Objetivos: Comparar la eficacia antipirética de ibuprofeno oral (10 mg/kg), metamizol oral (15 mg/kg) y metamizol intramuscular (15 mg/kg) en pacientes pediátricos a las dos horas de seguimiento; comparando además el tiempo de remisión de fiebre, el tiempo de remisión de síntomas asociados a fiebre y los efectos indeseables inmediatos. Diseño: Ensayo clínico randomizado, ciego simple, realizado en el Servicio de Emergencia del HONADOMANI “San Bartolomé”-Lima. Participantes: 75 niños con edades de 6 meses a 6 años de edad, con temperatura rectal mayor o igual a 38,3ºC y menor a 39,8ºC, que cumplan con los criterios de inclusión y exclusión; fueron asignados de manera randomizada a cualquiera de los tres grupos de estudio. Resultados: Se incluyeron 25 pacientes para recibir ibuprofeno oral, 24 para metamizol oral y 26 para metamizol intramuscular. La reducción de temperatura fue similar en los tres grupos de estudio, la gradiente de caída de temperatura fue similar, excepto en la medición los 30 minutos, en laque el grupo de ibuprofeno oral tuvo una mayor disminución de temperatura (p=0,033). No se encontró diferencia en cuanto a la disminución de síntomas asociados a fiebre. Solo un paciente presentó efectos indeseables inmediatos, urticaria leve, del grupo ibuprofeno. PALABRAS CLAVE: fiebre, metamizol, ibuprofeno, pediatría. / The most frequent antipyretics used in Perú are acetaminophen, ibuprofen and metamizol; however, there are a few studies which compare the antipyretic efficacy between metamizol and acetaminophen or metamizol and ibuprofen. Objectives: the aim of this study was to compare the antipyretic efficacy of oral ibuprofen (10mg/kg), oral metamizol (15 mg/kg) and intramuscular metamizol (15 mg/kg) in pediatric patients at two hours-follow up; it was also to compare time of fever remission, time of symptoms associate to fever remission and immediate undesirable effects. Design: it was performed a randomized clinical trial, simple blinded, at the emergency department of HONADOMANI “San Bartolomé”- Lima. Participants: this study was conducted among 75 children aged 6 months to 6 years presenting with rectal temperature >= 38.3 °C and < 39 °C, who fulfilled inclusion and exclusion criterions; they were random assigned in one of the three groups of study. Results: the 75 patients had similar demographics characteristics. 25 patients received oral ibuprofen, 24 patients received oral metamizol and 26 patients received intramuscular metamizol. Temperature remission was similar in the three groups of study, the gradient of temperature fall was similar too, except at 30 minutes follow-up. At that time, the oral ibuprofen group had a mayor diminishing of temperature (p =,03). There were no difference in diminishing of fever associated symptoms. Only one patient of the ibuprofen group had a slight urticaria as an immediate undesirable effect. Key words: fever, children, ibuprofen, dipyrone.
| Identifer | oai:union.ndltd.org:Cybertesis/sdx:www.cybertesis.edu.pe:80:sisbib/documents/sisbib.2003.prado_cj-principal |
| Date | January 2003 |
| Creators | Prado Corrales, Judith |
| Contributors | Álamo, Carlos; Agüero, Lourdes |
| Publisher | Universidad Nacional Mayor de San Marcos. Programa Cybertesis PERÚ |
| Source Sets | Universidad Nacional Mayor de San Marcos - SISBIB PERU |
| Language | Spanish |
| Detected Language | Spanish |
| Format | text/xml |
| Rights | Prado Corrales, Judith |
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