Fevers

Fevers

When you’re little one is sick, their body’s defence system kicks in to fight off bugs like viruses and bacteria. One defence tool is raising body temperature, creating a fever. Fevers alone are not dangerous, they alert you to keep a lookout for the signs your child needs a doctor. There is no need to fret about taking temperatures all the time if your older baby or child is sick.

What thermometer to use

  • digital probe thermometers - best for babies under 6 months
  • tympanic thermometer - can be used over 6 months, but most accurate in over 2’s
  • forehead - these can be inaccurate and not recommended

General signs and symptoms

  • hot flushed skin
  • temperature over 38°c

Management at home

  • children over 3 months who are awake, alert and drinking well can he cared for at home
  • encourage oral fluids frequently
  • keep them cool - dress in one light layer
  • give paracetamol or ibuprofen if they are miserable

When to seek help

  • not getting better after 2 days or a fever (but well otherwise) for more than 5 days
  • a baby who is under 3 months and is awake, alert and feeding well

When to see a doctor urgently

  • children who show signs of moderate to severe dehydration 
  • your child is drowsy and less responsive
  • your child is under 3 months and has a temperature over 38°c

When to call an ambulance

  • signs of meningitis or sepsis
  • decreased levels of consciousness, floppy or hard-to-wake
  • struggling to breathe and/or turning blue
  • pale, clammy or cold