Tepid Sponging to Reduce Temperature in Febrile Children in a Tropical Climate
The effectiveness of tepid sponging, in addition to antipyretic medication, in the reduction of temperature in febrile children living in a tropical environment, was assessed in a prospective, randomized, open trial. Seventy-five children aged between 6 and 53 months who attended the casualty depart...
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| Veröffentlicht in: | Clinical pediatrics 1994-04, Vol.33 (4), p.227-231 |
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| container_title | Clinical pediatrics |
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| creator | Mahar, A.F. Allen, S.J. Milligan, P. Suthumnirund, S. Chotpitayasunondh, T. Sabchareon, A. Coulter, J.B.S. |
| description | The effectiveness of tepid sponging, in addition to antipyretic medication, in the reduction of temperature in febrile children living in a tropical environment, was assessed in a prospective, randomized, open trial. Seventy-five children aged between 6 and 53 months who attended the casualty department of the Children's Hospital, Bangkok, Thailand, with fever (rectal temperature ≥38.5°C) of presumed viral origin were randomized to receive either tepid sponging and oral paracetamol (sponged group) or paracetamol alone (control group). Rectal temperature and the occurrence of crying, irritability, and shivering were recorded over the following 2 hours. A greater and more rapid fall in mean rectal temperature occurred in the sponged group than in the control group. Temperature fell below 38.5°C sooner in children in the sponged group than in control children (P |
| doi_str_mv | 10.1177/000992289403300407 |
| format | Article |
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Seventy-five children aged between 6 and 53 months who attended the casualty department of the Children's Hospital, Bangkok, Thailand, with fever (rectal temperature ≥38.5°C) of presumed viral origin were randomized to receive either tepid sponging and oral paracetamol (sponged group) or paracetamol alone (control group). Rectal temperature and the occurrence of crying, irritability, and shivering were recorded over the following 2 hours. A greater and more rapid fall in mean rectal temperature occurred in the sponged group than in the control group. Temperature fell below 38.5°C sooner in children in the sponged group than in control children (P <0.001). At 60 minutes, 38 (95.0%) of the controls still had a temperature of 38.5°C or greater, compared with only 15 children (42.9%) in the sponged group (P<1×10-5). Crying was associated with sponging, but shivering and irritability occurred in only one child who was being sponged. It is concluded that tepid sponging, in addition to antipyretic medication, is clearly more effective than antipyretic medication alone in reducing temperature in febrile children living in a tropical climate.</description><identifier>ISSN: 0009-9228</identifier><identifier>EISSN: 1938-2707</identifier><identifier>DOI: 10.1177/000992289403300407</identifier><identifier>PMID: 8013170</identifier><identifier>CODEN: CPEDAM</identifier><language>eng</language><publisher>Thousand Oaks, CA: SAGE Publications</publisher><subject>Acetaminophen - therapeutic use ; Administration, Oral ; Administration, Topical ; Biological and medical sciences ; Body Temperature ; Child, Preschool ; Cold Temperature ; Combined Modality Therapy ; Female ; Fever - physiopathology ; Fever - therapy ; General aspects ; Humans ; Infant ; Male ; Medical sciences ; Prospective Studies ; Thailand ; Time Factors ; Tropical Climate ; Tropical medicine ; Virus Diseases - therapy ; Water</subject><ispartof>Clinical pediatrics, 1994-04, Vol.33 (4), p.227-231</ispartof><rights>1994 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c367t-898c8311fd2732b6a5e9a259b4c35413c4dd3c056f23fbc24d0f811c607496593</citedby><cites>FETCH-LOGICAL-c367t-898c8311fd2732b6a5e9a259b4c35413c4dd3c056f23fbc24d0f811c607496593</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/000992289403300407$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/000992289403300407$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4083940$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8013170$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mahar, A.F.</creatorcontrib><creatorcontrib>Allen, S.J.</creatorcontrib><creatorcontrib>Milligan, P.</creatorcontrib><creatorcontrib>Suthumnirund, S.</creatorcontrib><creatorcontrib>Chotpitayasunondh, T.</creatorcontrib><creatorcontrib>Sabchareon, A.</creatorcontrib><creatorcontrib>Coulter, J.B.S.</creatorcontrib><title>Tepid Sponging to Reduce Temperature in Febrile Children in a Tropical Climate</title><title>Clinical pediatrics</title><addtitle>Clin Pediatr (Phila)</addtitle><description>The effectiveness of tepid sponging, in addition to antipyretic medication, in the reduction of temperature in febrile children living in a tropical environment, was assessed in a prospective, randomized, open trial. Seventy-five children aged between 6 and 53 months who attended the casualty department of the Children's Hospital, Bangkok, Thailand, with fever (rectal temperature ≥38.5°C) of presumed viral origin were randomized to receive either tepid sponging and oral paracetamol (sponged group) or paracetamol alone (control group). Rectal temperature and the occurrence of crying, irritability, and shivering were recorded over the following 2 hours. A greater and more rapid fall in mean rectal temperature occurred in the sponged group than in the control group. Temperature fell below 38.5°C sooner in children in the sponged group than in control children (P <0.001). At 60 minutes, 38 (95.0%) of the controls still had a temperature of 38.5°C or greater, compared with only 15 children (42.9%) in the sponged group (P<1×10-5). Crying was associated with sponging, but shivering and irritability occurred in only one child who was being sponged. It is concluded that tepid sponging, in addition to antipyretic medication, is clearly more effective than antipyretic medication alone in reducing temperature in febrile children living in a tropical climate.</description><subject>Acetaminophen - therapeutic use</subject><subject>Administration, Oral</subject><subject>Administration, Topical</subject><subject>Biological and medical sciences</subject><subject>Body Temperature</subject><subject>Child, Preschool</subject><subject>Cold Temperature</subject><subject>Combined Modality Therapy</subject><subject>Female</subject><subject>Fever - physiopathology</subject><subject>Fever - therapy</subject><subject>General aspects</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Prospective Studies</subject><subject>Thailand</subject><subject>Time Factors</subject><subject>Tropical Climate</subject><subject>Tropical medicine</subject><subject>Virus Diseases - therapy</subject><subject>Water</subject><issn>0009-9228</issn><issn>1938-2707</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1Lw0AQhhdRaq3-AUHYg3iLnf1INnuUYlUoClrPYbOZ1C1pEneTg__ehJZeBE8zzDzzzsxLyDWDe8aUmgOA1pynWoIQABLUCZkyLdKIK1CnZDoC0Uick4sQtgBMQCwmZJIOGVMwJa9rbF1BP9qm3rh6Q7uGvmPRW6Rr3LXoTdd7pK6mS8y9q5AuvlxVeKzHmqFr37TOmoouKrczHV6Ss9JUAa8OcUY-l4_rxXO0ent6WTysIisS1UWpTm0qGCsLrgTPExOjNjzWubQilkxYWRTCQpyUXJS55bKAMmXMJqCkTmItZuRur9v65rvH0GU7FyxWlamx6UOmkjiRnMcDyPeg9U0IHsus9cOl_idjkI0mZn9NHIZuDup9vsPiOHJwbejfHvomDM-X3tTWhSMmIRWj2ozM91gwG8y2Te_rwZP_Fv8Cbv6ESw</recordid><startdate>19940401</startdate><enddate>19940401</enddate><creator>Mahar, A.F.</creator><creator>Allen, S.J.</creator><creator>Milligan, P.</creator><creator>Suthumnirund, S.</creator><creator>Chotpitayasunondh, T.</creator><creator>Sabchareon, A.</creator><creator>Coulter, J.B.S.</creator><general>SAGE Publications</general><general>Westminster</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19940401</creationdate><title>Tepid Sponging to Reduce Temperature in Febrile Children in a Tropical Climate</title><author>Mahar, A.F. ; Allen, S.J. ; Milligan, P. ; Suthumnirund, S. ; Chotpitayasunondh, T. ; Sabchareon, A. ; Coulter, J.B.S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c367t-898c8311fd2732b6a5e9a259b4c35413c4dd3c056f23fbc24d0f811c607496593</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Acetaminophen - therapeutic use</topic><topic>Administration, Oral</topic><topic>Administration, Topical</topic><topic>Biological and medical sciences</topic><topic>Body Temperature</topic><topic>Child, Preschool</topic><topic>Cold Temperature</topic><topic>Combined Modality Therapy</topic><topic>Female</topic><topic>Fever - physiopathology</topic><topic>Fever - therapy</topic><topic>General aspects</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Prospective Studies</topic><topic>Thailand</topic><topic>Time Factors</topic><topic>Tropical Climate</topic><topic>Tropical medicine</topic><topic>Virus Diseases - therapy</topic><topic>Water</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mahar, A.F.</creatorcontrib><creatorcontrib>Allen, S.J.</creatorcontrib><creatorcontrib>Milligan, P.</creatorcontrib><creatorcontrib>Suthumnirund, S.</creatorcontrib><creatorcontrib>Chotpitayasunondh, T.</creatorcontrib><creatorcontrib>Sabchareon, A.</creatorcontrib><creatorcontrib>Coulter, J.B.S.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mahar, A.F.</au><au>Allen, S.J.</au><au>Milligan, P.</au><au>Suthumnirund, S.</au><au>Chotpitayasunondh, T.</au><au>Sabchareon, A.</au><au>Coulter, J.B.S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Tepid Sponging to Reduce Temperature in Febrile Children in a Tropical Climate</atitle><jtitle>Clinical pediatrics</jtitle><addtitle>Clin Pediatr (Phila)</addtitle><date>1994-04-01</date><risdate>1994</risdate><volume>33</volume><issue>4</issue><spage>227</spage><epage>231</epage><pages>227-231</pages><issn>0009-9228</issn><eissn>1938-2707</eissn><coden>CPEDAM</coden><abstract>The effectiveness of tepid sponging, in addition to antipyretic medication, in the reduction of temperature in febrile children living in a tropical environment, was assessed in a prospective, randomized, open trial. Seventy-five children aged between 6 and 53 months who attended the casualty department of the Children's Hospital, Bangkok, Thailand, with fever (rectal temperature ≥38.5°C) of presumed viral origin were randomized to receive either tepid sponging and oral paracetamol (sponged group) or paracetamol alone (control group). Rectal temperature and the occurrence of crying, irritability, and shivering were recorded over the following 2 hours. A greater and more rapid fall in mean rectal temperature occurred in the sponged group than in the control group. Temperature fell below 38.5°C sooner in children in the sponged group than in control children (P <0.001). At 60 minutes, 38 (95.0%) of the controls still had a temperature of 38.5°C or greater, compared with only 15 children (42.9%) in the sponged group (P<1×10-5). Crying was associated with sponging, but shivering and irritability occurred in only one child who was being sponged. It is concluded that tepid sponging, in addition to antipyretic medication, is clearly more effective than antipyretic medication alone in reducing temperature in febrile children living in a tropical climate.</abstract><cop>Thousand Oaks, CA</cop><pub>SAGE Publications</pub><pmid>8013170</pmid><doi>10.1177/000992289403300407</doi><tpages>5</tpages></addata></record> |
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| subjects | Acetaminophen - therapeutic use Administration, Oral Administration, Topical Biological and medical sciences Body Temperature Child, Preschool Cold Temperature Combined Modality Therapy Female Fever - physiopathology Fever - therapy General aspects Humans Infant Male Medical sciences Prospective Studies Thailand Time Factors Tropical Climate Tropical medicine Virus Diseases - therapy Water |
| title | Tepid Sponging to Reduce Temperature in Febrile Children in a Tropical Climate |
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