摘要
Abstract
Objective To develop an appropriate method for parents to assess the acute fever in children without obvious infection focus. Methods 237 fever children who visited the Department of Pediatrics of Changshu No. 1 People′ s Hospital and Changshu Hospital of TCM from December 2009 to December 2014 and met the criteria were selected. We developed the Scale of Parental Assessment of Fever in Children and trained the parents and doctors on the use of it,and the corresponding procedure was as follows:parents firstly assess the severity of fever in children based on the guidance of the scale,then determine whether to see a doctor or contact the twinned doctor. The general conditions including fever events occurred before and after the application of the scale,use of antibiotics,treatment(domestic management and transfusion),information of return visits,incidence of severe disease,incidence of critically illness and final diagnosis of the children and reasons of return visits were recorded. Results As 51 of the 237 children failed to complete fellow - up and were excluded from the study,the final sample consisted of 186 children. Before the use of the scale,336 times of fever events occurred in the 186 cases,including 19 times of severe disease onset(5. 7% ),but no critically illness occurred. In terms of onset frequencies,the result of final diagnosis showed that the top 3 diseases were acute upper respiratory infection(181,53. 9% ),bronchitis(67,19. 9% ), and exanthema subitum(32,9. 5% ). After the use of the scale,totally 592 times of fever events occurred in the 186 cases, including 65 times of severe disease onset(11. 0% ),but no critically illness occurred. The result of final diagnosis indicated that acute upper respiratory infection had the most attack frequencies(356,60. 1% ),followed by bronchitis(102,17. 2% ),and exanthema subitum(69,11. 7% ). The aspects of use of antibiotics,treatment and return visits before and after the application of the scale were statistically significant(P < 0. 05). Of the 426 return visits,114(26. 8% )were due to reasons of category A listed in the Scale of Parental Assessment of Fever in Children,108(25. 4% )due to category B,101(23. 7% )due to category C,78 ( 18. 3% ) due to category D,and 25 ( 5. 9% ) due to category E. Conclusion The Scale of Parental Assessment of Fever in Children may help parents properly manage the acute fever in children without obvious infection focus, which decreases the unnecessary visits,use of antibiotics and transfusion as well as ensures medical safety.关键词
发热/儿童/评价Key words
Fever/Child/Assess分类
医药卫生
