Parental Knowledge and Management Approaches Toward Pediatric Fever: A Cross-Sectional Survey Study

Abstract

Aim: This descriptive cross-sectional study aimed to evaluate parental knowledge, attitudes, and practices concerning fever management in children aged 6 months to 6 years. Material and Method: A structured face-to-face survey was administered to 125 parents at the pediatric infectious diseases outpatient clinic of a tertiary university hospital in İstanbul, Türkiye. Results: The results revealed that while the majority of parents identified ≥38°C as the threshold for fever, a notable proportion (27%) reported administering antipyretics below this level, primarily due to fear of febrile seizures (69%). Furthermore, 81% of parents gave antipyretics before consulting a physician, and more than half alternated medications without medical advice. Although modern thermometer use (e.g., non-contact infrared) was widespread, outdated practices such as tactile temperature assessment persisted among a minority. The data indicate a clear association between lower educational attainment and inappropriate fever management behaviors. Conclusion: These findings underscore the need for targeted educational interventions to address common misconceptions, reduce fever-related anxiety, and promote evidence-based home management strategies. Improving parental knowledge through accessible, culturally appropriate resources could ultimately enhance child health outcomes and alleviate unnecessary strain on pediatric healthcare services.