Assessment of preferable site for temperature measurement using non-contact infra-red temperature among pediatric patients.

IF 2.6 4区医学 Q2 Medicine Minerva pediatrica Pub Date : 2024-02-01 Epub Date: 2020-05-15 DOI:10.23736/S2724-5276.20.05755-2

Saiprasad O Kavthekar, Ashok A Chougule, Swati S Kavthekar, Anil B Kurane, Sachin Verma

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Abstract

Background: Accurate temperature measurement with little or no discomfort that is safe, without risk of hospital-acquired infections or perforations, is the preferred choice of medical professionals in pediatric settings. The objective was to discover the preferable site for body temperature measurement using non-contact infra-red thermometer (NCIT) among pediatric patients.

Methods: NCIT measurement at mid forehead (F), right temporal region (T), right side of neck-over-carotid artery area (N), jugular notch (J), sternum (S), umbilical region and sublingual region (U) were compared with digital axillary temperature (DAT) in a single attempt in 500 patients, aged between 2 to 5 years with fever. Data was analyzed using Pearson's correlation, paired t-test and Bland-Altman plot to assess the correlation and agreement between the DAT and NCIT sites.

Results: The mean temperature of NCIT-T (38.42±0.64 °C) was more agreeable with DAT (38.42±0.63 °C) compared to other body sites. The minimum mean bias of -0.00480 °C was noted for NCIT-F with 95% CI of -0.164-0.15; however, NCIT-F revealed many outliers as compared to NCIT-J. A strong positive correlation existed between DAT and NCIT sites (r value: 0.99-0.98). However, significant difference was found between DAT and NCIT-N, NCIT-F and NCIT-U (P<0.0001).

Conclusions: NCIT-J is the most preferable choice for measuring body temperature and can be interchanged with DAT. It will help to deliver fast results with enhanced patient comfort due to its non-invasive nature.

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评估儿科患者使用非接触式红外测温仪测量体温的首选部位。

背景：在儿科环境中，准确测量体温、安全且几乎无不适感、无医院感染或穿孔风险是医务人员的首选。本研究旨在发现儿科患者使用非接触式红外线体温计（NCIT）测量体温的首选部位：方法：在 500 名 2 至 5 岁的发烧患者中，将前额中部 (F)、右颞部 (T)、颈部右侧-颈动脉上方区域 (N)、颈静脉切迹 (J)、胸骨 (S)、脐部和舌下区域 (U) 的非接触式红外体温计测量值与数字腋温 (DAT) 进行一次性比较。采用皮尔逊相关性、配对 t 检验和布兰德-阿尔特曼图对数据进行分析，以评估 DAT 和 NCIT 位置之间的相关性和一致性：结果：与其他身体部位相比，NCIT-T 的平均温度（38.42±0.64 ℃）与 DAT 的平均温度（38.42±0.63 ℃）更为一致。NCIT-F的平均偏差最小，为-0.00480 ℃，95% CI为-0.164-0.15；但与NCIT-J相比，NCIT-F显示出许多异常值。DAT 和 NCIT 点之间存在很强的正相关性（r 值：0.99-0.98）。然而，DAT 与 NCIT-N、NCIT-F 和 NCIT-U 之间存在明显差异（PConclusions：NCIT-J 是测量体温的最佳选择，可与 DAT 互换使用。由于其非侵入性，它将有助于快速得出结果，并提高病人的舒适度。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Minerva pediatrica PEDIATRICS-

CiteScore

2.70

自引率

3.80%

发文量

审稿时长

>12 weeks

期刊介绍： Minerva Pediatrica publishes scientific papers on pediatrics, neonatology, adolescent medicine, child and adolescent psychiatry and pediatric surgery. Manuscripts may be submitted in the form of editorials, original articles, review articles, special articles, letters to the Editor and guidelines. The journal aims to provide its readers with papers of the highest quality and impact through a process of careful peer review and editorial work.