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Background <p>Fever is a&#xa0;common symptom in childhood and often leads to medical consultations. Until now, no evidence-based guidelines on fever management in otherwise healthy children and adolescents in an outpatient setting existed in Germany.</p> Methods <p>A&#xa0;systematic literature search and an evidence assessment according to the Scottish Intercollegiate Guidelines Network (SIGN) and Grading of Recommendations, Assessment, Development and Evaluation (GRADE) were conducted. The search identified 99&#xa0;studies, of which 19 were included in the final analysis. Based on this, the guideline group developed 24&#xa0;recommendations, which were adopted in a&#xa0;consensus process with agreement rates of 92–100%.</p> Results <p>The guidelines provide recommendations on the topics of parental education, temperature measurement, assessment of warning signs and risk factors, nonpharmacological and pharmacological fever management as well as convalescence time.</p> Discussion <p>The guidelines emphasize that fever is a&#xa0;physiological defense reaction. The management should focus on the child’s general condition and comfort rather than the temperature. Antipyretic agents are indicated only for feelings of impairment and prophylactic administration is generally not recommended. Antibiotics should be used rationally and restrictively. Parental education on the natural course of fever and warning signs is essential.</p>

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Kurzfassung der AWMF S3-Leitlinie Fiebermanagement bei Kindern und Jugendlichen

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年5月7日

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  • David Martin,
  • Juliane Schemmer,
  • Silke Schwarz,
  • Hanno Krafft,
  • Ricarda Möhler,
  • Tim Niehues,
  • David Martin,
  • Tim Niehues,
  • Luisa Leiby,
  • Gesche Kranz,
  • Arne Simon,
  • Ulrich von Both,
  • Tilmann Kallinich,
  • Sandra Lopes,
  • Till Reckert,
  • Bettina Beyer-Lichtblau,
  • Catharina Schütz,
  • Melanie Ahaus,
  • Regina Trollmann,
  • Stephan Hackenberg,
  • Lisa Degener,
  • Kerstin Barlet,
  • Michael Freitag,
  • Claudia Korebrits,
  • Hagen Bachmann

摘要

Background

Fever is a common symptom in childhood and often leads to medical consultations. Until now, no evidence-based guidelines on fever management in otherwise healthy children and adolescents in an outpatient setting existed in Germany.

Methods

A systematic literature search and an evidence assessment according to the Scottish Intercollegiate Guidelines Network (SIGN) and Grading of Recommendations, Assessment, Development and Evaluation (GRADE) were conducted. The search identified 99 studies, of which 19 were included in the final analysis. Based on this, the guideline group developed 24 recommendations, which were adopted in a consensus process with agreement rates of 92–100%.

Results

The guidelines provide recommendations on the topics of parental education, temperature measurement, assessment of warning signs and risk factors, nonpharmacological and pharmacological fever management as well as convalescence time.

Discussion

The guidelines emphasize that fever is a physiological defense reaction. The management should focus on the child’s general condition and comfort rather than the temperature. Antipyretic agents are indicated only for feelings of impairment and prophylactic administration is generally not recommended. Antibiotics should be used rationally and restrictively. Parental education on the natural course of fever and warning signs is essential.