Rus Articles Journal

The child has a heat...

Come winter - a time of colds. Cold, cough and it is frequent - high temperature. Most heavier it is transferred by children and the weakened chronic patients. What drugs to use? How not to do much harm at care of the sick child?

temperature increase In itself to 39,5 º With it is not life-threatening. But parents very much worry if the child has a heat. Temperature increase most often happens a symptom of a catarrhal disease, but there are also much more serious diseases which cause this symptom. Therefore the first that needs to be made, - to see a doctor. Only it can make the correct diagnosis, thereby having taken the responsibility for life and health of your child.

the body temperature Increased at cold is a protective reaction. If the child has no associated diseases, then temperature to 38 º With does not demand special treatment. Plentiful drink, free clothes and dry heat are obligatory. In the room should not be hot and stuffy.

does not have

need to force the child to drink milk, tea with honey or others “curative broths“ which can not be pleasant to it and sometimes and provoke allergic reactions. The main thing that the organism received enough water (warm, but is not hotter!) for sweating. It is not necessary to cause perspiration, excessively covering the child, it can worsen heat removal. More usefully the heat bath is not higher than the body temperature.

are not recommended by grindings by alcohol-containing liquids or vinegar - their efficiency is not proved, and the alcohol which is soaked up in the child`s organism can worsen work of the central nervous system.

do not awake with

the sleeping child! A dream - excellent medicine.

If does not manage to cope with high temperature simple means, it is necessary to use medicines. Giving modern febrifuges to children, it is necessary to consider that excessively fast and strong falling of the increased temperature is undesirable. It is not necessary to try to obtain its decrease to norm, increasing a medicine dose, - it increases risk of side effects. It is enough to reduce temperature to 37,5 - 38 º The Page

should not give to

febrifuges for several days. In itself they do not accelerate recovery, but can disguise development of terrible infectious complications. Also febrifugal preparations are not appointed at treatment antibiotics.

In an arsenal of modern medicine the extensive group of anti-inflammatory and febrifugal medicines is available, also nonsteroid (that is non-hormonal) anti-inflammatory preparations belong here. Some of them are released without recipe and are safe for children.


Most often in world pediatric practice uses paracetamol in the form of syrups or rectal candles. It is accepted as the safest means, admissible for treatment of children aged from three months. Works rather slowly - the effect develops within 3 - 4 hours. From - for it parents in aspiration to reduce temperature to treasured 36,6 ° With (in what as we already spoke, there is no need) begin to increase a dose. Besides, it is necessary to watch that the child by mistake did not drink sweet syrup more, than it is necessary, it, undoubtedly, dangerously. Paracetamol works rather quickly - it is its shortcoming, and frequent repeated drug intakes are undesirable. The daily dose should not exceed 60 mg on kilogram of weight of the child. The way of dispensing and frequency of reception are connected with the body weight and age of the child, these data are specified in the instruction to a preparation. More effective it is also long the operating means the ibuprofen is. However it is not recommended to children about six months.

Only paracetamol and an ibuprofen in various special children`s dosage forms are released by

without recipe and are allowed for independent use. If it is not possible with their help to reduce temperature to the acceptable values 37,5 - 38 ° With, the doctor can write out the recipe on more active medicines in special children`s dosages. The preparations used for treatment of chronic inflammatory diseases belong to such drugs nimesulid in the form of suspension, and also. At usual cold their reception is limited by one - two days, and they, as a rule, do not cause the collateral reactions arising at long reception. There are sodium diclofenac preparations (orthohair dryer) in the form of tablets and candles with the dose reduced twice for children. Diclofenac is appointed usually to children 12 years, and to absolutely little patients - only in the conditions of a hospital are more senior at an exacerbation of chronic inflammatory diseases. To teenagers of 15 years also reception of “adult“ dosage forms of these means is admissible.

Small children and drugs

Should be remembered: the age of the child is less, the danger of treatment without doctor is more.

I Want to warn parents also: when high temperature, inadmissibly to give to children as the “calming“ means antihistaminic preparations - a Dimedrol, suprastin. Often parents apply them and as “sleeping pill“. Yes, they oppress nervous system, but at the increased temperature paradoxical reaction in the form of excitement can develop, and the most dangerous - increases toxicity of these means. The child has to fall asleep itself, a dream - a recovery sign.

Quite often parents ask

: why now to children ceased to appoint aspirin and analginum? Aspirin causes side effects, rare, but dangerous to children. Acetilsalicylic acid (aspirin) with flu, an acute respiratory disease and chicken pox can cause Ray`s syndrome in children - the hardest encephalopathy (not inflammatory processes, structurally or functionally affecting a brain) with a liver failure and a lethality it is higher than 50%. It formed the basis for a ban of use of acetilsalicylic acid for children till 15 years with sharp diseases in the majority of the countries of the world since the beginning of 1980 - x years. The preparations containing acetilsalicylic acid began to mark surely. Analginum (sodium metamizol) is forbidden for use in pediatrics in the majority of the countries of the world.

Now for decrease in temperature before giving to the child a nonsteroid anti-inflammatory preparation, to parents it is necessary to study attentively the instruction for its application to choose the correct dosage of medicine, and then to watch closely whether symptoms of the side effects specified in instructions appeared. At the same time it is important to know that the instruction is made on the basis of studying of action of a preparation on healthy volunteers, and at patients who besides are treated by other medicines, side effects can arise more often and be shown differently.

In spite of the fact that nonsteroid anti-inflammatory preparations are known long ago, discussions and researches continue. Their purpose - to find out what preparation is safest and effective for children, especially the smallest age. In some cases high temperature of a body at children, for example at a convulsive syndrome, can have very serious consequences.

the Group of the French scientists carried out recently by

comparative tests of paracetamol (in a dose of 15 mg/kg) and an ibuprofen (10 mg/kg) at children with fever aged from three months till 12 years.


of Statistically significant difference in ability of these preparations to reduce body temperature within eight hours and in their shipping it is not revealed. However parents of the children participating in research in the subsequent more often chose an ibuprofen. Small advantage of an ibuprofen is confirmed also by the analysis of doctor E. Pursell (USA) according to which an ibuprofen in comparison with paracetamol on 0,58 ° With stronger reduces the increased body temperature at children in five hours after introduction of a preparation. In one hour after their introduction of statistically significant distinctions between an ibuprofen and paracetamol it is not revealed.

This scientific researches and own experience everything is allow to consider that long action of an ibuprofen can have advantage at some states.