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Paracetamol in fever children

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https://www.readbyqxmd.com/read/27810155/2016-update-of-the-italian-pediatric-society-guidelines-for-management-of-fever-in-children
#1
Elena Chiappini, Elisabetta Venturini, Giulia Remaschi, Nicola Principi, Riccardo Longhi, Pier-Angelo Tovo, Paolo Becherucci, Francesca Bonsignori, Susanna Esposito, Filippo Festini, Luisa Galli, Bice Lucchesi, Alessandro Mugelli, Gian Luigi Marseglia, Maurizio de Martino
OBJECTIVE: To review new scientific evidence to update the Italian guidelines for managing fever in children as drafted by the panel of the Italian Pediatric Society. STUDY DESIGN: Relevant publications in English and Italian were identified through search of MEDLINE and the Cochrane Database of Systematic Reviews from May 2012 to November 2015. RESULTS: Previous recommendations are substantially reaffirmed. Antipyretics should be administered with the purpose to control the child's discomfort...
October 31, 2016: Journal of Pediatrics
https://www.readbyqxmd.com/read/27781110/why-fever-phobia-is-still-common
#2
Suzan Gunduz, Esma Usak, Tulin Koksal, Metin Canbal
BACKGROUND: Fever is a reliable sign of illness, but it also evokes fear and anxiety. It is not the fever itself but the fear of possible complications and accompanying symptoms that is important for pediatricians and parents. OBJECTIVES: We aimed to investigate maternal understanding of fever, its potential consequences, and impacts on the treatment of children. PATIENTS AND METHODS: A questionnaire was use to explore the attitudes, knowledge, and practices of mothers of 861 children brought to four medical centers in different regions of Turkey in 2012, with fever being the chief complaint...
August 2016: Iranian Red Crescent Medical Journal
https://www.readbyqxmd.com/read/27733747/national-modulators-of-symptomatic-fever-management-in-children-comparative-analysis-of-survey-data
#3
Sebastiano A Lava, Maristella Santi, Gregorio P Milani, Mario G Bianchetti, Giacomo D Simonetti
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...
October 12, 2016: Minerva Pediatrica
https://www.readbyqxmd.com/read/27541270/effects-of-prophylactic-ibuprofen-and-paracetamol-administration-on-the-immunogenicity-and-reactogenicity-of-the-10-valent-pneumococcal-non-typeable-haemophilus-influenzae-protein-d-conjugated-vaccine-phid-cv-co-administered-with-dtpa-combined-vaccines-in-children
#4
Oana Falup-Pecurariu, Sorin C Man, Mihai L Neamtu, Gratiana Chicin, Ginel Baciu, Carmen Pitic, Alexandra C Cara, Andrea E Neculau, Marin Burlea, Ileana L Brinza, Cristina N Schnell, Valentina Sas, Valeriu V Lupu, Nancy François, Kristien Swinnen, Dorota Borys
Prophylactic paracetamol administration impacts vaccine immune response; this study ( www.clinicaltrials.gov : NCT01235949) is the first to assess PHiD-CV immunogenicity following prophylactic ibuprofen administration. In this phase IV, multicenter, open-label, randomized, controlled, non-inferiority study in Romania (November 2010-December 2012), healthy infants were randomized 3:3:3:1:1:1 to prophylactically receive immediate, delayed or no ibuprofen (IIBU, DIBU, NIBU) or paracetamol (IPARA, DPARA, NPARA) after each of three primary doses (PHiD-CV at age three/four/five months co-administered with DTPa-HBV-IPV/Hib at three/five and DTPa-IPV/Hib at four months) or booster dose (PHiD-CV and DTPa-HBV-IPV/Hib; 12-15 months)...
August 19, 2016: Human Vaccines & Immunotherapeutics
https://www.readbyqxmd.com/read/27479646/prenatal-use-of-acetaminophen-and-child-iq-a-danish-cohort-study
#5
Zeyan Liew, Beate Ritz, Jasveer Virk, Onyebuchi A Arah, Jørn Olsen
BACKGROUND: Acetaminophen (paracetamol) is the most commonly used pain and fever medication during pregnancy, and recently has been linked to hyperactivity and behavioral problems in children. We examine whether prenatal use of acetaminophen affects children's intelligence quotient (IQ). METHODS: We studied 1,491 mothers and children enrolled in the Danish National Birth Cohort (DNBC; 1996-2002). Acetaminophen use in pregnancy was prospectively recorded in three telephone interviews...
November 2016: Epidemiology
https://www.readbyqxmd.com/read/27458336/genetic-syndromes-maternal-diseases-and-antenatal-factors-associated-with-autism-spectrum-disorders-asd
#6
REVIEW
Asher Ornoy, Liza Weinstein-Fudim, Zivanit Ergaz
Autism spectrum disorder (ASD) affecting about 1% of all children is associated, in addition to complex genetic factors, with a variety of prenatal, perinatal, and postnatal etiologies. In addition, ASD is often an important clinical presentation of some well-known genetic syndromes in human. We discuss these syndromes as well as the role of the more important prenatal factors affecting the fetus throughout pregnancy which may also be associated with ASD. Among the genetic disorders we find Fragile X, Rett syndrome, tuberous sclerosis, Timothy syndrome, Phelan-McDermid syndrome, Hamartoma tumor syndrome, Prader-Willi and Angelman syndromes, and a few others...
2016: Frontiers in Neuroscience
https://www.readbyqxmd.com/read/27458064/ibuprofen-in-paediatrics-pharmacology-prescribing-and-controversies
#7
Camilla Moriarty, Will Carroll
Ibuprofen, a propionic acid derivative, is a non-steroidal anti-inflammatory drug. The oral formulation is widely used in paediatric practice and after paracetamol it is one of the most common drugs prescribed for children in hospital. The treatment of fever with antipyretics such as ibuprofen is controversial as fever is the normal response of the body to infection and unless the child becomes distressed or symptomatic, fever alone should not be routinely treated. Combined treatment with paracetamol and ibuprofen is commonly undertaken but almost certainly is not helpful...
December 2016: Archives of Disease in Childhood. Education and Practice Edition
https://www.readbyqxmd.com/read/27393615/childhood-fever-in-well-child-clinics-a-focus-group-study-among-doctors-and-nurses
#8
Kirsten K B Peetoom, Luc J L Ploum, Jacqueline J M Smits, Nicky S J Halbach, Geert-Jan Dinant, Jochen W L Cals
BACKGROUND: Fever is common in children aged 0-4 years old and often leads to parental worries and in turn, high use of healthcare services. Educating parents may have beneficial effects on their sense of coping and fever management. Most parents receive information when their child is ill but it might be more desirable to educate parents in the setting of well-child clinics prior to their child becoming ill, in order to prepare parents for future illness management. This study aims to explore experiences of well-child clinic professionals when dealing with childhood fever and current practices of fever information provision to identify starting points for future interventions...
2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27203165/-adverse-drug-reactions-in-pediatrics-experience-of-a-regional-pharmacovigilance-center
#9
Caroline Saint-Martin, Lukshe Kanagaratnam, Paul de Boissieu, Brahim Azzouz, Malak Abou Taam, Thierry Trenque
AIM: To describe the adverse drug reactions (ADR) and the drugs involved in pediatrics. METHODS: An observational study on all ADR notifications recorded in the French pharmacovigilance database by the Regional Pharmacovigilance Center of Champagne-Ardenne between 1 January 1985 and 31 December 2014 involving children from 0 to 17 years inclusive was performed. For all notifications, we studied the patient and the ADR characteristics. RESULTS: During the study period, 632 notifications were collected...
April 11, 2016: Thérapie
https://www.readbyqxmd.com/read/27118212/pharmacokinetic-properties-of-intramuscular-versus-oral-syrup-paracetamol-in-plasmodium-falciparum-malaria
#10
Thanaporn Wattanakul, Pramote Teerapong, Katherine Plewes, Paul N Newton, Wirongrong Chierakul, Kamolrat Silamut, Kesinee Chotivanich, Ronnatrai Ruengweerayut, Nicholas J White, Arjen M Dondorp, Joel Tarning
BACKGROUND: Fever is an inherent symptom of malaria in both adults and children. Paracetamol (acetaminophen) is the recommended antipyretic as it is inexpensive, widely available and has a good safety profile, but patients may not be able to take the oral drug reliably. A comparison between the pharmacokinetics of oral syrup and intramuscular paracetamol given to patients with acute falciparum malaria and high body temperature was performed. METHODS: A randomized, open-label, two-treatment, crossover, pharmacokinetic study of paracetamol dosed orally and intramuscularly was conducted...
2016: Malaria Journal
https://www.readbyqxmd.com/read/27077630/adverse-drug-reactions-in-nigerian-children-a-retrospective-review-of-reports-submitted-to-the-nigerian-pharmacovigilance-centre-from-2005-to-2012
#11
Kennedy Obebi Cliff-Eribo, Helen Sammons, Kristina Star, I Ralph Edwards, Adeline Osakwe, Imti Choonara
BACKGROUND: Adverse drug reactions (ADRs) in children recorded in national pharmacovigilance databases in high-income countries have been analysed. Nigeria has a population of 31 million children and became a member of the WHO Programme for International Drug Monitoring in 2004 since when it has been submitting reports of suspected ADRs to the WHO Global Individual Case Safety Report database, VigiBase. OBJECTIVE: To gain information on reported ADRs in Nigerian children aged 0-17 years in VigiBase from 2005 to 2012...
January 29, 2016: Paediatrics and International Child Health
https://www.readbyqxmd.com/read/26923064/antibiotics-for-preventing-suppurative-complications-from-undifferentiated-acute-respiratory-infections-in-children-under-five-years-of-age
#12
REVIEW
Márcia G Alves Galvão, Marilene Augusta Rocha Crispino Santos, Antonio J L Alves da Cunha
BACKGROUND: Undifferentiated acute respiratory infections (ARIs) are a large and heterogeneous group of infections not clearly restricted to one specific part of the upper respiratory tract, which last for up to seven days. They are more common in pre-school children in low-income countries and are responsible for 75% of the total amount of prescribed antibiotics in high-income countries. One possible rationale for prescribing antibiotics is the wish to prevent bacterial complications...
2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/26889398/rectal-diclofenac-versus-rectal-paracetamol-comparison-of-antipyretic-effectiveness-in-children
#13
Mohammad Reza Sharif, Mostafa Haji Rezaei, Marzieh Aalinezhad, Golbahareh Sarami, Masoud Rangraz
BACKGROUND: Fever is the most common complaint in pediatric medicine and its treatment is recommended in some situations. Paracetamol is the most common antipyretic drug, which has serious side effects such as toxicity along with its positive effects. Diclofenac is one of the strongest non-steroidal anti-inflammatory (NSAID) drugs, which has received little attention as an antipyretic drug. OBJECTIVES: This study was designed to compare the antipyretic effectiveness of the rectal form of Paracetamol and Diclofenac...
January 2016: Iranian Red Crescent Medical Journal
https://www.readbyqxmd.com/read/26861478/prenatal-and-infant-paracetamol-exposure-and-development-of-asthma-the-norwegian-mother-and-child-cohort-study
#14
Maria C Magnus, Øystein Karlstad, Siri E Håberg, Per Nafstad, George Davey Smith, Wenche Nystad
BACKGROUND: Paracetamol exposure has been positively associated with asthma development. The relative importance of prenatal vs infant exposure and confounding by indication remains elusive. We examined the association of prenatal and infant (first 6 months) paracetamol exposure with asthma development while addressing confounding by indication. METHODS: We used information from the Norwegian Mother and Child Cohort Study, including 53169 children for evaluation of current asthma at 3 years, 25394 for current asthma at 7 years and 45607 for dispensed asthma medications at 7 years in the Norwegian Prescription Database...
April 2016: International Journal of Epidemiology
https://www.readbyqxmd.com/read/26688372/maternal-use-of-acetaminophen-during-pregnancy-and-risk-of-autism-spectrum-disorders-in-childhood-a-danish-national-birth-cohort-study
#15
Zeyan Liew, Beate Ritz, Jasveer Virk, Jørn Olsen
Acetaminophen (paracetamol) is the most commonly used pain and fever medication during pregnancy. Previously, a positive ecological correlation between acetaminophen use and autism spectrum disorders (ASD) has been reported but evidence from larger studies based on prospective data is lacking. We followed 64,322 children and mothers enrolled in the Danish National Birth Cohort (DNBC; 1996-2002) for average 12.7 years to investigate whether acetaminophen use in pregnancy is associated with increased risk of ASD in the offspring...
September 2016: Autism Research: Official Journal of the International Society for Autism Research
https://www.readbyqxmd.com/read/26619037/vaccines-for-the-prevention-of-meningococcal-capsular-group-b-disease-what-have-we-recently-learned
#16
Jamie Findlow
Meningococcal disease remains a feared and devastating cause of sepsis and meningitis. Disease incidence is highest among infants and children although a significant burden of disease is experienced by adolescents, young adults and those with specific risk-factors. Prevention of disease against capsular groups A, C, W and Y; 4 of the 5 most pathogenic groups is achievable using capsular polysaccharide vaccines. It has only recently been possible to provide protection against capsular group B (MenB) strains following the licensure of a 4 component group B vaccine (4CMenB) in Europe in 2013...
2016: Human Vaccines & Immunotherapeutics
https://www.readbyqxmd.com/read/26539405/pilot-study-of-the-use-of-yin-qiao-san-in-children-with-conventional-antipyretic-hypersensitivity
#17
Woei Kang Liew, Wenyin Loh, Wen Chin Chiang, Anne Goh, Oh Moh Chay, Mona Iancovici Kidon
BACKGROUND: Children with a diagnosis of cross-reactive hypersensitivity to both paracetamol and nonsteroidal anti-inflammatory drugs are limited in their choice of antipyretics. OBJECTIVE: The aim of this pilot study is to evaluate the feasibility of using a Chinese proprietary medicine, Yin Qiao San (YQS), for fever relief. METHODS: A single centre, open label, prospective clinical trial exploring the tolerability and feasibility of using YQS for fever relief in children who are unable to use conventional antipyretic medications...
October 2015: Asia Pacific Allergy
https://www.readbyqxmd.com/read/26518691/recent-advances-in-pediatric-use-of-oral-paracetamol-in-fever-and-pain-management
#18
Maurizio de Martino, Alberto Chiarugi
Paracetamol is a common analgesic and antipyretic drug for management of fever and mild-to-moderate pain in infants and children, and it is considered as first-line therapy for the treatment of both according to international guidelines and recommendations. The mechanism of action of paracetamol is complex and multifactorial, and several aspects of the pharmacology impact its clinical use, especially in the selection of the correct analgesic and antipyretic dose. A systematic literature search was performed by following procedures for transparent reporting of systematic reviews and meta-analyses...
December 2015: Pain and Therapy
https://www.readbyqxmd.com/read/26433141/the-introduction-of-the-meningococcal-b-menb-vaccine-bexsero%C3%A2-into-the-national-infant-immunisation-programme-new-challenges-for-public-health
#19
REVIEW
Shamez N Ladhani, Helen Campbell, Sydel R Parikh, Vanessa Saliba, Ray Borrow, Mary Ramsay
The United Kingdom is the first country to introduce Bexsero(®) (GSK Biologicals), a multicomponent, protein-based vaccine against meningococcal group B (MenB), into the national infant immunisation programme. This vaccine is like no other licensed vaccine and poses a number of implementation and surveillance challenges in England. From 01 September 2015, UK infants were offered a reduced two dose primary immunisation schedule at 2 and 4 months followed by a booster at 12 months. Because of high rates of fever post-vaccination, parents were advised to give their infants three doses of prophylactic paracetamol, with the first dose given as soon as possible after the primary MenB vaccination dose...
December 2015: Journal of Infection
https://www.readbyqxmd.com/read/26384567/adverse-drug-reactions-in-nigerian-children-a-retrospective-review-of-reports-submitted-to-the-nigerian-pharmacovigilance-centre-from-2005-to-2012
#20
Kennedy Obebi Cliff-Eribo, Helen Sammons, Kristina Star, I Ralph Edwards, Adeline Osakwe, Imti Choonara
BACKGROUND: Adverse drug reactions (ADRs) in children recorded in national pharmacovigilance databases in high-income countries have been analysed. Nigeria has a population of 31 million children and became a member of the WHO Programme for International Drug Monitoring in 2004 since when it has been submitting reports of suspected ADRs to the WHO Global Individual Case Safety Report database, VigiBase. OBJECTIVE: To gain information on reported ADRs in Nigerian children aged 0-17 years in VigiBase from 2005 to 2012...
September 18, 2015: Paediatrics and International Child Health
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