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    Parents' Knowledge and Management of Fever: Parents Versus Fever!
    (Aves, 2024) Celik, Taylan; Guzel, Yusuf
    Objective: Parents' lack of knowledge about fever causes fear and incorrect practices. This study aims to investigate the fever knowledge level, concerns, and practices of parents of preschool children. Materials and Methods: In this descriptive, cross-sectional study, conducted between July 2021 and July 2022, a survey was conducted among parents of children aged 6 months to 5 years who did not have a history of febrile seizure and/or chronic disease, either in themselves or their siblings. Results: A total of 386 parents, with a mean age of 33.6 +/- 6.38 years and a mean number of children of 1.85 +/- 0.9, participated in the study. Approximately one-third of parents started giving antipyretics to their child before the body temperature reached 38 degrees C (32.4%) and/or used them alternately (34.5%). Moreover, approximately two-thirds (67.1%) tended to seek medical help within the first 12 hours. Parents who could not define fever correctly (66.6%) were more likely to start giving antipyretics before the child's body temperature reached 38 degrees C [odds ratio (OR) 2.83 (1.70-4.71), P < .001] and seek medical help within the first 12 hours [OR 1.81 (1.16-2.82), P = .008]. As the number of children or length of parenting increased, parents started giving antipyretics before the body temperature reached 38 degrees C [OR 1.61 (1.26-2.06), P < .001; OR 1.04 (1.01-1.08), P = .048] and used them alternately [OR 1.07 (1.03-1.11), P = .001; OR 1.28 (1.02-1.62), P = .031]. Conclusion: This study demonstrates that a substantial proportion of parents still cannot define fever correctly, and inappropriate antipyretic use is more prevalent among experienced parents with multiple children and/or longer lengths of parenting.
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    Poisoning Cases Admitted to the Pediatric Emergency Department: A Retrospective Evaluation
    (Galenos Publ House, 2022) Guzel, Yusuf; Battal, Fatih; Aylanc, Hakan
    Introduction: Intoxication in childhood is an important preventable public health problem and can cause morbidity and mortality. In this study, we investigated the clinical and demographic characteristics of patients who presented to our pediatric emergency department in the last 4 years due to poisoning.Methods: Records of 238 children aged 1 month to 18 years who applied to canakkale Onsekiz Mart University Faculty of Medicine, Pediatric Emergency Department between January 2015 and January 2019 were evaluated retrospectively. Cases were examined in terms of age, gender, time to first medical intervention after drug intake, cause of poisoning, intake method, and symptoms.Results: Of the 238 patients, 45% were female. The median age was 59.34 (interquartile range: 3-215) months, and 57.15% of the patients were <5 years old, 23.1% were >12 years old, and 8.1% were accidental cases, 26.9% were poisoned following a suicide attempt. The mean time to presentation to our center was 91.2 +/- 75.6 min. Poisoning most commonly occurred in the spring months (29.83%). Among drug poisons, analgesics were the most common (23.41%); 60.51% of the cases were asymptomatic, while the most common symptoms were nausea and vomiting.Conclusion: Suicidal poisoning is seen less frequently in children. The main cause of poisoning is an accidental intake of medication. In addition to the measures taken by caregivers, parents, drug manufacturers, and healthcare workers, determining the epidemiological and clinical characteristics of poisoning will contribute to the reduction of mortality and morbidity among children.