Objective: To compare the effectiveness of Paracetamol versus Paracetamol and Tepid sponging in the management of fever.

Methods: Children admitted with fever randomly grouped into two groups. PCM was given in the dose of 15-20mg/kg, 6hrly in Group 1 (odd number group) and PCM plus TS was given in even number group
(Group 2). Temperature was measured after half an hour and after one hour. Fischer exact test was done to compare the relief of temperature between the two groups.

Results: Total 34 children were included in both the groups. 38 children were between I2 mo to 36months 30 were above 3 years.38 males and 30females included in the study. Commonest cause for fever was viral fever, upper and lower respiratory tract infections. Fever was absent after 30 mts in 26 children in Group 1 (PCM alone ) and in 31 children
a in Group II. At the end of one hour 33 out of 34 chidren had no fever in Group 2, where as in group 1 27/34 had no fever. It was observed that there was a statistically significant difference in temperature relief rates in the PCM plus TS group (Group 2) when compare to PCM alone (p value-0.027). That is the PCM plus TS had a significantly faster relief than the PCM only group. At the end of one hour also, it was
observed that 33 out of 34 children in combination group had relief of high temperature when compared to PCM alone group. This difference was also found to be statistically significant (p value-0.011).

Conclusion: PCM with TS is more effective in controlling fever than PCM alone. No adverse effects noted with TS. TS well tolerated when it is done properly under supervision and no adverse effects
noted.

Keywords: Fever; Paracetamol; Tepid sponging; Temperature To compare the effectiveness of Paracetamol versus Paracetamol and Tepid sponging in the management of fever.

Methods: Children admitted with fever randomly grouped into two groups. PCM was given in the dose of 15-20mg/kg, 6hrly in Group 1 (odd number group) and PCM plus TS was given in even number group
(Group 2). Temperature was measured after half an nhour and after one hour. Fischer exact test was done to compare the relief of temperature between the two groups.

Results: Total 34 children were included in both the groups. 38 children were between I2 mo to 36 months 30 were above 3 years.38 males and 30 females included in the study. Commonest cause for fever was viral fever, upper and lower respiratory tract infections. Fever was absent after 30 mts in 26 children in Group 1 (PCM alone ) and in 31 children
a in Group II. At the end of one hour 33 out of 34 chidren had no fever in Group 2, where as in group 1 27/34 had no fever. It was observed that there was a statistically significant difference in temperature relief rates in the PCM plus TS group (Group 2) when compare to PCM alone (p value-0.027). That is the PCM plus TS had a significantly faster relief than the PCM only group. At the end of one hour also, it was
observed that 33 out of 34 children in combination group had relief of high temperature when compared to PCM alone group. This difference was also found to be statistically significant (p value-0.011).

Conclusion: PCM with TS is more effective in controlling fever than PCM alone. No adverse effectsnoted with TS. TS well tolerated when it is done properly under supervision and no adverse effects
noted.

Keywords: Fever; Paracetamol; Tepid sponging; Temperature