Fever in the practice of a pediatrician: modern techniques of efficient therapy
O.I. PIKUZA, A.M. ZAKIROVA
Kazan State Medical University, 49 Butlerov St., Kazan, Russian Federation, 420012
Pikuza O.I. — D. Med. Sc., Professor of the Department of Children’s Diseases Propaedeutic and Faculty Pediatrics with a course in Children’s Diseases of Therapy Faculty, tel. +7-917-390-11-12, e-mail: azakirova@gmail.com
Zakirova A.M. — Cand. Med. Sc., Associate Professor of the Department of Children’s Diseases Propaedeutic and Faculty Pediatrics with a course in Children’s Diseases of Therapy Faculty, tel. +7-927-03-393-41, e-mail: azakirova@gmail.com
The article presents the biological effects, classification and treatment programs for children’s fever, based on the World Health Organization recommendations. The current approaches to effective treatment of fever in children are overviewed. It is proved that the emergency care to patients with various manifestations of the febrile syndrome should be provided in certain phases.
Key words: children, fever, therapy.
REFERENCES
1. Baranov A.A., Tatochenko V.K., BakradzeM.D. Likhoradochnye cindromy u detey: rekomendatsii po diagnoctike i lecheniyu [Лихорадочные синдромы у детей: рекомендации по диагностике и лечению]. Moscow: Soyuz pediatrov Roccii, 2011. 228 p. (Klinicheskie rekomendatsii dlya pediatrov. Soyuz pediatrov Roccii, Nauch. tsentr zdorov’ya detey RAMN, Pervyy MGMU im. I.M. Sechenova).
2. Tatochenko V.K., Bakradze M.D. Fever without apparent source of infection. Detskie infektsii, 2008, vol. 6, no. 2, p. 56 (in Russ.).
3. Children with Complex Febrile Seizure. Journal Watch Pediatrics and Adolescent Medicine, 2010. P. 28.
4. El-Radhi A.S., Carroll J., Klein N (ed.) Clinical management of fever in children. Springer Berlin-Hedelberg, 2009.
5. Kokoreva C.P. Long-term febrile fever in children. Russkiy meditsinckiy zhurnal: Nezavicimoe izdanie dlya praktikuyushchikh vrachey, 2009, vol. 17, no. 15 (in Russ.).
6. Klyuchnikov C.O. Fever and the use of fever-reducing drugs in children. Pediatriya, 2012, vol. 91, no. 4, pp. 121-125 (in Russ.).
7. Klyuchnikov C.O., Barsukova M.V., Dubovich E.G., Suyundukova A.C. Rational approaches to the use of fever-reducing drugs in children. MRZh, 2010, no. 5, pp. 243-247 (in Russ.).
8. Bakradze M.D. Novye lechebno-diagnocticheckie i organizatsionnye tekhnologii vedeniya detey c octrymi likhoradochnymi zabolevaniyami: avtoref. dis. … d-ra med. nauk [New diagnostic and treatment technologies and organizational management of children with acute febrile diseases. Synopsis of dis. Dr med. sci]. Moscow, 2009. 44 p.
9. Bakradze M.D., Akoeva D.Yu. Fever in children. The use of nonsteroidal anti-inflammatory drugs. Voprosy sovremennoy pediatrii, 2011, vol. 10, no. 5, pp. 133-137 (in Russ.).
10. Zaytseva O.V. The use of analgesics, antipyretics in pediatrics. Pediatricheskaya farmakologiya, 2008, vol. 5, no. 2, pp. 76-81 (in Russ.).
11. Keshishyan E.C., Cemina G.Yu. Antipyretic therapy in children under 1 year. Pediatricheskaya farmakologiya, 2008, no. 6, pp. 75-78 (in Russ.).
12. Timchenko V.N., Pavlova E.B. Modern approaches to the treatment of fever in children with infectious pathology. Pediatricheskaya farmakologiya, 2008, vol. 5, no. 5, pp. 142-146 (in Russ.).
13. Klinicheckie rekomendatsii. Pediatriya, pod red. A.A. Baranova [Clinical guidelines. Pediatrics. Ed. A.A. Baranov]. Moscow: GEOTAR-Media, 2009.
14. Poctnikov C.C., Koctyleva M.N., Gratsianckaya A.N. Drug fever. Pediatriya, 2011, vol. 90, no. 6, pp. 125-129 (in Russ.).
15. Ryk P.V., Tsar’kovaC.A. The problem of choosing antipyretics in pediatrics. Consiliummedicum. Pediatriya, 2010, no. 2, pp. 72-77 (in Russ.).
16. Red Book 2009: Report of the Committee on infectious diseases. 27th ed. Elk Grove Village, Ill. American Academy of Pediatrics, 2009.
17. Zaplatnikov A.L. Modern antipyretics in practice pediatrician: issues of efficiency and safety. Russkiy meditsinskiy zhurnal, 2011, no. 3, pp. 156-158 (in Russ.).
18. Strengell T., Uhari M., Tarkka R. et al. Antipyretic agents for preventing recurrences of febrile seizures: randomized controlled trial. Arch. Pediatr. Adolesc. Med., 2009, vol. 163, no. 9, pp. 799-804.
19. Mubarakshina O.A. Topical application of nonsteroidal anti-inflammatory drugs in the treatment of fever in children. Russkiy meditsinskiy zhurnal, 2009, vol. 17, no. 1, pp. 60-63 (in Russ.).
20. Delyagin V.M. Pediatrician about the feverish child. RMZh, 2007, vol. 15, no. 19, pp. 1-8 (in Russ.).