Managing Fever in Children: What Parents Need to Know

What Is a Fever?

A fever is a body temperature above 37.5°C (99.5°F). It is not a disease itself but a sign that the body is fighting an infection. In most cases, fever in children is caused by viral infections and resolves without complications.

How to Take Your Child's Temperature

Use a digital thermometer for the most accurate reading:

• **Rectal (under 3 years):** Most accurate
• **Axillary (armpit):** Convenient but slightly less accurate; add 0.5°C to the reading
• **Ear or forehead:** Suitable for older children

How to Manage a Fever at Home

Keep your child comfortable:

• Dress in light clothing; avoid bundling
• Ensure the room is cool and well-ventilated
• Encourage plenty of fluids (water, breast milk, formula, or oral rehydration solution)

Medication:

• Paracetamol (acetaminophen) syrup dosed by weight every 4–6 hours
• Ibuprofen for children over 3 months, dosed by weight
• Never give aspirin to children under 16 years

**Tepid sponging** (wiping with lukewarm — not cold — water) can provide comfort but does not treat the underlying cause.

Fever Warning Signs: When to Go to the Clinic

Seek immediate medical attention if your child:

• Is under 3 months old with a temperature above 38°C
• Has a fever lasting more than 3 days
• Has a fever with a rash
• Has difficulty breathing, is unusually drowsy, or is unresponsive
• Has a seizure (febrile convulsion)
• Complains of a stiff neck or is sensitive to light
• Cannot keep fluids down

Malaria Awareness

In Nigeria, fever in children should always raise the suspicion of malaria. If your child has fever with chills, vomiting, or loss of appetite, visit the clinic for a rapid malaria test. Early diagnosis and treatment are essential.

*Ofure Clinic offers rapid diagnostic tests and evidence-based treatment for malaria and other childhood illnesses. Do not hesitate to bring your child in — we are here to help.*