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Thermometry in paediatric practice.

A S El-Radhi1, W Barry

  • 1Queen Mary's Hospital, Sidcup, Kent, UK. sahib.el-radhi@qms.nhs.uk

Archives of Disease in Childhood
|March 23, 2006
PubMed
Summary
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Accurate body temperature measurement is crucial for fever detection. Tympanic (ear canal) thermometers show promise as a reliable method for monitoring core body temperature, especially in children.

Area of Science:

  • Medical Thermometry
  • Pediatric Health
  • Clinical Measurement

Background:

  • Accurate body temperature measurement is essential for fever diagnosis, but optimal methods remain debated.
  • Core body temperature, typically measured in the pulmonary artery, is the gold standard.
  • Clinically inaccessible core sites necessitate reliable surrogate measurements.

Purpose of the Study:

  • To evaluate the accuracy of different body temperature measurement sites.
  • To determine the most appropriate anatomical site for temperature monitoring.
  • To assess the potential of tympanic thermometry as a gold standard, particularly in pediatric populations.

Main Methods:

  • Review of existing studies on body temperature measurement techniques.
  • Comparison of temperatures from various sites (tympanic, esophageal, bladder, nasopharyngeal, axillary, oral, rectal) against core temperature.

Related Experiment Videos

  • Analysis of data reflecting accuracy during rapid temperature fluctuations.

    • Main Results:

    • Distal esophagus, bladder, and nasopharynx sites offer accuracy within 0.1-0.2°C of core temperature.
    • Tympanic membrane temperature measurements have demonstrated a strong correlation with pulmonary artery temperature.
    • Tympanic thermometry shows high accuracy even during rapid changes in body temperature.

    Conclusions:

    • Tympanic thermometry is a highly accurate method for reflecting core body temperature.
    • This method is particularly effective even when body temperature is changing rapidly.
    • With further validation, the tympanic site is poised to become the preferred standard for pediatric temperature measurement.