Promote health education and combat the “fiebrefobia” are two key points.

-fever and coughing make that families often attend the consultations of Paediatrics

-families must understand that fever is a response of the body to deal with infections and coughing helps us remove secretions

-fight the fiebrefobia ” and not use cough suppressants in acute cough is a proposal of the pediatricians for families. The best recipe for pediatricians is the health education ”

– despite the fact that their use is questionable, in Spain, unlike other countries, the dispensation of anticatarrales in minors is not regulated. Its effectiveness is limited, contrary to what he believes, and they may also cause undesirable effects

-enuresis (children who still wet the bed from the age of five) affects approximately 1 in every 5 children at this age, which means that a class of 20 childrenbetween 3 and 5 suffer from this disorder

-Ante enuresis, experts agree that there are safe and effective, treatments that should be valued with the child and the family. In addition, advise demystify the problem, avoid punishment, restricted fluid intake before going to sleep and go to the bathroom before bedtime

Madrid, February 2012.- updating of primary care pediatricians is necessary in order to meet new health care challenges and adapt to the current changes in society. Why, around of 700 Pediatric primary care (AP) from all the Spanish geography gathered in celebration of the course update 9th in Pediatrics, organized by the Spanish Association of Pediatrics of primary care (pediatricians).

Most common queries: fever and cough

In the daily activity fever and cough, are two common reasons for consultation to primary care pediatricians. For specialists, however, it is more important to know the origin of the fever and the State of the child than the temperature itself. Is important that parents know that fever is a response of the body to deal with infections and the coughing serves to remove secretions ”, said Dr. Francisco Hijano, pediatrician and training coordinator.

Often the fear of parents to fever ( fiebrefobia ”) in children arises due to ignorance and by the belief that it can be harmful and cause seizures. On the other hand, seizures are only presented in 4 out of 100 cases. In this sense, Dr. Ramon Ugarte, pediatrician of health Olaguibel in Vitoria Centre, concerned that anti-thermal, prescribed often are not as effective as it is believed and may involve an unjustified energy expenditure in young children ”.

For the pediatricians of AP is the key that parents receive education about what the fever and how must treat. Doctor Ugarte advised talk to the families of the possible need of painkillers and not antipyretics or anti-thermal ” and adds that, pain or discomfort that cause fever and not the fever itself should be treated ”.

Acute cough is also frequent cause of consultation in PA Pediatrics in addition, adds that, many times it’s an annoying symptom that makes it difficult to rest both children and adults and are trying to seek a solution to administer any drug that would alleviate these inconvenience ”.

The variety of available drugs and its easy delivery (many of them do not require prescription) makes that these are considered as safe drugs and they are administered regularly. The problem, according to Dr. Ugarte is that the effectiveness of these drugs but its some of its adverse effects such as arrhythmias or cardiovascular disorders is not known ”.

As it happens with fever, health education for families is essential for the treatment of cough. In this way, the pediatricians advised that the child with cough by colds is perfectly hydrated, that favoured the humification of the environment and to avoid namespaces with smoke.

It is estimated that affects enuresis at approximately 1 of every 5 children of 5 – 6 years, which is in a class of 20 children of that age, between 3 and 5 with this disorder more common in males. Without treatment, between 1-3% of adolescents and adults with the problem continue. Although sometimes it disappears with age spontaneously, there are cases in which happens too late or does not subside without treatment, to create a negative emotional impact on the child and the family, linked to problems in social relationships ”, qualifies the Dr. Maria Isabel Úbeda, pediatrician of health the Eliana Center, Valencia.

Changes in the lifestyle of the minors, which sometimes forces them to sleep away from home, have made parents consult more frequently with this problem with pediatricians. Among general measures specialists advise: the demystification of the problem, avoid punishment, restricted fluid intake before going to sleep and go to the bathroom before bedtime.

Pediatricians believe that it is essential to conduct an interview to know what kind of bed wetting is, assess its severity and impact (nº of nights wet/week), to know the attitude of the patient and the parents in the diagnosis and whether there has been a history in the family. In addition, to determine bladder capacity and other parameters, advise that you fill a mictional journal ”, making the child participant. He is asked to make of detective of his bladder scoring for a few days, with and without parental assistance, the volume of each urination since the stands unless you lie ”, concludes Dr. Úbeda.

Before the enuresis, specialists agree that systems of alarm and desmopressin are safe and effective, treatments that may be recommended from primary care to solve the problem. The choice of one or the other, depending on different factors, will improve the result.

Within it are different working groups on various subjects (Group on prevention in childhood and adolescence, group of Airways, Pediatrics based in evidence, teaching MIR, international cooperation, sleep pathology infanto-juvenil, research group, group professional disorder attention deficit and hyperactivity and group health education).

The main objectives of this Association are to: promote the development of Pediatrics in primary care, seek the maximum State of health of the child and the adolescent, promote health, prevent disease and facilitate its recovery in case of infected, promote and exercise teaching on paediatric primary care of the pregraduado and postgraduate (Pediatrics resident physicians)(, Residents family medicine and community and professionals in the field of primary care physicians), fostering and exercise research, coordinate the different health programmes relating to children, collecting issues and concerns related to the exercise of the primary care Pediatrics and represent the interests of its partners in the framework of the laws and to the various agencies (Government public health) (and teachers, other bodies or entities national or international), and coordinating with other similar associations (regional, national or international) activities and projects aimed at the improvement of the Pediatrics in primary care.