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What do I need to know about fevers in children?

Fever is always an anxiety provoking concern especially for infants and toddlers. One question that I deal with all the time is what do I need to know about fever? First I think trying to define fever, fever is defined by actually taking a temperature. That is an art that we need to learn. In the first year of life taking a temperature with a digital thermometer in the rectum is by far the most accurate way to do it. Normal temperatures, and this is not an exact measurement, but normal temperatures are anything below 101, which is 38.3 degrees Celsius. Anything below that is probably okay. With a recital thermometer it's a little bit higher than excepted but that number is good through most of childhood. The question about when can I take a temperature with an ear thermometer, probably at about a year of age is when they start becoming accurate. The temporal scanners are becoming more prominent now but the evidence doesn't really support their use yet in children. The day may come but right now we recommend using a standard digital thermometer rectally. Fever has been feared throughout centuries. Of course in the days before people understood germ theory and what causes problems, fever was a natural target as a villain. Naturally people have feared fever, still many people fear fever, still people fear that it could cause damage to brain cells. Gratefully none of that is true. Fever is actually a friend, fever does some good things, it does make children feel miserable so we do treat it for that reason, but fever is not to be feared. The reason to be feared is really the illness causing the fever and that's the real question that we always are asking. Even fevers in the 103-104 range will not do harm. If a fever reaches 106 we do become a little bit concerned because there is a 20% of serious illness such a pneumonia or meningitis. That is point where we get concerned. Treating a fever though, we say it this way, treat the child, not the thermometer. When you're treating a child probably the best outcome is for the child to feel better but still retain some of the fever for the positive benefits. Again, when treating a fever we really try to focus on making the child feel better and not so much what the thermometer is reading.