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Rivista di Pediatria, Neonatologia, Medicina dell’Adolescenza
e Neuropsichiatria Infantile
Indexed/Abstracted in: CAB, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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Minerva Pediatrica 2016 Oct 12
National modulators of symptomatic fever management in children. Comparative analysis of survey data
Sebastiano A. LAVA 1-3 Maristella SANTI 2, 3, Gregorio P. MILANI 4, Mario G. BIANCHETTI 2, 3, Giacomo D. SIMONETTI 1-3 ✉
1 University of Bern, Inselspital University Children’s Hospital, Bern, Switzerland; 2 Department of Pediatrics of Southern Switzerland, Bellinzona Hospital, Bellinzona, Switzerland; 3 University of Bern, Bern, Switzerland; 4 Pediatric Emergency Department, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy
BACKGROUND: In symptomatic fever management of children, cultural differences have been detected. We aimed at investigating the presence of national modulators of symptomatic fever management.
METHODS: We analyzed the data collected in the context of the Swiss national survey on symptomatic fever management in children and of an adapted version of that survey performed in Lombardy (Northern Italy).
RESULTS: Ibuprofen (p<0.001) and an alternation regimen with 2 drugs (p<0.001) are more often prescribed in Switzerland than in Lombardy. In front of a comfortable child whose fever has not responded to the first antipyretic, Swiss pediatricians are more aggressive than Italian colleagues (p<0.001). In a 18-month-old child, the rectal administration route of paracetamol is less often chosen in Lombardy than in Switzerland (p<0.025). Additionally, some previously identified cultural differences among linguistically different regions of Switzerland (role of reduced general appearance and perceived frequency of fever phobia) held true also beyond national borders.
CONCLUSIONS: Several significant differences between Northern Italy and the different speaking regions of Switzerland were detected. This suggests the existence of national modulators of symptomatic fever management in children.