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Parental Confidence in Relation to Antipyretic Use, Warning Signs, Symptoms and Well-Being in Fever Management—Results from an App-Based Registry

Author

Listed:
  • Ricarda Möhler

    (Faculty of Health, School of Medicine, Witten/Herdecke University, 58448 Witten, Germany)

  • Ekkehart Jenetzky

    (Faculty of Health, School of Medicine, Witten/Herdecke University, 58448 Witten, Germany
    Department of Child and Adolescent Psychiatry and Psychotherapy, University Medical Center of the Johannes-Gutenberg-University Mainz, 55131 Mainz, Germany)

  • Silke Schwarz

    (Faculty of Health, School of Medicine, Witten/Herdecke University, 58448 Witten, Germany)

  • Moritz Gwiasda

    (Faculty of Health, School of Medicine, Witten/Herdecke University, 58448 Witten, Germany)

  • Larisa Rathjens

    (Faculty of Health, School of Medicine, Witten/Herdecke University, 58448 Witten, Germany)

  • Henrik Szoke

    (Department of Integrative Medicine, Faculty of Health Sciences, University of Pécs, 7622 Pecs, Hungary)

  • David Martin

    (Faculty of Health, School of Medicine, Witten/Herdecke University, 58448 Witten, Germany
    Department of Pediatrics, Eberhard-Karls University Tübingen, 72076 Tübingen, Germany)

Abstract

Parents’ confidence regarding their children’s fever is a key factor in its management and there is still unnecessary anxiety and associated antipyretic overuse. The FeverApp application collects naturalistic real-time data on febrile infections and educates parents on fever management. Logistic regression examined the associations between (1) parental confidence and (2) antipyretics use with fever relevant parameters. First entry data of 3721 children (mean age 21 months; SD 22.97) was assessed. A total of 58.0% of parents felt confident upon first fever documentation. Warning signs [OR = 0.49, 95% CI: 0.40–0.61], dehydration [OR = 0.65, 95% CI: 0.52–0.81], fever [OR = 0.67, 95% CI: 0.57–0.80] and having a female child [OR = 0.77, 95% CI: 0.66–0.90] had the highest negative association with parental confidence. Antipyretics were used initially in 14.7% of children. Fever had the highest positive [OR = 2.58, 95% CI: 1.89–3.50] and well-being the highest negative association with antipyretic use [OR = 0.37, 95% CI: 0.22–0.63). In the first entry data, parental confidence was related to children’s health condition in a reasonable medical manner. The use of antipyretics was mostly associated with febrile temperature, but also low well-being. Thus, associations were partly in accordance with recent guidelines.

Suggested Citation

  • Ricarda Möhler & Ekkehart Jenetzky & Silke Schwarz & Moritz Gwiasda & Larisa Rathjens & Henrik Szoke & David Martin, 2022. "Parental Confidence in Relation to Antipyretic Use, Warning Signs, Symptoms and Well-Being in Fever Management—Results from an App-Based Registry," IJERPH, MDPI, vol. 19(21), pages 1-13, November.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:21:p:14502-:d:963777
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    References listed on IDEAS

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    1. Silke Schwarz & David D. Martin & Arndt Büssing & Olga Kulikova & Hanno Krafft & Moritz Gwiasda & Sara Hamideh Kerdar & Ingo Fingerhut & Ekkehart Jenetzky, 2021. "Sociodemographic Characteristics and Interests of FeverApp Users," IJERPH, MDPI, vol. 18(6), pages 1-13, March.
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