Performance of axillary and rectal temperature measurement in private pediatric practice.

Details

Serval ID
serval:BIB_CCE3CBF4FDEB
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Performance of axillary and rectal temperature measurement in private pediatric practice.
Journal
European journal of pediatrics
Author(s)
Teller J., Bernasconi R., Simonetti G.D., Lava SAG
ISSN
1432-1076 (Electronic)
ISSN-L
0340-6199
Publication state
Published
Issued date
10/2019
Peer-reviewed
Oui
Volume
178
Number
10
Pages
1501-1505
Language
english
Notes
Publication types: Comparative Study ; Journal Article ; Observational Study
Publication Status: ppublish
Abstract
To better understand the role and reliability of axillary temperature measurements in clinical real life, axillary and rectal measurements in infants presenting in a private pediatric practice because of fever were compared. Prospectively, 169 infants (81 girls), median 9 (interquartile range 6-13) months of age, were examined at room temperature (20-24 °C). Two left and two right axillary, as well as two rectal measurements were taken with a digital thermometer and subsequently averaged. The median and interquartile range for axillary and rectal measurements were 36.9 (36.3-37.6) °C and 38.2 (37.4-38.9) °C, respectively (p < 0.0001). The limits of agreement in the Bland-Altman plots were 0.32 to 1.98 °C, with a mean bias of 1.15 °C. Axillary thermometers showed a good sensitivity for detecting rectal temperature > 38 °C (95%) but limited specificity (75%), with an area-under-the-curve of 0.95.Conclusions: Axillary readings are always lower than rectal ones, the limits of agreement are quite wide. Axillary readings can be used for screening but critical measurements should be confirmed by more reliable methods. What is Known • In infants and toddlers, temperature has been traditionally taken rectally. • Axillary measurements are better accepted and are recommended in current guidelines. What is New • Axillary temperature was always lower than rectal temperature. • The limits of agreement of axillary thermometers are wide. • Axillary thermometers have a good sensitivity but limited specificity and are therefore adequate for fever screening.
Keywords
Axilla/physiology, Body Temperature/physiology, Female, Fever/diagnosis, Humans, Infant, Male, Prospective Studies, ROC Curve, Rectum/physiology, Reproducibility of Results, Thermometers, Children, Fever, Infants, Measurement, Thermometer
Pubmed
Web of science
Create date
16/08/2019 21:37
Last modification date
27/04/2020 6:20
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