Physical methods for the treatment of fever in critically ill patients: a randomized controlled trial

Salgado, Patrícia de Oliveira; Silva, Ludmila Christiane Rosa da; Silva, Priscila Marinho Aleixo; Chianca, Tânia Couto Machado

doi:10.1590/s0080-623420160000600016

Cited by 14 publications

(16 citation statements)

References 18 publications

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“…Full texts of the remaining 13 studies were assessed against the pre-set inclusion criteria. Eleven (11) studies were excluded for the following reasons: antipyretic received by both arms 7,9,[14][15][16] , study design not RCT 17 , study conducted outside tropical settings [18][19][20] , use of adult population 21 and use of other physical method of temperature control 22 . Details of the screening process and reasons for exclusion are presented in Figure 1 and Table 4 respectively.…”

Section: Resultsmentioning

confidence: 99%

Is tepid sponging more effective than paracetamol at relieving fever in febrile children in hot tropical climates? a mini review

Akyirem

Bossman

2021

gmj

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Background: Childhood fever remains a significant health problem because of the convulsion risk it poses to the child as well as the parental anxiety it provokes. Tepid sponging of such children remains commonplace in tropical climates despite the lack of evidence to support it.Objective: To evaluate the effectiveness of tepid sponging in hot tropical climatesMethods: NICE systematic review methodology was used. Medline and EMBASE were searched from their inception to date. Eligibility criteria included a) studies of randomised controlled trial (RCT) design b) children aged 2 to 120 months c) the use of tepid sponging alone in one arm and paracetamol in the other arm of the experiment. Eligible studies were critically appraised with NICE risk of bias tool. The outcome of interest was the number of afebrile children 2 hours after intervention. The outcome data from eligible studies were pooled for meta-analysis using random effects.Findings: Out of the 201 papers retrieved from the electronic search, two studies met the inclusion criteria. The meta-analysis found that tepid sponging was less effective than paracetamol at relieving fever two hours post-intervention (RR=0.25, 95% CI 0.08-0.79]).Conclusion: Tepid sponging was not effective against fever. There is the need to modify existing local clinical protocols to reflect the new evidence and international guidelines.

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Section: Resultsmentioning

confidence: 99%

Is tepid sponging more effective than paracetamol at relieving fever in febrile children in hot tropical climates? a mini review

Akyirem

Bossman

2021

gmj

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“…Suhu tubuh normal manusia berkisar pada 36-37°C, namun saat demam dapat melebihi 37°C (Kurniati, 2016). Demam antara lain disebabkan karena infeksi atau adanya ketidakseimbangan antara produksi panas dan pengeluarannya (Salgado et al, 2016). Meskipun demikian, demam berperan dalam meningkatkan perkembangan imunitas spesifik dan nonspesifik dalam membantu pemulihan, pertahanan terhadap infeksi dan sinyal bahwa tubuh sedang mengalami gangguan kesehatan (Wardiyah et al, 2015).…”

Section: Pendahuluanunclassified

Pengetahuan Ibu Dan Cara Penanganan Demam Pada Anak

Sudibyo

Anindra

Gihart

et al. 2020

JFK

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Penanganan demam pada anak tergantung pada peran orangtua, terutama ibu, sehingga diperlukan pengetahuannya dalam menangani demam. Namun, tingkat pengetahuan ibu sangat bervariasi yang mengakibatkan perbedaan pengelolaan demam pada anak. Pengetahuan yang kurang mengakibatkan penanganan yang tidak tepat, sehingga penyembuhan menjadi kurang optimal. urvei ini bertujuan untuk mengidentifikasi pengetahuan ibu mengenai demam pada anak serta cara penanganannya. Penelitian ini merupakan survei cross sectional dengan menggunakan instrumen kuesioner elektronik. Responden adalah 130 ibu yang memiliki anak usia 0-12 tahun di Kelurahan Wonokusumo, Surabaya dengan teknik accidental sampling. Data diolah secara deskriptif. Banyak ditemukan penggunaan antipiretik yang cenderung berlebihan bahkan diberikan walau suhu tubuh belum tergolong demam. Kemudian, lebih dari 50% responden mengukur demam dengan meraba bagian tubuh dan tidak menggunakan termometer. Hampir 50% responden langsung memberikan obat antipiretik pada anaknya tanpa pemberian pertolongan nonfarmakologi terlebih dahulu, walaupun sebagian dari responden tidak mengetahui efek samping dari obat antipiretik. Antipiretik yang paling sering digunakan adalah parasetamol. Sumber informasi penggunaan antipiretik terbanyak dari resep sebelumnya. Sebagian responden belum mengetahui cara mengenali demam dan penanganan demam secara farmakologi dan nonfarmakologi. Responden sering melakukan swamedikasi dengan penggunaan parasetamol karena mudah didapatkan dan harganya pun terjangkau, meskipun mereka belum mengetahui efek sampingnya.

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“…There are several methods for surface cooling, the most commonly used of which include cold or hot compress, warm or lukewarm bath, hypothermia blankets, air conditioning, and elevation of environmental temperature (9). However, there is no consensus among the experts on the most efficient and safest strategy to control body temperature (10). Due to the problems that occur following the fever, the current review study aimed at investigating the evidence related to the efficient nursing interventions of fever control.…”

Section: Contextmentioning

confidence: 99%

Investigation of Fever Control in Febrile Patients: A Narrative Review

Hekmatpou

Kia

2018

Med Surg Nurs J

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Context: Fever is one of the most common problems in patients. There are a variety of fever control interventions with different levels of efficacy and side effects across patients, especially among critically ill individuals. In this regard, the current review study was conducted to examine the evidence regarding the nursing interventions used to control fever. Evidence Acquisition: For the current study, the articles on fever control methods were searched throughout several databases including SID, Irandoc, Google Scholar, PubMed, Medline, Scopus, Cochrane Library, and ScienceDirect. The search process was accomplished using the following keywords: "management of fever", hyperthermia", and "nursing intervention". The electronic search was performed without any time limit. The exclusion criteria were the duplicate and incomplete studies, animal studies, the ones without clear statistical analysis, and those with a sample size of < 30 subjects (due to low statistical power). Results: The electronic search resulted in the inclusion of 22 articles. In most of the studies, acetaminophen was introduced as the first choice of therapists to control fever. The adoption of physical methods to manage fever varied across different centers depending on the available facilities and hospital routines. Conclusions: As the findings of the reviewed studies indicated, pharmaceutical and physical methods to manage fever should be selected according to patient's conditions. It is recommended that a combination of physical and pharmaceutical interventions for this purpose be utilized. It is also suggested that proper protocols be presented for the appropriate treatment and management of fever under different conditions.

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Physical methods for the treatment of fever in critically ill patients: a randomized controlled trial

Cited by 14 publications

References 18 publications

Is tepid sponging more effective than paracetamol at relieving fever in febrile children in hot tropical climates? a mini review

Is tepid sponging more effective than paracetamol at relieving fever in febrile children in hot tropical climates? a mini review

Pengetahuan Ibu Dan Cara Penanganan Demam Pada Anak

Investigation of Fever Control in Febrile Patients: A Narrative Review

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