Evaluation of a tympanic thermometer in children

Brogan, Paul A.; Childs, Charmaine; Phillips, BarbaraM.; Moulton, Christopher J.

doi:10.1016/0140-6736(93)92275-x

Cited by 9 publications

(3 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There have been several studies of ear temperatures in children since the appearance in the 1980s of commercial thermometers using infrared technology to detect tympanic membrane temperature. [12][13][14][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34] These studies generally demonstrate a modest to excellent correlation of tympanic to rectal temperatures, except in infants under 3 months old.i0,21,35 However, agreement of ear with rectal tem-peraturesl7,24,26,28 and sensitivity of ear temperatures to detect rectal fever l1, 17,20,22,23,26,33,35 were repeatedly found to be too poor for safe clinical use.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Temple Temperatures with Rectal Temperatures in Children Under Two Years of Age

Siberry

Diener‐West

Schappell

et al. 2002

Clin Pediatr (Phila)

View full text Add to dashboard Cite

We assessed the agreement between rectal and noninvasive temporal artery temperature measurements in infants and children. We also evaluated the temple thermometer as a screening tool for rectal fever in this age group. Finally, we compared the performance of parents with that of nurses in using the temple thermometer. The 95% limits of agreement between the difference in rectal and average temple temperature were -1.03 and +1.52 degrees C. Mean temple temperatures obtained by parents and by nurses were similar (95% limits of agreement, -0.6 degrees C to +0.7 degrees C). A maximum temple temperature cutoff of 37.2 degrees C (99.0 degrees F) distinguished children with rectal fever of > or =38.0 degrees C with 91% sensitivity and 53% specificity. A cutoff of 37.8 degrees C (100.0 degrees F) distinguished moderate rectal fevers (> or =38.5 degrees C) with 97% sensitivity and 84% specificity. A cutoff of 38.3 degrees C (101.0 degrees F) distinguished a high rectal fever (> or =39.0 degrees C) with a sensitivity of 95% and specificity of 95%. In conclusion, temple temperatures do not reliably predict rectal temperatures, but the temple thermometer can be used as an effective screen for clinically important rectal fever in children 3-24 months old. The findings do not support use of temple temperatures to screen young infants for rectal fever > or =38.0 degrees C. Temperatures obtained by parents were comparable to those obtained by nurses.

show abstract

Section: Discussionmentioning

confidence: 99%

Comparison of Temple Temperatures with Rectal Temperatures in Children Under Two Years of Age

Siberry

Diener‐West

Schappell

et al. 2002

Clin Pediatr (Phila)

View full text Add to dashboard Cite

show abstract

“…[22] Hence, the tympanic temperature was measured with the help of a pediatric tympanic thermometer (Swan-DX 6603 ® ). The tympanic temperature was recorded before drug administration and then on an hourly basis till 4 h post dose.…”

Section: Methodsmentioning

confidence: 99%

Randomized comparative trial of efficacy of paracetamol, ibuprofen and paracetamol-ibuprofen combination for treatment of febrile children

et al. 2014

View full text Add to dashboard Cite

Objective:Paracetamol and ibuprofen are widely used for fever in children as monotherapy and as combined therapy. None of the treatments is proven clearly superior to others. Hence, the study was planned to compare the efficacy of paracetamol, ibuprofen and paracetamol-ibuprofen combination for treatment of febrile children.Materials and Methods:This was an investigator blind, randomized, comparative, parallel clinical trial conducted in 99 febrile children, 6 months to 12 years of age, allocated to three groups. First group received paracetamol 15 mg/kg, second group received ibuprofen 10 mg/kg and third group received both paracetamol and ibuprofen, all as a single dose by the oral route. Patients were followed-up at intervals of 1, 2, 3 and 4 h post dose by tympanic thermometry.Results:Mean tympanic temperature after 4 h of drug administration was significantly lower in the combination group compared with paracetamol group (P < 0.05); however, the difference was not clinically significant (<1°C). The rate of fall of temperature was highest in the combination group. Number of afebrile children any time post dose until 4 h was highest in the combination group. Difference between combination and paracetamol was significant for the 1st h (P = 0.04). Highest fall of temperature was noted in the 1st h of drug administration in all the groups. No serious adverse events were observed in any of the groups.Conclusion:Paracetamol and ibuprofen combination caused quicker temperature reduction than either paracetamol or ibuprofen alone. If quicker reduction of body temperature is the desired goal of therapy, the use of combination of paracetamol + ibuprofen may be advocated.

show abstract

“…Recently, infrared tympanic thermometers, which offer a painless and instantaneous reading without membrane contact, have been developed and introduced onto the market (Shinozaki et al 1988, Stewart et al 1992, Ros 1989, Schuman 1991, Brogan et al 1993. Obviously, axillary/oral/rectal and tympanic temperature readings are not coincident.…”

Section: Introductionmentioning

confidence: 99%

An assessment of infrared tympanic thermometers for body temperature measurement

1997

View full text Add to dashboard Cite

This article provides an experimental assessment of three commercially available clinical thermometers, using different thermal infrared sensors. This kind of thermometer measures body temperature by detecting infrared radiation from the tympanic membrane. These thermometers are growing in popularity thanks to their simplicity of use, rapid response and minimal distress to the patient. The purpose of the laboratory tests presented here was to assess the effect of varying ambient temperature and varying simulated patient temperature on the performance of the three infrared tympanic thermometers.

show abstract

Evaluation of a tympanic thermometer in children

Cited by 9 publications

References 9 publications

Comparison of Temple Temperatures with Rectal Temperatures in Children Under Two Years of Age

Comparison of Temple Temperatures with Rectal Temperatures in Children Under Two Years of Age

Randomized comparative trial of efficacy of paracetamol, ibuprofen and paracetamol-ibuprofen combination for treatment of febrile children

An assessment of infrared tympanic thermometers for body temperature measurement

Contact Info

Product

Resources

About