Koech P J, Onyango F E, Jowi C
East Afr Med J. 2014 May;91(5):170-7.
Fever is one of the most common complaints presented to the Paediatric Emergency Unit (PEU). It is a sign that there is an underlying pathologic process, the most common being infection. Many childhood illnesses are accompanied by fever, many of which are treated at home prior to presentation to hospital. Most febrile episodes are benign. Caregivers are the primary contacts to children with fever. Adequate caregivers' knowledge and proper management of fever at home leads to better management of febrile illnesses and reduces complications.
To determine the caregivers' knowledge and practices regarding fever in children.
A cross-sectional study.
Peadiatric Emergency Unit at Kenyatta National Hospital (KNH) SUBJECTS: Two hundred and fifty caregivers of children under 12 years presenting with fever in August to October 2011 to the PEU.
Three quarters of the caregivers' defined fever correctly. Their knowledge on the normal body was at 47.6%. Infection was cited as the leading cause of fever (95.2%). Brain damage (77.6%) and dehydration (65.6%) were viewed as the most common complication. Fever was treated at home by 97.2% of caregivers, most of them used medication.
Fever was defined correctly by 75.2% of the study participants and a majority of them used touch to detect fever. Fever was managed at home with medications. Public Health Education should be implemented in order to enlighten caregivers on fever and advocate for the use of a clinical thermometer to monitor fever at home.
发热是儿科急诊室（PEU）最常见的就诊主诉之一。它表明存在潜在的病理过程，最常见的是感染。许多儿童疾病都伴有发热，其中许多在去医院就诊之前就在家中接受治疗。大多数发热发作是良性的。照顾者是发热儿童的主要接触者。照顾者具备足够的知识并在家中对发热进行妥善管理，有助于更好地处理发热性疾病并减少并发症。
确定照顾者对儿童发热的知识和做法。
一项横断面研究。
肯雅塔国家医院（KNH）的儿科急诊室
2011年8月至10月到儿科急诊室就诊的12岁以下发热儿童的250名照顾者。
四分之三的照顾者能正确定义发热。他们对正常体温的知晓率为47.6%。感染被认为是发热的主要原因（95.2%）。脑损伤（77.6%）和脱水（65.6%）被视为最常见的并发症。97.2%的照顾者在家中对发热进行治疗，其中大多数使用药物。
75.2%的研究参与者能正确定义发热，且大多数人通过触摸来检测发热。发热在家中通过药物进行处理。应开展公共健康教育，以使照顾者了解发热知识，并提倡在家中使用体温计监测发热情况。
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