Management of feverish children at home.
نویسندگان
چکیده
OBJECTIVES To compare the acceptability and effects on temperature of advice to unwrap children and give paracetamol or warm sponging treatments in the management of feverish illness at home. DESIGN A randomised, open, parallel group study using factorial design comparison of unwrapping, warm sponging plus unwrapping, paracetamol plus unwrapping, and paracetamol and warm sponging plus unwrapping. SETTING Homes of willing families with a feverish child recruited after consulting one of 21 participating general practitioners in Southampton. SUBJECTS 52 children aged from 3 months to 5 years with axillary temperatures before treatment of > or = 37.8 degrees C and < 40 degrees C. MAIN OUTCOME MEASURES Response to advice assessed over four hours; temperature assessed by continuous data logging from an axillary thermistor; acceptability of treatment to child and parent scored on Likert scales immediately after treatment and on return to health. RESULTS Response to treatment advice varied; unwrapping alone had little effect on temperature. Paracetamol increased the time below 37.2 degrees C in four hours by 109 (95% confidence interval 74 to 145) minutes compared with unwrapping; warm sponging caused the fastest reduction in temperature. Parents discriminated between treatments, preferring paracetamol. CONCLUSION Advice to give paracetamol is more effective than sponging or unwrapping in controlling temperature in children at home and is more acceptable to parents. Warm sponging has an additive effect and reduces fever more quickly than paracetamol.
منابع مشابه
Comparing the effect of once and alternate tepid sponging with Acetaminophen on changes of body temperature of feverish children
Abstract: Introduction: Fever is one of the most common reasons for referring to emergency and clinics (30% of referrals). Primary goal of treating feverish children is to prevent permanent brain and nerve tissue damages. Acetaminophen is widely used but its absorption may produce toxic metabolites, so physical methods of fever treating such as tepid sponging has a priority in caring for these ...
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ورودعنوان ژورنال:
- BMJ
دوره 305 6862 شماره
صفحات -
تاریخ انتشار 1992