Axillary and tympanic membrane temperature recording in the preterm neonate: a comparative study

Bailey, Judi; Rose, Pat

doi:10.1046/j.1365-2648.2001.01775.x

Cited by 24 publications

(31 citation statements)

References 17 publications

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“…Preterm infants are prone to temperature maintenance problems due to immature thermoregulatory mechanism and relatively large body surface area. Therefore, body temperatures of preterm babies need to be measured regularly 1 . Minimal handling is a basic principle of neonatal care as frequent disturbance may lead to hypoxia and deterioration in their clinical condition.…”

Section: Introductionmentioning

confidence: 99%

Comparison of temporal artery, mid‐forehead skin and axillary temperature recordings in preterm infants <1500 g of birthweight*

Duran¹,

Vatansever²,

Acunaş³

et al. 2009

J Paediatrics Child Health

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Section: Introductionmentioning

confidence: 99%

Comparison of temporal artery, mid‐forehead skin and axillary temperature recordings in preterm infants <1500 g of birthweight*

Duran¹,

Vatansever²,

Acunaş³

et al. 2009

J Paediatrics Child Health

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show abstract

“…The Bland-Altman method was used (95% 'limits of agreement' mean 8 2 SD) to determine the level of agreement between axillary and rectal measurements [8,9] . The data were analyzed using SPSS version 11.0 (SPSS, Chicago, Ill., USA).…”

Section: Statistical Analysesmentioning

confidence: 99%

“…In many newborn nurseries rectal temperature measurements are common practice. The rectal route is a very practical method to determine the core temperature and is considered as 'gold standard' by many pediatricians [8][9][10] , some circumstances, e.g., anal atresia or necrotizing enterocolitis, excepted. Potential complications of rectal thermometry include spread of infection [11][12][13] and rectal perforation [14][15][16] .…”

Section: Introductionmentioning

confidence: 99%

Axillary and Rectal Temperature Measurements Poorly Agree in Newborn Infants

Müller

Berkel

Beaufort³

2008

Neonatology

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Aim: Evaluation of the agreement between axillary temperature measurements and rectal temperature measurements in neonates. Methods: Rectal and axillary body temperatures were simultaneously measured for 3 min in 33 neonates (gestational age 25–42 weeks, weight 840–4,005 g). Two investigators performed paired measurements, one in each neonate. A single type of thermometer was used in this study: one thermometer for each rectal and another thermometer for each axillary measurement. The Bland-Altman method was used (95% ‘limits of agreement’: mean ± 2 SD) to determine the level of agreement between axillary and rectal measurements. Results: The axillary temperature was significantly lower than the rectal temperature (mean ± SD 0.27 ± 0.20°C, p < 0.05). The ‘95% limits of agreement’ ranged from –0.13 to +0.67°C. Increasing postnatal age (days) showed a significant increase in temperature difference (rectal minus axillary; r = 0.54; p < 0.05). Conclusions: The mean difference between axillary and rectal temperature shows a wide variation. Axillary temperature measurements cannot be used interchangeably with rectal measurements in neonates.

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“…It was shown that temperature out of the normal range is closely related to the survival of infants. [6,7,10,11] Many decisions concerning the investigation and treatment of children may based on the results of temperature measurement alone. [12,13] As the basic sciences develop, temperature measurement methods and devices were improved.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Body Temperature Between 5min and 10min Glass Mercury Thermometers in Under-5 Children in Axum Saint Mary Hospital, Central Zone of Tigray, Ethiopia

Hadgu

Almaz²,

Murugan³

et al. 2017

AJMSM

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Background: Evaluation of body temperature is one of the oldest known diagnostic methods and still an important sign of health and disease. Since rectal and oral temperature measurement are uncomfortable, less hygienic and unacceptable in many cultures; axillary has been method of choice in many countries like Ethiopia. In children decisions concerning investigation and treatment may base on results of temperature alone. Although accuracy of axillary temperature measurement is affected by a number of factors, device dwell time and device type are common. Objective: is to compare body temperature among 5 and 10 Min glass-mercury thermometer. Method: Experimental study design was used to compare body temperature among 5Minand 10Min GMT. A total of 98 samples were taken. The GMT (5 and 10min) was taken at the same axilla simultaneously. A statistical significance (p<0.01) and clinical significant (0.2°C) were used. Correlation and Bland-Altman plot were used to observe the agreements of the recording. Results: mean difference (MD) of 5 and10 GMT was 0.13673±0.13112. A statistically significant difference was noted in comparisons of mean temperatures of 10min GMT with 5min GMT (P<0.000), But clinically not significant (MD<0.2°C). The correlation analysis also shows strong positive correlation (r>0.75) and all the MD were fall in the limit of agreement in Bland-Altman plot. Conclusion and Recommendations: Even a statistical significant (p<0.000) difference was observed in 5 min with 10min GMT the strong correlation, their good agreement and clinical insignificant, some important advantages of 5 Min GMT makes better than 10 Min. Their variation in temperature is not likely to change any clinical decision. So health professionals should use 5Min GMT for measuring body temperature in under-5 febrile illness except for neonate. Moreover researchers should repeat the study using core temperature as gold standard for comparison.

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Axillary and tympanic membrane temperature recording in the preterm neonate: a comparative study

Cited by 24 publications

References 17 publications

Comparison of temporal artery, mid‐forehead skin and axillary temperature recordings in preterm infants <1500 g of birthweight*

Comparison of temporal artery, mid‐forehead skin and axillary temperature recordings in preterm infants <1500 g of birthweight*

Axillary and Rectal Temperature Measurements Poorly Agree in Newborn Infants

Comparison of Body Temperature Between 5min and 10min Glass Mercury Thermometers in Under-5 Children in Axum Saint Mary Hospital, Central Zone of Tigray, Ethiopia

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