Fever in young children up to 5 years of age standard case management measures.

ABSTRACT

In a child with acute respiratory infection, fever is not a specific sign of pneumonia and not an indication for antibiotic treatment. The fever, in a child of 1[st] two month of age indicates possible severe bacterial infection. Lab. Investigation and proper management is needed. Febrile children should be treated with proper management strictly according to the suggestion/recommendations of the NMP. i.e National Malaria Programme. The cause of fever, in the febrile children should be assessed with a great care. A reliable data from laboratory immunological studies and animal studies suggest the moderate rise in body temp; improve immune defense mechairism against infections, which may be desirable. In children with very high grade fever i.e. above 40 degree C or in severely ill children e.g. severely found. Rapid rise in body temperature, the febrile convulsions are also associated but these may generally resolve spontaneously and does not result in neurological complications. In the young children listlessness and anorexia are also associated with high fever. The paracetamol is a drug of choice and is highly effective in the treatment of fever; in the young children recommended dose is 10-15 mg/kg body wt. 6 hourly. Individual careful assessment is essential. Antipyretic treatment is Offered to the suffering child feeling discomfort with fever. According to the WHO recommendations, in the guideline for standard AR1-case management, the treatment with paracetamol in children 2 month up to 5 years of age be limited to those suffering with high grade fever i.e. 39 degree C [rectal] or above, supportive