DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20182525

Fever awareness, management practices and their correlates among parents of under five children in urban India

Sanjana Thota, Nida Ladiwala, Pawan Kumar Sharma, Enakshi Ganguly

Abstract


Background: Awareness regarding fever is reportedly low among Indian urban parents, leading to its over- management among under five children. We attempted to study the awareness and fever management practices of South Indian urban parents. The objectives were to find the awareness of parents regarding childhood fever management, and correlates of practices.

Methods: One hundred parents of under-five children with history of fever in past three months were randomly selected and interviewed using a predesigned tool. Children’s weight and height was measured. Awareness scores for causes of fever and fever management were constructed. Logistic regression was done to identify correlates of incorrect practices.

Results: 95% parents were aware about correct temperature above which fever became harmful. Awareness score for causes of fever was poor (<1) among 41% parents. Mothers’ complications awareness scores were better than fathers (p<0.05). 81% parents used antibiotics; only 18% consulted a doctor before doing so. 17% parents using antibiotics did not complete the prescribed course. The independent correlates of poor fever management practices were working parents (OR: 6.28; 95%CI: 1.7-23.16), lesser number of children (OR: 3.08; 95%CI: 1.01-9.37), poor compliance for antipyretics (OR: 9.20; 95%CI: 1.64-51.52) and giving antipyretics without consulting doctors (OR: 5.43; 95%CI: 1.69-17.47). Poor knowledge of available pediatric antipyretic preparations was negatively correlated (OR: 0.13; 95%CI: 0.02-0.64).

Conclusion: Fever awareness was fair among urban parents. Mothers had better awareness than fathers. Increased awareness for correct fever management of under-five children is desirable among urban parents to reduce misuse of antibiotics and antipyretics.


Keywords


Antibiotics, Awareness, Correlates, Fever, Practice, South India, Under five

Full Text:

PDF

References


Walsh AM, Edwards HE. Management of childhood fever by parents: literature review. Journal of Advanced Nursing 2006;54(2):217-27.

Rkain M, Rkain I, Safi M, Kabiri M, Ahid S, Benjelloun BDS. Knowledge and management of fever among Moroccan parents. EMHJ 2014;20(6):397-402.

Crocetti M, Moghbeli N, Serwint J. Fever phobia revisited: have parental misconceptions about fever changed in 20 years? Pediatr. 2001;107:1241-6.

Jones T and Jacobsen SJ. Childhood Febrile Seizures: Overview and Implications. International J Med Sci. 2007;4(2):110-4.

Varma RR. Febrile seizures. Indian J Pediatr. 2002;69:697-700.

Schmitt B. Fever phobia: misconceptions of parents about fevers. Amer J Dis in Child. 1980;134:176-81.

Athamneh L, El-Mughrabi M, Athamneh M, Essien EJ and Abughosh S. Parents' knowledge, attitudes and beliefs of childhood fever management in jordan: a cross-sectional study. J Appl Res Child. Informing Policy Child Risk. 2014;5(1):8.

Oshikoya KA, Senbanjo IO. Fever in Children: Mothers’ Perceptions and their Home Management. Iran J Pediatr. 2008;18(3):229-36.

Stephenson MJ, Rosencrantz A and Kneller P. Childhood Fever:Parental Beliefs and Management. Can Fam Physician. 1988;34:63-6.

Bertille N, Fournier-Charrie`re E, Pons G, Chalumeau M. Managing Fever in Children: A National Survey of Parents’ Knowledge and Practices in France. PLoS ONE. 2013;8(12): e83469.

Gohar UF, Khubaib S, Mehmood A. Self-medication trends in children by their parents. J Develop Drugs. 2017;6:173.

Chiappini E, Parretti A, Becherucci P, Pierattelli M, Bonsignori F, Galli L and Martino M. Parental and medical knowledge and management of fever in Italian pre-school children. BMC Pediatr. 2012;12:97.

Alqudah M, Johnson M, Cowin L, George A. An innovative fever management education program for parents, caregivers, and emergency nurses.Adv Emerg Nurs J. 2014;36(1):52-61.

O'Neill-Murphy K, Liebman M, Barnsteiner JH. Fever education: does it reduce parent fever anxiety? Pediatr Emerg Care. 2001;17(1):47-51.

Casey R, McMahon F, McCormick M, Pasquariello P, Zavod W and King F. Fever therapy: an educational intervention for parents. Pediatrics 1984;73:600-5.

Hyderabad (Greater Hyderabad) City Census 2011 data. Available at http://www.census2011.co.in/census/city/392-hyderabad.html

Singhi S, Padmini P, Sood V. Urban parents' understanding of fever in children: its danger and treatment practices. Indian Pediatr. 1991;28:501-5.

Parmar RC, Sahu DR, Bavdekar SB. Knowledge, attitude and practices of parents of children with febrile convulsion. J Postgrad Med. 2001;47(1):19-23.

Zyoud S, Al-Jabi S, Sweileh W, Nabulsi M, Tubaila M, Awang Rahmat, et al. Beliefs and practices regarding childhood fever among parents: A cross-sectional study from Palestine. BMC pediatrics2013;13:66.

Kelly M, Sahm LJ, Shiely F, O’Sullivan R, de Bont EG, Mc Gillicuddy A et al. Parental knowledge, attitudes and beliefs on fever: a cross-sectional study in Ireland. BMJ Open. 2017;7:e015684.

De Bont EG, Francis NA, Dinant G-J, Cals JW. Parents’ knowledge, attitudes, and practice in childhood fever: an internet-based survey. The Brit J Gen Pract. 2014;64(618):e10-e16.

Chang L, Liu C, Huang M. Parental knowledge, concerns, and management of childhood fever in Taiwan. J Nurs Res. 2013;21(4):252-60.

Rajput SK, Wagh SS. Parental Knowledge, Attitude and Practices Regarding Fever in Their Children: A Hospital Based Observational Study. International J Rec Tren Sci Technol. 2014;10(30):517-20.

Agrawal A, Verma P, Beohar V. Awareness of parents of children with fever <5 days attending the outpatient services of Peoples College of medical sciences and research centre, Bhopal, Madhya Pradesh, India. Int J Contem Pediatr. 2016;3(3):916-21.

Linder N, Sirota L, Snapir A, Eisen I, Davidovitch N, Kaplan G, et al. Parental knowledge of the treatment of fever in children. Isr Med Assoc J. 1999;1(3):158-60.

Sakai R, Niijima S, Marui E. Parental knowledge and perceptions of fever in children and fever management practices: differences between parents of children with and without a history of febrile seizures. Pediatr Emerg Care. 2009;25:231-7.

Broome ME, Dokken DL, Broome CD, Woodring B, Stegelman M. A study of parent/grandparent education for managing a febrile illness using the CALM approach J Pediatr Health Care 2003;17:176-83.

Chang L, Lee P, Guo N, Huang M. Effectiveness of Simulation-Based Education on Childhood Fever Management by Taiwanese Parents. Pediatricsand Neonatol. 2016;57(6):467-73.

Srinivasa S, Syeda KA, Patel S, Harish S, Bhavya G. Parental knowledge, attitude and practices regarding febrile convulsion. Int J Contemp Pediatr. 2018;5(2):515-9.

Ramya AN. Charms in Childrearing. Available at http://52.172.27.147:8080/jspui/bitstream/123456789/8503/1/RAMYA%20A.N.pdf

Sharma M, Kanani S. Grandmothers’ influence on child care. Ind J Pediatr. 2006:73:295-98.

Agarwal S, Yewale VN, Dharmapalan D. Antibiotics use and misuse in children: a knowledge, attitude and practice survey of parents in India. JCDR 2015;9(11):SC21-SC24.

Abdulkadir MB, Abdulkadir ZA. A cross-sectional survey of parental care-seeking behavior for febrile illness among under-five children in Nigeria. Alexandria Journal of Medicine 2017;53:85-91.

Crocetti M, Sabath B, Cranmer L, Gubser S, Dooley D. Knowledge and Management of Fever Among Latino Parents. Clinical pediatrics. 2008;48:183-9.

Badawy NAK, Alhajraf AF, Alsamdan MF. Kuwaiti parent’s knowledge of their children’s fever and their patterns of use of over the counter antipyretics. AMJ. 2017;10(10):848-55.

Impicciatore P, Nannini S, Pandolfini C, Bonati M. Mothers' knowledge of, attitudes toward, and management of fever in preschool children in Italy. Prev Med. 1998;27(2):268-73.