Tatalaksana Demam pada Anak
DOI:
https://doi.org/10.55175/cdk.v47i9.570Keywords:
Antipiretik, demam, IL-1, kompres, tepid spongingAbstract
Demam merupakan sebuah proses alamiah sebagai mekanisme pertahanan tubuh terhadap patogen, namun suhu yang terlalu tinggi sering menimbulkan kekhawatiran orangtua. Terdapat berbagai variasi kisaran suhu normal pada anak menurut tempat pengukurannya. Tatalaksana demam yang terutama adalah antipiretik seperti parasetamol atau ibuprofen. Beberapa studi menemukan bahwa kombinasi antipiretik memberikan efek antipiretik lebih tinggi, namun belum dapat direkomendasikan karena belum ada studi keamanannya. Metode kompres hangat dapat diberikan sebagai terapi tambahan. Penggunaan antipiretik sesuai dosis rekomendasi ditambah kompres hangat sudah terbukti efektif menurunkan demam pada anak, terutama di 30 menit pertama.
Fever is a natural process as a defense mechanism to pathogen, but high fever can be a problem and worried the parents. Variation of temperature range for children depends on the measurement site. The main treatment of fever in children is the use of antipyretic agent such as paracetamol/acetaminophen or ibuprofen. Some studies showed that combination will give a better and significant results, but still not recommended for daily practice because of lack of safety evidence. Tepid sponging can be given as an adjuvant therapy. Proper doses of antipyretics combined with non-pharmacological therapies like tepid sponging is proven to be effective to reduce fever in children, especially the first 30 minutes
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References
American Academy of Pediatrics. Clinical report – fever and antipyretic use in children. Pediatrics 2011;127:580-7.
Chiappini E, Principi N, Longhi R, Tovo PA, Becherucci P, Bonsignori F, et al. Management of fever in children: Summary of the Italian Pediatric Society guidelines. Clin Ther. 2009;31:1826-43.
Peetoom KK, Ploum LJ, Smits JJ, Halbach NS, Dinant GJ, Cals JW. Childhood fever in well-child clinics: A focus group study among doctors and nurses. BMC Health Services Research 2016;16:240.
Barbi E, Marzuillo P, Neri E, Naviglio S, Krauss BS. Fever in children: Pearls and pitfalls. Children 2017;4:81.
IDAI. Buku ajar infeksi dan pediatri tropis edisi kedua. Jakarta: IDAI; 2015 .p. 21-46.
Canadian Paediatric Society. Temperature measurement in paediatrics. Canadian Paediatric Society; 2017.
Nizet V, Vinci RJ, Lovejoy FH. Fever in children. Pediatrics in Review 1994;15:127.
Temple AR, Temple BR, Kuffner EK. Dosing and antipyretic efficacy of oral acetaminophen in children. Clin Ther. 2013;32:1361-75.
Paramba FC, Naushad VA, Purayil N, Mohammed OH, Chandra P. Randomized controlled study of the antipyretic efficacy of oral paracetamol, intravenous paracetamol, and intramuscular diclofenac in patients presenting with fever to the emergency department. Therapeutics and Clinical Risk Management 2013;9:371–6.
Hay AD, Costelloe C, Redmond NM, Montgomery AA, Fletcher M, Hollinghurst S, et al. Paracetamol plus ibuprofen for the treatment of fever in children (PITCH): Randomised controlled trial. BMJ 2008;337:1302.
Paul IM, Sturgis SA, Yang C, Engle L, Watts H, Berlin CM. Efficacy of standard doses of ibuprofen alone, alternating, and combined with acetaminophen for the treatment of febrile children. Clin Ther. 2010;32:2433-9.
Karyanti MR. Penanganan demam pada anak. IDAI; 2014.
Aluka TM, Gyuse AN, Udonwa NE, Asibong UE, Meremikwu MM, Oyo-ita A. Comparison of cold water sponging dan acetaminophen in control of fever among children attending a tertiary hospital in south nigeria. J Family Med Prim Care 2013;2(2): 153-8.
Kokki H, Kokki M. Ketoprofen versus paracetamol (acetaminophen) or ibuprofen in the management of fever. Clin Drug Investig. 2010;30(6):375-86.
Alves JG, Almeida ND, Almeida CD. Tepid sponging plus dipyrone versus dipyrone alone for reducing body temperature in febrile children. Sao Paulo Med J. 2008;126(2):107-11
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