Guideline: Fever in children is usually OK



If a child has a fever, parents should be there and support them. As long as there are no warning signs, fever itself is not an illness that requires treatment in childhood and adolescence. / © Adobe Stock/Elena Medoks
"With this guideline, we want to encourage parents to trust the natural healing process while simultaneously being well-informed and prepared for when medical advice is necessary." This is how guideline coordinator Professor Dr. David Martin of the University of Witten/Herdecke summarized the objective in a press release from the German Society for Pediatric and Adolescent Medicine (DGKJ). A parental guideline was published simultaneously with the new S3 guideline , which summarizes the most important recommendations in layman's terms and with numerous illustrations.
Acute fever in previously healthy According to the guidelines, feverin children and adolescents is not a symptom requiring treatment per se. However, it is entirely normal for parents to be concerned when their child develops a fever for the first time. Therefore, they and other caregivers should be informed in advance that fever is a "normal and usually helpful defense mechanism of the body when dealing with pathogens." One example of this could be the baby's first vaccination.
The following warning signs should prompt a visit to the doctor if a child or adolescent has a fever:
- Disturbances of consciousness,
- touch sensitivity,
- strength Pains ,
- shrill screaming,
- Skin bleeding or a rash that cannot be pressed away,
- dehydration,
- very rapid breathing,
- Recapillary refill time of over three seconds (the time it takes for a fingernail to turn red again after being pressed so hard that it was white),
- very pale, grey or blue skin ,
- seriously ill child (»severely reduced general condition«),
- Fever lasting longer than three days.
Infants under three months of age should be monitored particularly carefully in case of possible infection, as fever is often absent in this age group. If their body temperature is 38°C or higher, they should be monitored by a doctor. Their temperature should be measured rectally.

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