Emergency Care Journal (Nov 2024)

Management of fever and associated symptoms in children and adults: an Italian national survey

  • Antonio Chiaretti,
  • Ignazio Grattagliano,
  • Francesco Carlomagno,
  • Massimo Magi,
  • Luigi Carbone,
  • Silvia Zecca,
  • Claudia Bondone,
  • Antonio Gatto,
  • Lorenzo Di Sarno,
  • Francesco Franceschi

DOI
https://doi.org/10.4081/ecj.2024.12903

Abstract

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An advisory committee of Italian experts conducted a national, cross-sectional, web-based survey in June 2024 to describe the current management of fever and associated symptoms in different settings, including primary care, emergency departments, and hospital wards in pediatric and adult patients. The survey covered two domains: participants’ features and questions about the main drugs prescribed to treat fever and associated symptoms. A total of 832 questionnaires were analyzed. Paracetamol was the most prescribed drug to treat fever. Most participants were influenced by related symptoms when choosing the most appropriate drug. Almost all participants selected the oral route as their preferred one. This survey provides a current state of fever management among physicians in different settings throughout Italy. It highlights a trend in treating fever with antipyretics at appropriate doses and evaluating pain through validated scales.

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