COMPARISON OF RECTAL, AXILLARY, AND TYMPANIC MEMBRANE TEMPERATURES IN INFANTS AND YOUNG-CHILDREN

被引：64

作者：

MUMA, BK

TRELOAR, DJ

WURMLINGER, K

PETERSON, E

VITAE, A

机构：

[1] Division of Pediatric Emergency Medicine, Department of Pediatrics, Henry Ford Hospital, Detroit, MI

[2] Department of Biostatistics and Clinical Epidemiology, Henry Ford Hospital, Detroit, MI

来源：

ANNALS OF EMERGENCY MEDICINE | 1991年 / 20卷 / 01期

关键词：

fever; pediatric; thermometer;

D O I：

10.1016/S0196-0644(05)81116-3

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Study objective: To evaluate the reliability of a tympanic membrane thermometer in detecting fever in young children presenting to the emergency department. Setting: Pediatric emergency department in an urban teaching hospital. Design/Measurement/Participants: Temperature measurements were obtained sequentially at three body sites in children less than 3 years old presenting to the pediatric ED. Axillary and rectal temperatures were obtained with an electronic thermistor probe (Diatek 500(R), and tympanic membrane temperatures were obtained with a noncontact, infrared sensing device (FirstTEMP(R)). Patients were stratified by age, ear canal patency, presence of otitis media, and rectal temperature. Results: Of 224 patients enrolled, 87 (39%) were febrile. Overall correlation of axillary and tympanic membrane measurements to rectal for all strata was .75 (P = .001) and .81 (P = .001), respectively. Sensitivity in detecting fever for axillary and tympanic membrane sites was .48 and .55, respectively. Otitis media and ear patency did not influence correlation of tympanic membrane measurements. Low tympanic membrane temperature sensitivity may be a result of probe configuration. Conclusion: Tympanic membrane and axillary temperatures should be viewed with caution in children less than 3 years old as neither can detect fever reliably.

引用

页码：41 / 44

页数：4

共 21 条

[1] McCarthy, Dolan, Hyperpyrexia in children: Eight-year emergency room experience, Am J Dis Child, 130, pp. 849-851, (1976)
[2] Caspe, Chamudes, Louie, The evaluation and treatment of the febrile infant, Pediatr Inf Dis, 2, pp. 131-135, (1983)
[3] McCarthy, Jekel, Dolan, Temperature greater than or equal to 40°C in children less than 24 months of age: A prospective study, Pediatrics, 59, pp. 663-668, (1977)
[4] McCarthy, Dolan, The serious implications of high fever in infants during their first three months: Six years' experience at Yale-New Haven Hospital emergency room, Clin Pediatr, 15, pp. 794-796, (1976)
[5] Elder, Accidental hypothermia, Textbook of Critical Care Medicine., pp. 85-93, (1984)
[6] Kresch, Axillary temperature as a screening test for fever in children, J Pediatr, 104, pp. 596-599, (1984)
[7] Togawa, Body temperature measurement, Clin Phys Physiol Meas, 6, pp. 83-108, (1985)
[8] Wolfson, Rectal perforation in infants by thermometer, Am J Dis Child, 111, pp. 197-200, (1966)
[9] Edwards, Core temperature measurement in man, Aviat Space Environ Med, 49, pp. 1289-1294, (1978)
[10] McCaffrey, Geis, Chung, Et al., Effect of isolated head heating and cooling on sweating in man, Aviat Space Environ Med, 46, pp. 1353-1357, (1975)

← 1 2 3 →