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Dutch guidelines for controlling fever.

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Below is a (quick) translation of the official policy guidelines for Dutch family doctors in case of fever in children, given by their organisation and published on internet.I have added the Fahrenheit degrees)---Official guidelines for Dutch family doctors in case of fever in children:- A realistic notion about fever will make it more easy for parents to dealwith children having fever.- In general, fever does not need treatment.- Actively lowering the body temperature is not neccessary. Applying coldcompresses and cold sponging of the child is not meaningful.- In principle, no antipyretics are given. Antipyretics do not fight thedisease and at best will make the child feel a bit better.- Fever is qualified as a rectal temperature above 38 degrees C. (100.4 degree Fahrenheit)There

areno injurious effects of fever below 41.7 degrees C. (107.06 degree Fahrenheit)- Fever is a useful bodily reaction. If the heat is allowed to drain away,fever will not rise above 41.7 degrees C. (107.06 degree Fahrenheit)- The increase of the body temperature seems to be important in fighting thedisease.- If the fever is not treated, this does not mean the temperature will keeprising.- The main reason for taking the temperature is knowing whether or not thereis a fever.- There is no use in measuring each change. It is sufficient to take thetemperature once a day.- Parents should not wake their child to take the temperature.- Temperature should be measured per rectum. Other ways are not reliable.- Observing the child and registering changes in the childs behaviour aremore important than frequently measuring the temperature.- The extent to which the child is sick is far more important than

thetemperature of the fever.---

State of chilren in the United States; 1 child in 6 with specific learning disabilities 1 child in 87 with autism 1 child in 9 with asthma 1 child in 450 with insulin dependent diabetes 15-20% of children with attention deficit disorders 1-2% children with sudden infant death

- IMVR

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