%0 Journal Article
%T Estado actual del manejo de la fiebre en ni os. Current status of management of fever in children
%A Fabian Alberto Rueda Zambrano
%A MD
%A Paola Caceres Corredor
%A MD
%J MedUNAB
%D 2010
%I Universidad Aut¨®noma de Bucaramanga
%X Es muy frecuente en el ambiente m¨¦dico y entre los padres de familia el uso y abuso de antipir¨¦ticos buscando disminuir abruptamente la temperatura, mejorar los s¨ªntomas derivados de la fiebre y contrarrestar las reacciones adversas de la misma. Por otro lado, existen diferentes conceptos acerca de la elecci¨®n del antipir¨¦tico m¨¢s eficaz y seguro en ni os y su ruta de administraci¨®n, as¨ª como su utilidad en la prevenci¨®n de convulsiones febriles, entre otras. Este art¨ªculo pretende dar claridad a las controversias en el manejo de la fiebre mediante la revisi¨®n de la literatura, incluyendo solo ensayos cl¨ªnicos, meta an¨¢lisis, gu¨ªas de manejo y revisiones de tema, publicadas en las dos ¨²ltimas d¨¦cadas. Para tal fin se revisaron las bases de datos Cochrane, PubMed y Medscape.Antipyretics are very often used between physicians and parents to treat fever and relief its symptoms and prevent vaccination side effects. Indeed, there is a misconception about the prevention of recurrence of febrile seizures with antipyretics and this leads to overdoses, side effects and, therefore, more parent¡äs anxiety. There are contradictory concepts about the election of safer and better antipyretic in children and its better administration via: oral and rectal paracetamol, ibuprofen, ketoprofeno, nimesulide, oral and intramuscular metamizol, paracetamol plus ibuprofen and ponging/lukewarm bath. All these alternatives have been studied by many researchers without consensus because more trials with bigger samples and longer time of study are needed. No clarity exists between doctors and parents about the antipyretic's effects over febrile seizure prevention and prophylaxis of post vaccine symptoms. This article pretends to find actual evidence about fever , its implications and use of antipyretics in children through searching on data bases like PubMed, Cochcrane, and Medscape.
%K Fiebre
%K Antipir¨¦ticos
%K Convulsi¨®n Febril
%K Reaccions Vacunales. Fever
%K Antipyretics
%K Febrile Seizures
%K Postvaccinal Reactions.
%U http://revistas.unab.edu.co/index.php?journal=medunab&page=article&op=view&path%5B%5D=1288&path%5B%5D=1270