vspВопросы современной педиатрииCurrent Pediatrics1682-55271682-5535Издательство «ПедиатрЪ»10.15690/vsp.v14i2.1297vsp-69Research ArticleОБМЕН ОПЫТОМEXCHANGE OF EXPERIENCEЗНАЧЕНИЕ ЛИХОРАДКИ У ДЕТЕЙTHE MEANING OF FEVER IN CHILDRENПоляковаА. С.PolyakovaA. S.

кандидат медицинских наук, врач отделения диагностики и восстановительного лечения НЦЗД Адрес: 119991, Москва, Ломоносовский проспект, д. 2, тел.: +7 (495) 967-14-21

darmanyan@nczd.ruБакрадзеМ. Д.BakradzeM. D.darmanyan@nczd.ruТаточенкоВ. К.TatochenkoV. K.darmanyan@nczd.ruГадлияД. Д.GadliyaD. D.

 

darmanyan@nczd.ruНаучный центр здоровья детей, Москва, Российская ФедерацияРоссияScientific Centre of Children Health, Moscow, Russian FederationRussian Federation201517042015142Вопросы современной педиатрии271275Copyright © Полякова А.С., Бакрадзе М.Д., Таточенко В.К., Гадлия Д.Д., 20152015Полякова А.С., Бакрадзе М.Д., Таточенко В.К., Гадлия Д.Д.Polyakova A.S., Bakradze M.D., Tatochenko V.K., Gadliya D.D.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://vsp.spr-journal.ru/jour/article/view/69

Лихорадка у детей младшего возраста является физиологическим ответом на инфекцию. Как правило, она обусловлена «самоограничивающимися» вирусными инфекциями, и в большинстве случаев купируется самостоятельно без какого-либо лечения. Лихорадка — это не диагноз, а симптом заболевания, который требует выяснения причины для выбора правильной тактики ведения пациента. В большинстве случаев лихорадка не только не опасна, но имеет важное значение в ускорении выздоровления и формировании иммуногенной памяти. Несмотря на это, родители, а также многие педиатры считают необходимым бороться с этим симптомом, нередко — в ущерб здоровью ребенка. При этом может оставаться без внимания причина заболевания, а также могут использоваться различные препараты, обладающие жаропонижающим эффектом, не разрешенные в педиатрии или назначенные в неадекватных дозировках. Антипиретики должны применяться для улучшения самочувствия ребенка и используются рутинно только с целью снижения температуры. В статье представлены данные международных согласительных документов и рекомендации о правилах измерения температуры тела, способах снижения температуры тела, целесообразности применения жаропонижающих препаратов у детей, эффективности и безопасности парацетамола и ибупрофена, выборе лекарственной формы.

 

Fever is a normal physiological response to illness in young children and it is often associated with a self-limiting viral infection. Fever is not a diagnosis, but a symptom of illness. A diagnosis of the underlying illness is essential to institute appropriate treatment. Although it is a normal response, that facilitates and accelerates recovery, some people, including many doctors, believe that fever should be treated to reduce temperature without determining the underlying illness causing the fever. Antipyretics should be used to make the child more comfortable and not used routinely with the sole aim of reducing the temperature. This article aims to acquaint primary healthcare workers and general practitioners with last guidelines to assist the measurement of body temperature, deciding on when to refer and the appropriate use of antipyretic medication in children, efficacy and safety of paracetamol and ibuprofen in oral and rectal forms.

 

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The authors declare that there are no conflicts of interest present.