Comparing the Effectiveness of Water Sponging Combined with Antipyretics Versus Antipyretics Alone in Lowering Fever in Children: A Systematic Review
DOI:
https://doi.org/10.31674/mjn.2024.v16i01.031Abstract
Background: Fever occurs when the body temperature rises above normal due to external factors, such as exposure to high temperatures or heat sources. This study aims to assess the effectiveness of water sponging in combination with antipyretic versus antipyretic only on reducing body temperature in children with fever. Methods: This was a systematic review of primary studies using true experimental designs collected from online sources published between 1994 until 2024. Articles were screened using the PRISMA flow diagram with the following keywords: body temperature, children, fever, febrile, water sponging, antipyretic, randomized controlled trial. The data was reviewed accordingly. Results: The findings have revealed that three studies found no significant difference in temperature drops between tepid water sponging combined with antipyretics and antipyretics alone. Other studies, however, noted a faster initial drop with the combination, but temperatures equalized after two hours, with some children experiencing additional discomfort. Conclusion: The study concludes that while tepid water sponging combined with antipyretics initially reduces fever faster, both methods equalize within two hours, and the combination may cause additional discomfort.
Keywords:
Antipyretic, Body Temperature, Children, Febrile, Fever, Water SpongingDownloads
References
Aijaz, M., Dar, J. G., Almanjahie, I. M., & Sajjad, I. (2022). Mathematical simulation and numerical computation of the temperature profiles in the peripherals of human brain during the tepid sponge treatment to fever. Computational and Mathematical Methods in Medicine, 2022(1), 2658095. https://doi.org/10.1155/2022/2658095
Akyirem, S., & Bossman, I. F. (2021). Is tepid sponging more effective than paracetamol at relieving fever in febrile children in hot tropical climates? a mini review. Ghana Medical Journal, 55(1), 60–68. https://doi.org/10.4314/gmj.v55i1.9
Alomari, O. E., & Alyahya, O. (2024). Parents' Attitude Towards Their Feverish Children in Buraydah, Saudi Arabia. Cureus, 16(5), e61000. https://doi.org/10.7759/cureus.61000
Aluka, T. M., Gyuse, A. N., Udonwa, N. E., Asibong, U. E., Meremikwu, M. M., & Oyo-Ita, A. (2013). Comparison of cold water sponging and acetaminophen in control of fever among children attending a tertiary hospital in South Nigeria. Journal of Family Medicine and Primary Care, 2(2), 153-158. https://doi.org/10.4103/2249-4863.117409
Arista, V., & Husain, F. (2023). Penerapan Water Tepid Sponge Terhadap Demam pada Anak Usia Toddler. Barongko: Jurnal Ilmu Kesehatan, 2(1), 41–55. [Arista, V., & Husain, F. (2023). Application of Water Tepid Sponge Against Fever in Toddler Age Children. Barongko: Journal of Health Sciences, 2(1), 41–55]. https://doi.org/10.59585/bajik.v2i1.128
Ariyani, A. D., Theria, N. A., Satrianto, A., & Anitarini, F. (2024). Effectiveness of Tepid Water Sponge With Fever Plaster Compresse on Reducing Body Themperature In Child Patient. Professional Health Journal, 5(2), 506-513. https://doi.org/10.54832/phj.v5i2.599
Balli, S., Shumway, K. R., & Sharan, S. (2023). Physiology, Fever. In StatPearls. StatPearls Publishing.UnitedStates. https://www.statpearls.com/point-of-care/21717
Basavaraj, C. K., Pocha, S. G., & Dhati, R. M. (2018). Effectiveness of Antipyretic with Tepid Sponging Versus Antipyretic Alone in Febrile Children: A Randomized Controlled Trial. Journal of Nepal Paediatric Society, 37(2), 129–133. https://doi.org/10.3126/jnps.v37i2.16879
Center for Evidence-Based Medicine (CEBM) (n.d). Critical Appraisal Tools. University of Oxford. https://www.cebm.ox.ac.uk/resources/ebm-tools/critical-appraisal-tools. Accessed on 10th August, 2022.
Debsarma, D., Saha, J., & Ghosh, S. (2022). Factors associated with delay in treatment-seeking behaviour for fever cases among caregivers of under-five children in India: Evidence from the National Family Health Survey-4, 2015–16. PLoS One, 17(6), e0269844. https://doi.org/10.1371/journal.pone.0269844
Dullius, W., & Fernandes, G. L. (2024). Non-pharmacological nursing management of pediatric patients with fever and hyperthermia: a systematic review/Manejo não farmacológico da enfermagem em pacientes pediátricos com febre e hipertermia: uma revisão sistemática. Revista de Pesquisa Cuidado é Fundamental Online, 16. https://doi.org/10.9789/2175-5361.rpcfo.v16.13015
Encyclopædia Britannica. (2023). Evaporation. Encyclopædia Britannica. (2023). Evaporation. https://www.britannica.com/science/evaporation. Accessed on 10th May, 2023.
Febriyanti, D., & Sirait, N. A. (2018). Related Factors To Sepsis Neonatorum For Newborn In Hospital. Malaysian Journal of Medical Research (MJMR), 2(1), 81-87. https://ejournal.lucp.net/index.php/mjmr/article/view/253
Isa, H. M., Isa, A. J., Alnasheet, M. A., & Mansoor, M. M. (2024). Fever assessment in children under five: Are we following the guidelines? World Journal of Clinical Pediatrics, 13(1), 88864. https://doi.org/10.5409/wjcp.v13.i1.88864
Jose, J., K, M., Jose, J. P., & Baby, G. (2022). Effect of tepid sponging versus warm sponging on body temperature and comfort among under-five children with pyrexia. Indian Journal of Pediatrics, 89(5), 516-516. https://doi.org/10.1007/s12098-021-03985-1
Kathwal J., Sharma R., Singh P., Zee A., Aarushi A., & Anchal A. (2022). Clinical trial of warm water foot immersion v/s tepid sponging on reduction of fever. International Journal of Water Research , 4(1). 1-5. https://www.pubtexto.com/pdf/?clinical-trial-of-warm-water-foot-immersion-vs-tepid-sponging-on-reduction-of-fever
Khaliq, A., Zeb, R., Khan, S., Ahmad, I., Tahir, M., & Shah, S. I. A. (2019). Comparison between antipyretic and cold sponging versus only antipyretic in treatment of fever in pediatrics age group. Journal of Medical Sciences (Peshawar), 27(1), 3–6. https://jmedsci.com/index.php/Jmedsci/article/view/634
Lynch, C. J., Kuhar, M., Blackburn, C., & Barrett, M. J. (2024). Fever education for caregivers in the emergency room (The FEVER study)–an interventional trial. Pediatric Research, 1-5. https://doi.org/10.1038/s41390-024-03047-0
Mahar, A. F., Allen, S. J., Milligan, P., Suthumnirund, S., Chotpitayasunondh, T., Sabchareon, A., & Coulter, J. B. (1994). Tepid sponging to reduce temperature in febrile children in a tropical climate. Clinical Pediatrics, 33(4), 227–231. https://doi.org/10.1177/000992289403300407
Manalu, Y. D., & Nursasmita, R. (2023). Analisis Asuhan Keperawatan Melalui Intervensi Water Tepid Sponge Pada Anak Dengan Hipertermia Di Rsu Uki Jakarta. Jurnal Penelitian Keperawatan Kontemporer, 3(2). [Manalu, Y. D., & Nursasmita, R. (2023). Analysis of Nursing Care Through Water Tepid Sponge Intervention in Children with Hyperthermia at Rsu Uki Jakarta. Journal of Contemporary Nursing Research, 3(2)]. https://doi.org/10.59894/jpkk.v3i2.522
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., for the PRISMA Group (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Annals of Internal Medicine, 151(4), 264-269. https://doi.org/10.1136/bmj.b2535
Paasi, G., Okalebo, C. B., Ongodia, P., Namayanja, C., Eregu, E. E. I., Abongo, G., Olupot, M., Amorut, D., Muhindo, R., Okiror, W., Ndila, C., & Olupot-Olupot, P. (2023). PARIST study protocol: a phase I/II randomised, controlled clinical trial to assess the feasibility, safety and effectiveness of paracetamol in resolving acute kidney injury in children with severe malaria. BMJ Open, 13(7), e068260. https://doi.org/10.1136/bmjopen-2022-068260
Pavithra, C. (2018). Effect of Tepid Vs Warm sponging on body temperature and comfort among children with Pyrexia at Sri Ramakrishna hospital, Coimbatore. International Journal of Sciences & Applied Research (IJSAR), 5(6), 25-30. https://www.ijsar.in/Admin/pdf/effect-of-tepid-vs-warm-sponging-on-body-temperature-and-comfort-among-children-with-pyrexia-at-sri-ramakrishna-hospital-coimbatore.pdf
Phiri, K. E., Sialubanje, C., Hamainza, B., Chiwaula, J., & Nawa, M. (2023). The Prevalence and Factors Associated with Prompt Diagnosis and Treatment of Fever among Under-five Children in Zambia; Evidence from a Country-wide Cross-Sectional Survey. medRxiv, 2023-09. https://doi.org/10.1101/2023.09.05.23295058
Priya, D. S., Priya, B. L., K Babu, A., Rajakumar, P. G., & Rathinasamy, M. (2023). Effectiveness of Tepid Sponging along with Antipyretic Drug versus Only Antipyretic Drug in the Management of Fever among Children–A Randomized Control Trial. Asian Journal of Pediatric Research, 11(2), 6-16. https://doi.org/10.9734/ajpr/2023/v11i2215
Rafael, S. E., Yusuf, A., Nihayati, H. E., & Abiyoga, A. (2023). Penerapan Evidence Based Nursing Tepid Sponge Bath dalam Menurunkan Suhu Tubuh Anak Demam. Journal of Telenursing (JOTING), 5(2), 2982–2989. https://doi.org/10.31539/joting.v5i2.5922
Sharber, J. (1997). The efficacy of tepid sponge bathing to reduce fever in young children. The American Journal of Emergency Medicine, 15(2), 188–192. https://doi.org/10.1016/S0735-6757(97)90099-1
Souza, M. V. D., Souza, D. M. D., Damião, E. B. C., Buchhorn, S. M. M., Rossato, L. M., & Salvetti, M. D. G. (2022). Effectiveness of warm compresses in reducing the temperature of febrile children: A pilot randomized clinical trial. Revista da Escola de Enfermagem da USP, 56, e20220168. https://doi.org/10.1590/1980-220X-REEUSP-2022-0168en
Thomas, S., Vijaykumar, C., Naik, R., Moses, P. D., & Antonisamy, B. (2009). Comparative effectiveness of tepid sponging and antipyretic drug versus only antipyretic drug in the management of fever among children: a randomized controlled trial. Indian Pediatrics, 46(2), 133–136. https://www.indianpediatrics.net/feb2009/133.pdf
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 The Malaysian Journal of Nursing (MJN)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.