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[Axillary temperature compared to tympanic membrane temperature in children].

G Greyling1, M J Viljoen, G Joubert

  • 1Departement Huisartskunde Fakulteit Gesondheidswetenskappe Universiteit van die Oranje Vrystaat.

Curationis
|April 16, 2002
PubMed
Summary

Axillary temperature measurements in children aged 1-12 years improve over time, with 9-minute readings showing the highest sensitivity for detecting fever. This method is a viable screening tool for pediatric fever in emergency settings.

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Area of Science:

  • Pediatrics
  • Medical Thermometry

Background:

  • Accurate temperature measurement is crucial for diagnosing pediatric fever.
  • Axillary temperature measurement is a common, non-invasive method.
  • Tympanic membrane temperature is considered the gold standard for core body temperature measurement.

Purpose of the Study:

  • To evaluate axillary temperature measurements at 3, 6, and 9 minutes in children aged 1-12 years.
  • To compare axillary readings with tympanic membrane temperatures.
  • To determine the optimal measurement duration and temperature range for axillary fever screening.

Main Methods:

  • Non-random sampling of 100 children aged 1-12 years.
  • Axillary temperature measured at 3, 6, and 9 minutes.
  • Simultaneous measurement of tympanic membrane temperature as the gold standard.

Related Experiment Videos

  • Analysis using sensitivity, specificity, limits of agreement, and predictive values.

    • Main Results:

    • Axillary temperature readings increased with measurement duration.
    • Maximum temperature readings were achieved at 9 minutes in 66% of children.
    • The 35.5°C to 37.2°C range showed the highest sensitivity for fever detection at 9 minutes.
    • Specificity was lower within this sensitive range.

    Conclusions:

    • Axillary temperature measurement is an acceptable screening method for pediatric fever in emergency settings.
    • A 9-minute measurement duration offers the highest sensitivity.
    • Careful consideration of temperature ranges and measurement duration is necessary for accurate axillary temperature assessment.