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Research Article Open access CC BY 4.0

Expert Perspectives on Paracetamol for Managing Pediatric Febrile Illness in Indian Settings

Manjula S, Krishna Kumar M

Asian Journal of Pediatric Research · pp. 86–93 · Published 30 May 2024

10.9734/ajpr/2024/v14i6357

Abstract

Objective: To examine expert perspectives on the prescription practices and clinical uses of paracetamol for managing pediatric febrile illness in routine Indian healthcare settings. Methods: The study utilized multiple-response questionnaires distributed electronically to clinicians via email or online platforms. The survey comprised 30 questions pertaining to current clinical feedback, observations, prescription practices, clinical use of paracetamol, and experiences related to pediatric febrile illness in routine clinical settings. Descriptive statistics were used to analyze the data. Results: The study included 341 experts, and the majority (72.43%) identified upper respiratory tract infections as the most common cause of pediatric acute febrile illness. About 50.73% of physicians encountered 40-50% of pediatric patients with fever in outpatient clinics, and seizures were the most commonly reported complication (66%). Oral temperature measurement (53.08%) and digital thermometers (67%) were commonly preferred for fever assessment. Paracetamol (49.56%) and paracetamol with mefenamic acid (42.82%) were the most commonly prescribed antipyretics. Viral infections were cited as the leading cause of fever cases (71%). About 60.41% clinicians reported low incidence of hepatotoxicity due to paracetamol and refrained from prescribing N-acetylcysteine for paracetamol toxicity (63%). Majority (66.57%) of the respondents reported the paracetamol suspension to be satisfactory, with strawberry (31.09%) and mango (32.55%) being the preferred flavors among pediatric patients. Conclusion: According to the survey results, paracetamol was favored as the first-line antipyretic, with many clinicians opting for combination therapy with mefenamic acid. Viral infections are highlighted as the primary cause of pediatric fevers. The survey also revealed positive perceptions regarding the flavor and packaging of paracetamol suspension.

Paracetamol suspension pediatric febrile illness upper respiratory tract infections antipyretics

References (23)

  1. 1 The modern pharmacology of paracetamol: therapeutic actions, mechanism of action, metabolism, toxicity and recent pharmacological findings [DOI]
  2. 2 Beyond Malaria — Causes of Fever in Outpatient Tanzanian Children [DOI]
  3. 3 Upper respiratory tract infections [DOI]
  4. 4 Paracetamol: A Review of Guideline Recommendations [DOI]
  5. 5 Core Temperature Measurement—Principles of Correct Measurement, Problems, and Complications [DOI]
  6. 6 Acute respiratory infection and pneumonia in India: A systematic review of literature for advocacy and action: UNICEF-PHFI series on newborn and child health, India [DOI]
  7. 7 Paracetamol versus placebo or physical methods for treating fever in children [DOI]
  8. 8 Integrated Community Case Management of Fever in Children under Five Using Rapid Diagnostic Tests and Respiratory Rate Counting: A Multi-Country Cluster Randomized Trial [DOI]
  9. 9 Caregiver Low Health Literacy and Nonurgent Use of the Pediatric Emergency Department for Febrile Illness [DOI]
  10. 10 Current status of tuberculosis and acute respiratory infections in India: Much more needs to be done! [DOI]
  11. 11 Diagnosis and Treatment of the Febrile Child [DOI]
  12. 12 AAP reports on the use of antipyretics for fever in children.
  13. 13 Knowledge, Attitude, and Practice of Paracetamol and Ibuprofen Administration Among Caregivers of the Pediatric Age Group in Jeddah [DOI]
  14. 14 Costing of febrile illness among under five children, a study in a tertiary care teaching hospital in Odisha, India [DOI]
  15. 15 Role of paracetamol in treatment of childhood Fever: a double-blind randomized placebo controlled trial.
  16. 16 Patterns of viral pathogens causing upper respiratory tract infections among symptomatic children in Mwanza, Tanzania [DOI]
  17. 17 Umbilical Cord Care Practices and Incidence of Febrile Illnesses in the First Month of Life among Newborns- A Population Based Study [DOI]
  18. 18 Therapeutic misadventure with paracetamol in children [DOI]
  19. 19 Exploring Acute Febrile Illness in Children: Clinical Characteristics and Diagnostic Challenges [DOI]
  20. 20 A Study of Viral Causes of Fever with Rash in Children [DOI]
  21. 21 Febrile Convulsions in Anemic Children: A Review [DOI]
  22. 22 Acute Liver Failure [DOI]
  23. 23 [Should electronic mouth thermometers be used in routine everyday hospital practice? Usefulness of mouth thermometers].

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