Survey of Healthcare Professionals’ Practices in France
title_full_unstemmed Symptomatic Management of Fever in Children: A National Survey of Healthcare Professionals’ Practices in France
title_short Symptomatic Management of Fever in Children: A National Survey of Healthcare Professionals’ Practices in France
title_sort symptomatic management of fever in children: a national survey of healthcare professionals’ practices in france
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4658127/
https://www.ncbi.nlm.nih.gov/pubmed/26599740
http://dx.doi.org/10.1371/journal.pone.0143230
work_keys_str_mv AT bertillenathalie symptomaticmanagementoffeverinchildrenanationalsurveyofhealthcareprofessionalspracticesinfrance
AT ponsgerard symptomaticmanagementoffeverinchildrenanationalsurveyofhealthcareprofessionalspracticesinfrance
AT khoshnoodbabak symptomaticmanagementoffeverinchildrenanationalsurveyofhealthcareprofessionalspracticesinfrance
AT fourniercharriereelisabeth symptomaticmanagementoffeverinchildrenanationalsurveyofhealthcareprofessionalspracticesinfrance
AT chalumeaumartin symptomaticmanagementoffeverinchildrenanationalsurveyofhealthcareprofessionalspracticesinfrance