PMID: 9425385Jan 13, 1998Paper

Efficacy of tepid sponging versus paracetamol in reducing temperature in febrile children

Annals of Tropical Paediatrics
N B AgbolosuS M Graham

Abstract

A block randomized clinical trial to compare the efficacy of tepid sponging with the use of paracetamol in febrile children was undertaken at the Queen Elizabeth Central Hospital, Blantyre. Eighty children aged between 6 and 54 months with axillary temperatures of between > or = 38.5 degrees C and < or = 40 degrees C and a clinical diagnosis consistent with upper respiratory tract infection and/or malaria were block randomized to receive either oral paracetamol (15 mg/kg) or tepid sponging. Children receiving tepid sponging were sponged from head to toe (except the scalp) by leaving a thin layer of water on the body. If the body became dry it was repeated and continued until the axillary temperature fell to < 38.5 degrees C. Axillary temperature and assessment of discomfort (convulsions, crying, irritability, vomiting and shivering) were recorded every 30 minutes for 2 hours. A significantly greater and more rapid reduction of fever was demonstrated with paracetamol than with tepid sponging. Tepid sponging without antipyretics is often used to reduce fever, but our results suggest that this is effective only during the 1st 30 minutes. Paracetamol is clearly more effective than tepid sponging in reducing body temperature in febr...Continue Reading

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Citations

Jan 30, 1999·Annals of Tropical Paediatrics·A BoseM K Lalitha
Feb 18, 2003·International Journal of Nursing Practice·Robin WattsGail Thomas
Apr 12, 2003·Nursing in Critical Care·Theresa Price, Sarah McGloin
Jan 1, 2012·JBI Library of Systematic Reviews·Robin Watts, Jeanette Robertson
Jun 14, 2003·The Cochrane Database of Systematic Reviews·M Meremikwu, A Oyo-Ita
Jun 22, 2002·The Cochrane Database of Systematic Reviews·M Meremikwu, A Oyo-Ita
Mar 6, 2002·Indian Journal of Pediatrics·Jagdish Chandra, Shishir Kumar Bhatnagar
Sep 14, 2012·The Cochrane Database of Systematic Reviews·Martin M MeremikwuEkong E Udoh
Jun 17, 2008·São Paulo Medical Journal = Revista Paulista De Medicina·João Guilherme Bezerra AlvesCamila Dornelas Câmara Marques de Almeida
May 11, 2018·International Journal of Nursing Practice·Junghee LimGaeun Kim
Dec 13, 2000·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·P Axelrod
Apr 9, 2002·The Medical Journal of Australia·Vivienne F BernathChris A Silagy

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