Fever in Children: When to Seek Urgent Care

Fever itself is usually not the enemy

A temperature of 38°C (100.4°F) or higher is generally considered a fever. Most fevers in children are caused by common viral infections and settle within a few days. How your child looks and behaves is often more important than the exact number on the thermometer.

Seek emergency care immediately if your child

• Is under 3 months old and has any fever
• Has difficulty breathing, fast breathing, or bluish lips
• Is unusually drowsy, floppy, hard to wake, or confused
• Has a fit (seizure) or a rash that does not fade when pressed
• Shows signs of dehydration: very few wet nappies, no tears, dry mouth
• Has a stiff neck, severe headache, or persistent vomiting

Arrange a doctor review if

• The fever lasts more than 2–3 days
• Your child has ear pain, painful urination, or a worsening cough
• You are worried, or your instinct says something is not right

General comfort measures

Offer fluids often, dress your child in light clothing, and let them rest. Fever-reducing medicines should only be given at the dose appropriate for your child's age and weight — check the label or ask a doctor or pharmacist. Avoid cold-water sponging and never give aspirin to children.