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10/9/2026 4:02:20 AM | Browse: 8 | Download: 74
Publication Name World Journal of Clinical Pediatrics
Manuscript ID 123652
Country Thailand
Received
2026-05-25 07:38
Peer-Review Started
2026-05-25 07:38
First Decision by Editorial Office Director
Return for Revision
2026-07-02 06:44
Revised
2026-07-10 15:55
Publication Fee Transferred
2026-07-20 15:34
Second Decision by Editor
2026-07-24 03:17
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-07-28 12:21
Articles in Press
2026-07-28 12:21
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-08-31 06:41
Publish the Manuscript Online
2026-10-09 04:02
ISSN 2219-2808 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Copyright © The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Pediatrics
Manuscript Type Clinical Trials Study
Article Title Shortened eutectic mixture of lidocaine and prilocaine plus skin cooling for pediatric vaccination pain: A randomized non-inferiority trial
Manuscript Source Unsolicited Manuscript
All Author List Paveewan Jiravisitkul, Manunya Tandhansakul, Chanikarn Thongkam and Saraiorn Thonginnetra
ORCID
Author(s) ORCID Number
Paveewan Jiravisitkul http://orcid.org/0000-0003-0496-8783
Funding Agency and Grant Number
Funding Agency Grant Number
Chulabhorn Royal Academy through the Research Excellence Group Funding Programmed of Chulabhorn Hospital, Chulabhorn Royal Academy 544/2568
Corresponding Author Paveewan Jiravisitkul, Principal Investigator, Department of Pediatrics, Chulabhorn Hospital, Chulabhorn Royal Academy, 906 Kamphaeng Phet 6 Road, Talat Bang Khen Subdistrict, Lak Si, Bangkok 10210, Thailand. paveewan.jir@cra.ac.th
Key Words Pediatric vaccination; Procedural pain; Lidocaine-prilocaine; Skin cooling; Wong-Baker FACES Pain Rating Scale; Non-inferiority trial
Core Tip In this single-center, open-label, randomized non-inferiority trial conducted with 150 children aged 4-15 years who received a quadrivalent influenza vaccine, a 20-minute topical application of a eutectic mixture of lidocaine and prilocaine combined with 30 seconds of ice-pack skin cooling met the prespecified non-inferiority criterion for post-injection pain when compared with the standard 40-minute eutectic mixture of lidocaine and prilocaine regimen. The intervention reduced the preparation time by a median of 20 minutes. Exploratory analyses suggested fewer mild adverse events at 15 minutes, and caregiver satisfaction was high in both groups. This pragmatic, low-cost protocol is suitable for high-volume primary-care vaccination services.
Publish Date 2026-10-09 04:02
Citation

Jiravisitkul P, Tandhansakul M, Thongkam C, Thonginnetra S. Shortened eutectic mixture of lidocaine and prilocaine plus skin cooling for pediatric vaccination pain: A randomized non-inferiority trial. World J Clin Pediatr 2026; 15(4): 123652

URL https://www.wjgnet.com/2219-2808/full/v15/i4/123652.htm
DOI https://doi.org/10.5409/wjcp.123652
Full Article (PDF) WJCP-15-123652-with-cover.pdf