P-23 Parental knowledge, perceptions and practices towards childhood fever in the Emergency Department, Princess Margaret Hospital, The Bahamas
Author(s):
P M Davis-Mckenzie , D Brennen , M A Frankson, C Bullard
Year of Presentation:
2023
Objective: To assess the knowledge, attitudes, and effects
on management practices towards fever, of parents attending with their febrile child at the Accident and Emergency
Department (AED), Princess Margaret Hospital (P.M.H.),
Nassau, Bahamas.
Methods: An observational cross-sectional research study was conducted with eligible candidates interviewed during randomly selected computer-generated ED shifts, from August 2011 to February 2012 using a standardized, validated investigator-administered questionnaire. Data collected were analyzed to assess statistical significance and extent of associations.
Results: Three hundred and twenty-six caregivers were surveyed. The correct definition of fever 38oC/100.4oF was noted in 40.2% of caregivers. The minimum temperature at which antipyretics would be administered for a fever was 98.6oF. Seizures, infections, and brain damage were the most frequent concerns of caregivers. The most frequent dosing intervals for antipyretics were four hourly, for both acetaminophen and ibuprofen. Median temperature with which a caregiver would call the doctor was 100.4oF, and 100.2oF was the median temperature indicated by caregivers regarding when a child would be taken to the ED.
Conclusion: There continues to be misconceptions towards fever in a child in caregivers attending the ED, which have some influence on practices for fever management, irrespective of educational level. Emergency Department patient education is necessary