Is the temporal artery thermometer a reliable instrument for detecting fever in children?
Summary of "Is the temporal artery thermometer a reliable instrument for detecting fever in children?"
Aims and objective.â€‚ We aimed to study the diagnostic accuracy of the temporal artery thermometer vs. rectal temperature in a large group of children with and without fever, aged 0-18â€ƒyears. Background.â€‚ Many have studied the diagnostic accuracy of the temporal artery thermometer in children compared with a reference method, with contradictory outcomes. No studies have been carried out in a large group of children of all ages. Design.â€‚ Diagnostic accuracy/validation study. Method.â€‚ Children (0-18â€ƒyears) with fever (Tâ€ƒ>â€ƒ38Â·0â€ƒÂ°C) were recruited through the emergency department and children with normal temperatures through the day-care department of the Children's Hospital. All children routinely had rectal temperature recordings. Temporal artery temperature was recorded shortly after the rectal recording. The mean absolute difference in temperature, the level of agreement (intraclass correlation coefficient) and the sensitivity and specificity of detecting fever were calculated. Results.â€‚ A total number of 198 children (121 boys) participated, with a mean age of 5Â·1 (SD 4Â·7)â€ƒyears. Of those children, 81 had fever according to the rectal recording. Mean difference between temporal artery temperature and rectal temperature was -0Â·11 (SD 0Â·63)â€ƒÂ°C, with an agreement of 0Â·812. The sensitivity and specificity of the temporal artery thermometer for detecting fever were 67Â·9 and 98Â·3%, respectively. Conclusions.â€‚ The diagnostic accuracy of the temporal artery thermometer in detecting fever in children of all ages is low. Relevance to clinical practice.Â We do not recommend replacement of standard clinical thermometers with temporal artery thermometers.
Authors: Corine Penning, MSc, PhD, Associate Professor, Intellectual Disability Medicine, Department of General Practice, Erasmus University Medical Center and Department of Pediatric Surgery/Intensive Care, Erasmus University Medical Center - Sophia; Jan
This article was published in the following journal.
Name: Journal of clinical nursing
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/21418361
- DOI: http://dx.doi.org/10.1111/j.1365-2702.2010.03568.x
Medical and Biotech [MESH] Definitions
Posterior Cerebral Artery
Artery formed by the bifurcation of the BASILAR ARTERY. Branches of the posterior cerebral artery supply portions of the OCCIPITAL LOBE; PARIETAL LOBE; inferior temporal gyrus, brainstem, and CHOROID PLEXUS.
Arteries arising from the external carotid or the maxillary artery and distributing to the temporal region.
Anterior Temporal Lobectomy
A neurosurgical procedure that removes the anterior TEMPORAL LOBE including the medial temporal structures of CEREBRAL CORTEX; AMYGDALA; HIPPOCAMPUS; and the adjacent PARAHIPPOCAMPAL GYRUS. This procedure is generally used for the treatment of intractable temporal epilepsy (EPILEPSY, TEMPORAL LOBE).
Giant Cell Arteritis
A systemic autoimmune disorder that typically affects medium and large ARTERIES, usually leading to occlusive granulomatous vasculitis with transmural infiltrate containing multinucleated GIANT CELLS. The TEMPORAL ARTERY is commonly involved. This disorder appears primarily in people over the age of 50. Symptoms include FEVER; FATIGUE; HEADACHE; visual impairment; pain in the jaw and tongue; and aggravation of pain by cold temperatures. (From Adams et al., Principles of Neurology, 6th ed)
Internal Mammary-coronary Artery Anastomosis
Direct myocardial revascularization in which the internal mammary artery is anastomosed to the right coronary artery, circumflex artery, or anterior descending coronary artery. The internal mammary artery is the most frequent choice, especially for a single graft, for coronary artery bypass surgery.
AIMS AND OBJECTIVES: This study compared readings from two professional-grade, commercially available infrared (IR) thermometers, the ThermoScan(Â®) PRO 4000 prewarmed tip ear thermometer and the Temp...
Body temperature measurement is an important clinical parameter. The performance of a number of non-invasive thermometers was measured by comparing intra- and inter-operator variability (n = 100) and...
ABSTRACT: BACKGROUND: We sought to evaluate agreement between a new and widely implemented method of temperature measurement in critical care, temporal artery thermometry and an established method of...
Neonatal hypothermia is the fourth leading causes of neonatal death in Nepal. Thus, it is the caregivers' responsibility to identify the hypothermia by using valid and less time consuming method like...
The purpose of this study is to describe a new technique for en bloc temporal bone resection using a diamond threadwire saw (T-saw) as an alternative to cutting the temporal bone with an osteotome. Th...
Primary study objective is to test the accuracy of the Genius 2 tympanic thermometer and the Exergen TAT-5000(TM) temporal artery thermometer as compared with serial perioperative core tem...
RATIONALE: Comparing results of three different thermometers used to measure body temperature may help doctors find the most accurate thermometer to detect fever and plan the best treatmen...
Preterm infants will have their body temperature measured by three different devices in order to evaluate whether the newest device, a temporal artery scanning thermometer, is accurate for...
Background: Fever is a widespread symptom in many diseases. Therefore, its value and diagnostic importance are well known. Fever in children is one of the common reasons for a visit to the...
Drugs to treat fever are widely used in children with fever. But there is a controversy about the benefit of reducing fever in children with malaria. Ibuprofen is often used to treat malar...