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Related Experiment Videos

Is axillary temperature an appropriate surrogate for core temperature?

R Lodha1, N Mukerji, N Sinha

  • 1Department of Pediatrics, All India Institute of Medical Sciences, New Delhi.

Indian Journal of Pediatrics
|September 14, 2000
PubMed
Summary

Axillary temperature measurements are a reliable alternative to rectal and oral methods for children. This study found good agreement between axillary and core temperatures in infants and older children.

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Area of Science:

  • Pediatrics
  • Clinical Thermometry
  • Medical Measurement Techniques

Background:

  • Accurate core body temperature measurement is crucial for patient assessment.
  • Axillary temperature measurement is convenient and safe but its accuracy as a surrogate is debated.
  • Existing research presents conflicting data on the reliability of axillary temperature readings.

Purpose of the Study:

  • To evaluate axillary temperature as a surrogate for core temperature measurement in pediatric populations.
  • To compare axillary temperature readings with rectal temperatures in infants and oral temperatures in older children.
  • To determine the agreement and reliability of axillary temperature measurements.

Main Methods:

  • A prospective comparative study design was employed.

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  • Axillary temperatures were measured alongside rectal temperatures in infants (<1 year) and oral temperatures in children (6-14 years).
  • Mercury-in-glass thermometers were used, and statistical tests of agreement were applied.

    • Main Results:

    • Axillary and rectal temperatures showed good agreement in infants (mean difference 0.6°C, 95% limits of agreement -0.3°C to 1.4°C).
    • Axillary and oral temperatures demonstrated good agreement in children aged 6-14 years (mean difference 0.6°C, 95% limits of agreement -0.4°C to 1.4°C).
    • The observed differences were within acceptable clinical limits.

    Conclusions:

    • Axillary temperature measurement is a viable and acceptable alternative to rectal and oral methods in children.
    • The findings support the use of axillary temperature for routine temperature assessment in pediatric patients.
    • This method offers a balance of convenience, safety, and accuracy for pediatric thermometry.