Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Warm Sponging Versus Tepid Sponging in Febrile Children: Double Blind Randomized Controlled Trial of efficacy


Affiliations
1 Govt. College of Nursing, Thiruvananthapuram, Kerala, India
     

   Subscribe/Renew Journal


Objective: To compare the efficacy of Warm Sponging with Tepid Sponging among children aged 6 months to 5 years with fever (>100°F to <104°F) and receiving syrup Paracetamol 15mg/kg body weight in reducing body temperature by at least 20F or to normal temperature (98.6°F) at 30 minutes of initiation of sponging.

Materials and Method: The design adopted for the study was Parallel Group Double Blind Randomized Controlled Trial

The participants consisted of 268 Children aged 6 months to 5 years of age and axillary temperature 100°F to 104°F were recruited from out patient department of a primary care setting and were screened by review of medical history. Exclusion criteria were history of seizures, intake of antipyretics within 6 hrs, contraindications to paracetamol, dehydration and disorders of central nervous system. There were two arms for the study i.e the Experimental group received Warm Sponging & paracetamol (n=134) and Control group; Tepid sponging & paracetamol, (n=134). The Outcome measure was reduction of body temperature by at least 2°F or attaining normal temperature (98.6° F).

Results: There was a statistically significant difference in proportion of target temperature reduction between Warm sponging and Tepid sponging groups . Chi square 21.145 at 1d(f) , P value 0.00001: The achievement of target temperature in Warm sponging group was 49.25% and 22.39% in Tepid sponging group, the difference in proportion between group is 26.86% ( 95% CI of 15.84% - 37.88%).

Conclusion: The study concluded that warm sponging along with oral paracetamol, was found to be more effective than tepid sponging along with oral paracetamol in reducing temperature in febrile children.


Keywords

Febrile Children, Paracetamol, Tepid Sponging, Warm Sponging
Subscription Login to verify subscription
User
Notifications
Font Size


  • Autref E. Marty JR .Hentry B. Laborade C. Courcier S. Goehrs JM. Evaluation of Ibuprofen Versus Aspirin and paracetamol on efficacy and comfort in children with fever. Eur J Clin pharmcol . 1997;51: 367-371
  • National family health survey(nfhs-3)2005–06 . September 2007;india volume 1:
  • Holtzclaw BJ..New trends in thermometry for patient in intensive care unit. Critical Care Nursing Quarterly. 1998;21(3):12-25
  • Wilson JT, Brown DR, Bocchini JA , Kearns GL. Efficacy, disposition and pharmaco dynamics of aspirin, acetaminophen and choline salicylate in young febrile children. Ther Drug Monit 1982; 4:147-80.
  • Caruso CC et al. Cooling effects and comfort of four cooling blanket temperatures in humans with fever. Nurs Res. 1992; 41: 68-72
  • Corrard F. Thermal comfort and fever or research on how to feel better. Arch Paediatr 1999 Jan;6(1):93-6
  • Kinmonth AL, Fulton Y, Campbell MJ. Management of feverish children at home. BMJ.1992.Nov7; Vol (305)
  • Meremikwu, M. & Oyo-Ita, A Physical methods for treating fever in children (Review). The Cochrane Library. 2006; Issue 2
  • Agbolosu NB. Cuevas LE. Milligan P, Board RL. Brewste D, Graham SM. Efficacy of tepid sponging versus paracetamol in reducing temperature in febrile children. Ann Trop pediatr.1992 September; 17(3): 283-8
  • Axelrold P. External cooling in the management of fever. Clinical infectious disease.2000;31:224-9

Abstract Views: 635

PDF Views: 0




  • Warm Sponging Versus Tepid Sponging in Febrile Children: Double Blind Randomized Controlled Trial of efficacy

Abstract Views: 635  |  PDF Views: 0

Authors

M. R. Athirarani
Govt. College of Nursing, Thiruvananthapuram, Kerala, India

Abstract


Objective: To compare the efficacy of Warm Sponging with Tepid Sponging among children aged 6 months to 5 years with fever (>100°F to <104°F) and receiving syrup Paracetamol 15mg/kg body weight in reducing body temperature by at least 20F or to normal temperature (98.6°F) at 30 minutes of initiation of sponging.

Materials and Method: The design adopted for the study was Parallel Group Double Blind Randomized Controlled Trial

The participants consisted of 268 Children aged 6 months to 5 years of age and axillary temperature 100°F to 104°F were recruited from out patient department of a primary care setting and were screened by review of medical history. Exclusion criteria were history of seizures, intake of antipyretics within 6 hrs, contraindications to paracetamol, dehydration and disorders of central nervous system. There were two arms for the study i.e the Experimental group received Warm Sponging & paracetamol (n=134) and Control group; Tepid sponging & paracetamol, (n=134). The Outcome measure was reduction of body temperature by at least 2°F or attaining normal temperature (98.6° F).

Results: There was a statistically significant difference in proportion of target temperature reduction between Warm sponging and Tepid sponging groups . Chi square 21.145 at 1d(f) , P value 0.00001: The achievement of target temperature in Warm sponging group was 49.25% and 22.39% in Tepid sponging group, the difference in proportion between group is 26.86% ( 95% CI of 15.84% - 37.88%).

Conclusion: The study concluded that warm sponging along with oral paracetamol, was found to be more effective than tepid sponging along with oral paracetamol in reducing temperature in febrile children.


Keywords


Febrile Children, Paracetamol, Tepid Sponging, Warm Sponging

References