Retrospective Cohort Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Pediatr. Mar 9, 2024; 13(1): 88864
Published online Mar 9, 2024. doi: 10.5409/wjcp.v13.i1.88864
Fever assessment in children under five: Are we following the guidelines?
Hasan M Isa, Ahmed J Isa, Murtadha A Alnasheet, Mahmood M Mansoor
Hasan M Isa, Murtadha A Alnasheet, Mahmood M Mansoor, Department of Pediatrics, Salmaniya Medical Complex, Manama 26671, Bahrain
Hasan M Isa, Department of Pediatrics, Arabian Gulf University, Manama 26671, Bahrain
Ahmed J Isa, Department of General Surgery, Salmaniya Medical Complex, Manama 26671, Bahrain
Co-first authors: Hasan M Isa and Ahmed J Isa.
Author contributions: Isa HM was the main contributor in study conceptualization, design, data curation, literature review, data analysis, investigation, methodology, project administration, resources, software, supervision, validation, visualization, drafting manuscript, and over-sight for all phases of the project and the final approval of the version to be published; Isa AJ is the co-first author and was responsible for study design, acquiring and analyzing data, literature review, drafting and revising manuscript; Alnasheet MA and Mansoor MM participated in literature review and data collection; and all the authors have read and approved the final manuscript.
Institutional review board statement: This study was conducted in accordance with the principles of Helsinki Declaration, and it was ethically approved by the Secondary Care Medical Research Subcommittee, Salmaniya Medical Complex, Government Hospitals, Kingdom of Bahrain (IRB number: 38020523, May 02, 2023).
Informed consent statement: Consent was not needed as the study was retrospective without exposure to the patients’ data.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: Data are available upon reasonable request.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hasan M Isa, MBChB, Associate Professor, Consultant Physician-Scientist, Department of Pediatrics, Salmaniya Medical Complex, Road number: 2904, Al Salmaniya Area, P.O. Box: 12, Manama 26671, Bahrain. halfaraj@hotmail.com
Received: October 13, 2023
Peer-review started: October 13, 2023
First decision: December 11, 2023
Revised: December 17, 2023
Accepted: January 4, 2024
Article in press: January 4, 2024
Published online: March 9, 2024
Processing time: 145 Days and 8.7 Hours
Core Tip

Core Tip: Fever assessment in children is vital in clinical practice. This study examined the compliance with fever assessment in our hospital according to the National Institute for Health and Care Excellence guideline. We found that while certain aspects were adequate, namely the thermometer type, route, frequency of temperature and heart rate measurement, and appropriate antipyretic use, there were areas that needed improvement, including capillary refill routine assessment, temperature reassessment 1-2 h after antipyretic administration, and refraining from tepid sponging. These findings emphasize the importance of continuous quality improvements in pediatric care to enhance adherence to evidence-based guidelines and improve patient outcomes.