Fever and Its Treatment

Elevated temperature (subfebrile)

temperature up to 38°C (measured rectally up to 38.5°C) – we do not treat this temperature. The child should rest and be given plenty of fluids.

Fever (febrile)

temperature over 38°C (rectally over 38.5°C) – treat with antipyretics in the appropriate dose (always dose according to the child's weight, not age). If the fever is persistent and returns frequently throughout the day, you can alternate paracetamol-based medications (Paralen, Panadol) with ibuprofen-based medications (Nurofen, Ibalgin, Ibuprofen) every 3–4 hours (see dosing below). Do not treat the fever preventively—only if it exceeds 38°C. In addition to medication, physical cooling can be used (see below).
Offer the child fluids more often than usual and monitor their overall condition. If the child is otherwise alert, drinking, urinating, and without other concerning symptoms, it's acceptable to wait 2–3 days before seeing a doctor. However, if you are concerned about the child’s condition for any reason (vomiting, rash, not drinking, lethargy, etc.), come in for a checkup immediately. For newborns or infants under 3 months old, never delay a visit to the doctor in case of fever.

15 mg/kg/per dose, max. 4 times a day every 6 hours (e.g. a 10 kg child can receive 150 mg every 6 hours).

Sponging – sit the child in a tub with water (not cold!) at about 30°C, and sponge them for 10–20 minutes.
Wraps – wrap the chest and belly with a lukewarm cloth for 10–15 minutes.
Do not use physical cooling if the child does not tolerate it well, has cold hands and feet, or has a skin rash.

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