Evidence map›Paper›PMID 40817220›Full record

ReviewItalian journal of pediatrics2025

New perspectives for optimizing fever and pain management in pediatrics: evidence supporting therapeutic awareness in clinical practice.

Gian Luigi de'Angelis, Francesca Vincenzi, Fabiola Fornaroli, Daniela Buonvicino, Alberto Chiarugi

Abstract readReview
In one paragraph

Review in Italian journal of pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. The cycle of infectious fever - how it affects bacterial infections.Frontiers in cellular and infection microbiology · 2026
    Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Gian Luigi de'AngelisGastroenterology and Endoscopy Unit, University Hospital of Parma, University of Parma, Parma, Italy. Gianluigi.deangelis@unipr.it.
Francesca VincenziGastroenterology and Endoscopy Unit, University Hospital of Parma, University of Parma, Parma, Italy.
Fabiola FornaroliGastroenterology and Endoscopy Unit, University Hospital of Parma, University of Parma, Parma, Italy.
Daniela Buonvicino *Department of Health Sciences Section of Clinical Pharmacology and Oncology Headache Center, University Hospital University of Florence, Florence, Italy.
Alberto Chiarugi *Department of Health Sciences Section of Clinical Pharmacology and Oncology Headache Center, University Hospital University of Florence, Florence, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fever and pain are common symptoms in pediatric patients, often presenting in a variety of clinical settings. Effective management of these conditions is essential to ensuring comfort and preventing complications. Paracetamol (acetaminophen) and ibuprofen are the most frequently used medications for treating fever and pain in children owing to their proven efficacy and safety profiles when used appropriately. However, despite their widespread use, both medications have the potential of having serious adverse effects if misused, highlighting the importance of therapeutic awareness among healthcare providers. A careful evaluation of current clinical guidelines for fever and pain management in children was carried out. A survey of recommendations regarding the dosing, timing, and combination of paracetamol and ibuprofen was also conducted in order to optimize treatment while minimizing risks. Recent evidence supports the combination of these two drugs as both effective and safe for managing moderate to severe pain in pediatric patients, offering enhanced symptom relief without significant increases in side effects. This combination has been shown to provide superior analgesic effects as compared to monotherapy, thus improving patient outcomes. However, it is critical that clinicians adhere to established guidelines to avoid potential complications, such as liver toxicity from excessive paracetamol dosing or gastrointestinal issues from ibuprofen. Overall, therapeutic awareness, guided by evidence-based practices and the careful application of clinical recommendations, is essential for optimizing fever and pain management in pediatric care, ensuring both efficacy and safety in treating these common yet distressing symptoms.

Indexed as

AcetaminophenAnalgesics, Non-NarcoticFeverIbuprofenPainPain ManagementChildDrug Therapy, CombinationHumansPediatricsPractice Guidelines as TopicAcetaminophenAnalgesics, Non-NarcoticIbuprofenAcetaminophenChildrenFeverIbuprofenPainParacetamol

Identifiers

PMID40817220
PMCPMC12357452

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.