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FEVER IN FAMILY PRACTICE

Ali Samir Alamer 1 , Ahmad Ibrahim AlBridi 2 , Khalid Mohammed F Alotibi 3 , Naif Saeed Alzahrani 4 , Wedyan Abdullatif AlAbdullatif 5 , Sarah Abdullah Alfaer 6 , Abdulaziz Sulaiman Alshamsan 7 , Rafal Ghazi Alghanemi 8 , Mohammed Ghazi Alghanemi 9 , Shahad Ali Aloufi 10

Introduction: Fever is considered a physiologic response characterized by an increase in the body temperature beyond the normal variant, It is considered as one of the most common causes for pediatric consultation, It is estimated that about twenty percent of the consultations in family medicine, primary care as well as emergency departments’ visits. Fever could be concerning to parents and physicians, however the prevalence of serious infections in children is typically small. It is suggested that around less than one percent in family practice settings in developed countries. But this number could increase up to twenty five percent in the emergency departments. Methodology: We did a systematic search for fever in children and fevers of unknown origins using PubMed search engine (http://www.ncbi.nlm.nih.gov/) and Google Scholar search engine (https://scholar.google.com). All relevant studies were retrieved and discussed. We only included full articles. Aim of the study: In this study we will review the fever in pediatric population in family medicine practice Conclusion: Assessment and treatment of fever in children may be improved by appropriate clinical practices. The worth and cost effectiveness of existing clinical prediction rules and guidelines in determining the risk of serious illness in febrile children should be better assessed. Studies integrating both in-hospital and post-discharge phases of children assessment are needed, particularly evaluating the reliability of parents in assessing the progression of illness and the efficacy of safety-netting strategies. Fevers of unknown origin continue to be one of the most difficult diagnostic challenges in medicine. Because fever of unknown origin may be caused by over two hundred malignant/neoplastic, infectious, rheumatic/inflammatory, and miscellaneous disorders, clinicians often order non-clue-based imaging and specific testing early in the fever of unknown origin work-up, which may be inefficient/misleading. Key words: Fever, fever in family practice, fever of unknown origin.

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