Warm Sponging Versus Tepid Sponging in Febrile Children: Double Blind Randomized Controlled Trial of efficacy
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).
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%).
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.
Febrile Children, Paracetamol, Tepid Sponging, Warm Sponging.