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Giving a young child with fever a tepid bath may help
soothe parents anxious to do something, but is of little actual benefit
to the child. Non-pharmaceutical measures that are occasionally employed
to reduce fever include sponging the child with lukewarm water or using
a fan to cool the environment.
But in reality, these measures do not really treat
the fever, although they can make the child more comfortable.
Furthermore, these other measures, particularly bathing,
can be traumatic to the child. The researchers conducted a literature
review and found seven international articles that assessed the effectiveness
of alternate ways to reduce fever in children, aside from the use of acetaminophen
(known as paracetamol in England). All of the articles assessed sponging.
And all the authors concluded that in the first half-hour
to hour after sponging, a child's fever is reduced slightly, but even
that effect is short-lived. This is because non-pharmaceutical measures
do not work directly on the body's thermostat.
It's like central heating, if you have the thermostat
set high, and then open the windows to cool the room, it is unlikely to
work because the heating will just work harder to keep the room at the
thermostat setting.
What you need to do is reset the thermostat. This
is what (fever-reducing) medications do.
Archives of Disease in Childhood
2000;82:238-239
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