Antifebrile effects of dexibuprofen suppository on children with high fever

Zhiyang Wu1, Junfeng Fu2, Pengxiang Lin1

  • 1Department of Critical Care Medicine, Quanzhou Maternity and Children's Hospital, Quanzhou, Fujian, China.

Insights

Dexibuprofen suppositories offer rapid and effective fever reduction in children, demonstrating better safety compared to ibuprofen suspension in pediatric emergency care.

Area of Science:

  • Pediatrics
  • Pharmacology
  • Emergency Medicine

Background:

  • Acute fever is a common pediatric condition requiring effective treatment.
  • Evaluating antipyretic options is crucial for pediatric emergency care.

Purpose of the Study:

  • To assess the efficacy and safety of dexibuprofen suppositories for pediatric fever.
  • Compare dexibuprofen suppositories with ibuprofen suspension in children.

Main Methods:

  • Retrospective analysis of 100 febrile children (March 2022-March 2023).
  • Compared 57 children on dexibuprofen suppositories vs. 43 on ibuprofen suspension.
  • Analyzed body temperature changes and adverse reactions over 6 hours.

Main Results:

  • Dexibuprofen group showed significantly lower temperatures at 0.5, 2, 4, and 6 hours (P < 0.0001).
  • Overall efficacy was similar between groups (P > 0.05).
  • Dexibuprofen group experienced fewer adverse reactions (P = 0.0272).

Conclusions:

  • Dexibuprofen suppositories provide rapid and effective fever reduction in pediatric patients.
  • Dexibuprofen demonstrates improved safety in pediatric emergency settings.
  • Disease course and admission temperature are independent risk factors for fever management.
Abstract

Related Concept Videos

Methods of reducing fever01:22

Methods of reducing fever

The signs and symptoms of fever include hot and dry skin, flushed face, thirst, muscle aches, anorexia, headache, tachycardia, tachypnea, and fatigue. Elevated body temperature is reduced using two methods: pharmacological and nonpharmacological. Proper identification and treatment of the root cause of a fever is of utmost importance.
Pharmacological Methods of Reducing Fever:
1.5K
Increased Body Temperature01:25

Increased Body Temperature

A body temperature above  38°C  (100.4 °F) is known as fever or pyrexia, and a person with fever is termed 'febrile.' Typically, the hypothalamus, a part of the brain that acts as the body's thermostat, regulates body temperature through a thermoregulatory setpoint. It receives signals from cold and warm thermal receptors throughout the body and adjusts the body's temperature accordingly. Fever occurs when this hypothalamic setpoint is altered, usually in...
7.6K
Decreased Body Temperature01:29

Decreased Body Temperature

A decreased body temperature can occur in patients with hypothermia and frostbite. Heat loss with extended cold exposure overpowers the body's ability to create heat, resulting in hypothermia. Core temperature readings help classify hypothermia. Mild hypothermia is temperatures between 32 °C (89.6 °F) and 35°C (95 °F) and is caused by impaired thermoregulation. Moderate hypothermia is temperatures between 28 C (82.4 °F) and 32 °C (89.6 °F) caused by...
1.2K
Drug Dosing: Infants and Children01:29

Drug Dosing: Infants and Children

Pediatric patient dosages diverge from adults due to disparities in body surface area, total body water, and extracellular fluid per kilogram of body weight. The dosing regimen considers the variations in pharmacokinetics and pharmacology across distinct age groups, encompassing preterm newborns, infants, young children, older children, and adolescents. Calculation of pediatric patient doses is predicated on determining body surface area, which exhibits a superior correlation with the child's...
733
Patterns of Fever01:26

Patterns of Fever

Before understanding the types and patterns of fever, it is essential to know its phases.
4.3K
Temperature Measurement Sites01:14

Temperature Measurement Sites

A thermometer measures body temperature. The common sites for measuring body temperature are the oral cavity, axillary region, temporal artery, and skin surface, such as the forehead, abdomen, and axilla. True core body temperature is assessed in the rectum, tympanic membrane, pulmonary artery, esophagus, and urinary bladder.
Oral: When assessing oral temperature, the thermometer tip should be placed under the tongue in the posterior sublingual pocket. It offers accurate readings and can be...
4.0K