期刊论文详细信息
BMC Research Notes
Comparability of tympanic and oral mercury thermometers at high ambient temperatures
Rose McGready3  François Nosten3  Kasia Stepniewska2  Elizabeth A Ashley3  Andrew Cavey1  Rachael L Moore1  Amy L Chue3 
[1] Shoklo Malaria Research Unit, 68/30 Baantung Road, PO Box 46, Mae Sot, Tak 63110, Thailand;Mahidol-Oxford Clinical Research Unit, Faculty of Tropical Medicine, Mahidol University, 420/6 Ratchawithi Road, Ratchathewi, Bangkok 10400, Thailand;Centre for Clinical Vaccinology and Tropical Medicine, Churchill Hospital, Oxford OX3 7LJ, UK
关键词: Tropical setting;    Tympanic thermometer;    Oral mercury thermometer;    Ambient temperature;   
Others  :  1166146
DOI  :  10.1186/1756-0500-5-356
 received in 2011-12-30, accepted in 2012-06-27,  发布年份 2012
PDF
【 摘 要 】

Background

Body temperature can be measured in seconds with tympanic thermometers as opposed to minutes with mercury ones. The aim of this study was to compare tympanic and oral mercury thermometer measurements under high ambient field temperatures.

Results

Tympanic temperature (measured thrice by 3 operators) was compared to oral temperature measured once with a mercury-in-glass thermometer in 201 patients (aged ≥5 years), on the Thai-Myanmar border. Ambient temperature was measured with an electronic thermo-hygrometer. Participants had a mean [min-max] age of 27 [5–60] years and 42% (84) were febrile by oral thermometer. The mean difference in the mercury and tympanic temperature measurement for all observers/devices was 0.09 (95%CI 0.07-0.12)°C and intra-class correlation for repeat tympanic measurements was high (≥0.97) for each observer. Deviations in tympanic temperatures were not related to ambient temperature.

Conclusion

Clinically significant differences were not observed between oral and tympanic temperature measurements at high ambient temperatures in a rural tropical setting.

【 授权许可】

   
2012 Chue et al.; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20150416041340314.pdf 407KB PDF download
Figure 2. 42KB Image download
Figure 1. 115KB Image download
【 图 表 】

Figure 1.

Figure 2.

【 参考文献 】
  • [1]Pearce JM: A brief history of the clinical thermometer. QJM 2002, 95:251-252.
  • [2]Lo S-FL, Lan-Hing L, In-Chak Y, Andrew W-C: Should we replace the mercury in glass thermometer with the tympanic thermometer? Ann Coll Surg HK 2003, 7:18-22.
  • [3]Braun : Braun ThermoScan. In Kaz Europe SA. Edited by Braun . Lausanne: Kaz Europe SA;
  • [4]Fulbrook P: Core temperature measurement in adults: a literature review. J Adv Nurs 1993, 18:1451-1460.
  • [5]Childs C, Harrison R, Hodkinson C: Tympanic membrane temperature as a measure of core temperature. Arch Dis Child 1999, 80:262-266.
  • [6]Doyle F, Zehner WJ, Terndrup TE: The effect of ambient temperature extremes on tympanic and oral temperatures. Am J Emerg Med 1992, 10:285-289.
  • [7]Terndrup TE: An appraisal of temperature assessment by infrared emission detection tympanic thermometry. Ann Emerg Med 1992, 21:1483-1492.
  • [8]Twerenbold R, Zehnder A, Breidthardt T, Reichlin T, Reiter M, Schaub N, Bingisser R, Laifer G, Mueller C: Limitations of infrared ear temperature measurement in clinical practice. Swiss Med Wkly 2010, 140:w13131.
  • [9]Sund-Levander M, Grodzinsky E: Time for a change to assess and evaluate body temperature in clinical practice. Int J Nurs Pract 2009, 15:241-249.
  • [10]Bliss-Holtz J: Comparison of rectal, axillary, and inguinal temperatures in full-term newborn infants. Nurs Res 1989, 38:85-87.
  • [11]Chaturvedi D, Vilhekar KY, Chaturvedi P, Bharambe MS: Comparison of axillary temperature with rectal or oral temperature and determination of optimum placement time in children. Indian Pediatr 2004, 41:600-603.
  • [12]Terndrup TE, Rajk J: Impact of operator technique and device on infrared emission detection tympanic thermometry. J Emerg Med 1992, 10:683-687.
  • [13]Bland JM, Altman DG: Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1986, 1:307-310.
  • [14]Dowding D, Freeman S, Nimmo S, Smith D, Wisniewski M: An investigation into the accuracy of different types of thermometers. Prof Nurse 2002, 18:166-168.
  • [15]Mangat J, Standley T, Prevost A, Vasconcelos J, White P: A comparison of technologies used for estimation of body temperature. Physiol Meas 2010, 31:1105-1118.
  • [16]Modell JG, Katholi CR, Kumaramangalam SM, Hudson EC, Graham D: Unreliability of the infrared tympanic thermometer in clinical practice: a comparative study with oral mercury and oral electronic thermometers. South Med J 1998, 91:649-654.
  • [17]Rabbani MZ, Amir M, Malik M, Mufti M, Bin Pervez M, Iftekhar S: Tympanic temperature comparison with oral mercury thermometer readings in an OPD setting. J Coll Physicians Surg Pak 2010, 20:33-36.
  • [18]Bridges E, Thomas K: Noninvasive measurement of body temperature in critically ill patients. Crit Care Nurse 2009, 29:94-97.
  • [19]Chamberlain JM, Terndrup TE, Alexander DT, Silverstone FA, Wolf-Klein G, O'Donnell R, Grandner J: Determination of normal ear temperature with an infrared emission detection thermometer. Ann Emerg Med 1995, 25:15-20.
  • [20]Erickson RS, Meyer LT: Accuracy of infrared ear thermometry and other temperature methods in adults. Am J Crit Care 1994, 3:40-54.
  • [21]Fulbrook P: Core body temperature measurement: a comparison of axilla, tympanic membrane and pulmonary artery blood temperature. Intensive Crit Care Nurs 1997, 13:266-272.
  • [22]Blumenthal I: Should we ban the mercury thermometer? Discussion paper. J R Soc Med 1992, 85:553-555.
  • [23]Edelu BO, Ojinnaka NC, Ikefuna AN: Fever detection in under 5 children in a tertiary health facility using the infrared tympanic thermometer in the oral mode. Ital J Pediatr 2011, 37:8. BioMed Central Full Text
  文献评价指标  
  下载次数:31次 浏览次数:44次