Research identified for managing childhood fevers

TDR news item
19 December 2013

A review of WHO guidelines and tools on management of fevers and their use has led to a list of further research needed, and 7 main recommendations for the management of fever in peripheral health care facilities.

In particular, the core elements of integrated community case management (iCCM) for children presenting with acute fever, cough or diarrhoea were reviewed. Findings suggest that providing antimalarial drugs at the community level can decrease mortality, but there is limited evidence of an effect on the use of antibiotics. Use of the respiratory rate to diagnose pneumonia and to prescribe antibiotics varied, while community health workers in all settings had difficulty in identifying danger signs, especially in newborns. Well-implemented iCCM programmes were shown to change health care-seeking behaviour, and seen viable for scaling up nationally with support.

The full report and recommendations are available online.

For more information, please contact

Dr Johannes Sommerfeld

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