Fever in Children: Management
Managing fever in children
Fevers are usually treated when a person is in discomfort, and this applies to both children and adults.
It’s also important to remember that fever is a sign that something else is going on in the body and that treating it does not treat the underlying cause of the fever.
However, in children < 3 months old, a temperature > 100.4°F requires immediate medical attention.
Temperature taken rectally is the recommended method of assessing fever in children up to 3 years old. For children older than 3 years of age, other methods of taking a temperature are forehead, orally (under the tongue), or in the ear or armpit. Armpit temperatures are the least accurate.
As with adults, other symptoms accompanying the fever should be assessed, as well as “red flag” symptoms that would require medical care.
Management of fever
Nonpharmacologic management of fever
- Parents of children with fever may receive the following recommendations when their child has a fever:Dress the child in light-weight clothing, since excess clothing traps body heat, causing the temperature to rise
- Encourage the child to drink plenty of fluids, such as juices, or to eat popsicles
- Give the child a lukewarm bath
- Place cold washcloths over certain areas of the body such as the forehead, groin, and wrist
Pharmacologic management of fever
The general recommendations for managing fever in children are that infants under 3 months of age with a fever of ≥ 100.4°F should be seen by a healthcare provider regardless of other signs and symptoms, while children 3 months of age and older can be observed and/or treated with over-the-counter medications unless exhibiting any “red flag” symptoms.
Treatment with medicines should only be recommended if the child’s temperature is > 100.4°F or at a lower temperature if he/she seems uncomfortable.
Ibuprofren and acetaminophen are first-line treatment choices for fever in children 6 months of age or older. Both are considerd equally effective and generally well tolerated.
Children’s Advil brings fever down faster and keeps it down longer than Children’s Tylenol®
What can you recommend to relieve fever in children?
Find out more about both nonpharmacologic and pharmacologic treatments.
Children’s & Infants’ Advil drug facts and dosing
The drug facts contain all you need to know about Children’s and Infants’ Advil as well as warnings on concomitant use of NSAIDs with other drugs.
Patient care resources
Access educational resources for your patients, to help them have a better understanding of their pain condition.
How do children present?
Refresh your knowledge on the signs and symptoms of fever in children and learn about “red flag” symptoms that require medical attention.