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A Study for Accuracy and Usefulness of Tympanic Membrane and Forehead Thermometers  

Yun, Gi Wook (Department of Pediatrics, College of Medicine, Chungang University)
Lim, In Seok (Department of Pediatrics, College of Medicine, Chungang University)
Publication Information
Clinical and Experimental Pediatrics / v.48, no.8, 2005 , pp. 820-825 More about this Journal
Abstract
Purpose : The presence and degree of fever in children is a useful indicator of illness. This project aimed to assess the accuracy and usefulness of infrared tympanic membrane(TM) & forehead feverscan thermometers for measuring children's temperatures. Methods : Data were obtained from 1,050 children with a median age of 4.5 years. They visited the pediatric clinics at Chung-Ang University Yongsan Hospital from January 2004 to December 2004. We measured body temperatures at axilla by mercury thermometer, at ear by infrared TM thermometer and at forehead by feverscan. Then we analyzed the correlation between these data. Results : Mercury and TM thermometer, and Mercury and forehead feverscan thermometer very well correlated with each others(P<0.05). And the sensitivity of infrared TM thermometer(right and left) to correctly identify febrile children was 81.1 percent and 82.4 percent, the positive predictive value to detect a fever was 81.8 percent and 73.6 percent. The sensitivity of forehead feverscan was 83.3 percent and the positive predictive value was 74.4 percent. Conclusion : The tympanic membrane temperature measured by the BRAUN IRT $3020^{(R)}$ and forehead arterial temperature measured by the HubDIC $DOTORY^{(R)}$ feverscan accurately reflects mercury axillary temperature, validly assesses the presence of fever in children, and is easy to use. The Braun IRT $3020^{(R)}$ & HubDIC $DOTORY^{(R)}$ therefore is an adequate tool to assess fever and may be used both in a clinical setting and for research purposes.
Keywords
Fever; Thermometer;
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  • Reference
1 Long S. Principles and Practice of Pediatric Infectious Diseases, 2nd ed. WB Saunders Co, 2003:90
2 Molton AH, Blacktop J, Hall CM. Temperature taking in children. J Child Health Care 2001;5:5-10   DOI   ScienceOn
3 Barton SJ, Gaffney R, Chase T, Rayens MK, Piyabanditkul L. Pediatric temperature measurement and child/parent/ nurse preference using three temperature measurement instruments. J Ped Nurs 2003;18:314-20   DOI   ScienceOn
4 Wells N, King J, Hedstrom C, Youngkins J. Does tympanic temperature measure up? Am J of Matern Child Nurs 1995; 20:95-100   DOI   ScienceOn
5 Cascetta F. An evaluation of the performance of an infrared tympanic thermometer. Measurement 1995;16:239-46   DOI   ScienceOn
6 Barber N, Kilmon CA. Reactions to tympanic temperature measurement in an ambulatory setting. Pediatr Nurs 1989; 15:477-81
7 Alexander D, Kelly B. Responses of children, parents, and nurses to tympanic thermometry in the pediatric office. Clin Pediatr 1991;30:53-6
8 Kiernan BS. Taking a temperature : Which way is best? J Soc Pediatr Nurs 2001;6:192-5   DOI   PUBMED
9 Talo H, Macknin ML, Mendendorp SV. Tympanic membrane temperatures compared to rectal and oral temperatures. Clin Pediatr 1991;30:30-3   DOI   ScienceOn
10 Sandsunda M, Gevinga IH, Reinertsena RE, Aadahlb P. Body temperature measurements in the clinic; evaluation of practice in a Norwegian hospital. J Therm Biol 2004;29: 877-80   DOI   ScienceOn
11 Androkites AL, Werger AM, Young ML. Comparison of axillary and infrared tympanic membrane thermometry in a pediatric oncology outpatient setting. J Pediatr Oncol Nurs 1998;15:216-22   DOI   ScienceOn
12 Beach PS. and McCormick DP. Clinical applications of ear thermometry. Clin Pediatr 1991;30:3-4   DOI   ScienceOn
13 Burke K. The tympanic membrane thermometer in paediatrics : a review of the literature. Accid Emerg Nurs 1996; 4:190-4   DOI   PUBMED   ScienceOn
14 Morley CJ, Murray M, Whybrew K. The relative accuracy of mercury, Tempa-DOT and FeverScan thermometers. Early Hum Dev 1998;53:171-8   DOI   ScienceOn
15 van Staaij BK, Rovers MM, Schilder AG, Hoes AW. Accuracy and feasibility of daily infrared tympanic membrane temperature measurements in the identification of fever in children. Int J Pediatr Otorhinolaryngol 2003;67:1091-7   DOI   ScienceOn
16 Terndrup TE. Tympanic membrane thermometers. Ann Emerg Med 1990;19:341-2