Department of Pediatrics, Bellinzona and Mendrisio, and University of Bern, Bern, Switzerland.
Br J Clin Pharmacol. 2013 Jan;75(1):236-43. doi: 10.1111/j.1365-2125.2012.04311.x.
In symptomatic fever management, there is often a gap between everyday clinical practice and current evidence. We were interested to see whether the three linguistic regions of Switzerland differ in the management of fever.
A close-ended questionnaire, sent to 900 Swiss paediatricians, was answered by 322 paediatricians. Two hundred and fourteen respondents were active in the German speaking, 78 in the French speaking and 30 in the Italian speaking region.
Paediatricians from the French and Italian speaking regions identify a lower temperature threshold for initiating a treatment and more frequently reduce it for children with a history of febrile seizures. A reduced general appearance leads more frequently to a lower threshold for treatment in the German speaking than in the French and Italian speaking areas. Among 1.5 and 5-year-old children the preference for the rectal route is more pronounced in the German than in the French speaking region. French speaking respondents more frequently prescribe ibuprofen and an alternating regimen with two drugs than German speaking respondents. Finally, the stated occurrence of exaggerated fear of fever was higher in the German and Italian speaking regions.
Switzerland offers the opportunity to compare three different regions with respect to management of febrile children. This inquiry shows regional differences in symptomatic fever management and in the perceived frequency of exaggerated fear of fever. The gap between available evidence and clinical practice is more pronounced in the French and in the Italian speaking regions than in the German speaking region.
在有症状的发热管理中，日常临床实践与现有证据之间常常存在差距。我们有兴趣了解瑞士的三个语言区在发热管理方面是否存在差异。
我们向 900 名瑞士儿科医生发送了一份封闭式问卷，有 322 名儿科医生作答。其中 214 名受访者在德语区活跃，78 名在法语区，30 名在意大利语区。
说法语和意大利语的地区的儿科医生为发热儿童设定的治疗起始体温阈值较低，并且更频繁地为有热性惊厥病史的儿童降低该阈值。德语区比法语区和意大利语区更频繁地因为一般外观较差而降低治疗的阈值。在 1.5 岁至 5 岁的儿童中，直肠途径的偏好比在法语区更明显。与德语区相比，法语区的受访者更频繁地开具布洛芬和两种药物交替使用的方案。最后，德语区和意大利语区报告的对发热的过度恐惧发生率更高。
瑞士为比较三个不同地区的发热儿童管理提供了机会。这项调查显示，在有症状的发热管理以及对发热过度恐惧的感知频率方面存在地区差异。与德语区相比，法语区和意大利语区的现有证据与临床实践之间的差距更为明显。
