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Published on: November 21, 2017
Febrile period and maximum body temperature in patients with measles over 15 years old
K Ohnishi1, I Nakamura, F Nakamura-Uchiyama
1Department of Infectious Diseases, Tokyo Metropolitan Bokutoh General Hospital, 4-23-15 Kohtohbashi, Sumida City, Tokyo 130-8575, Japan. infection@bokutoh-hp.metro.tokyo.jp
Abstract:
The medical records of Japanese patients with measles, age 15 to 39 years old, were analyzed for febrile period in 200 patients and maximum body temperature in 211 patients. The febrile periods by age group were as follows: 7.7 +/- 1.4 days, 7.8 +/- 1.7 days, 8.1 +/- 1.7 days, 8.1 +/- 2.4 days and 7.5 +/- 1.4 days in 15-19, 20-24, 25-29, 30-34 and 35-39 year-olds, respectively. No significant differences in febrile periods were identified among the different age groups. A maximum body temperature over 40 degrees C was seen in 61, 58, 59, 50 and 33% of the 15-19, 20-24, 25-29, 30-34 and 35-39 year-olds, respectively. The results of our study indicate age is not a determining factor for febrile period, but maximum body temperature may be lower in older than in younger patients with measles.
Insights
This study found that age does not significantly impact the duration of fever in measles patients. However, older individuals may experience lower maximum body temperatures compared to younger patients.
Area of Science:
- Infectious Diseases
- Epidemiology
- Public Health
Background:
- Measles remains a significant public health concern globally.
- Understanding disease characteristics across different age demographics is crucial for effective management.
Purpose of the Study:
- To investigate the relationship between age and key clinical features of measles.
- Specifically, to analyze the duration of febrile illness and maximum body temperature in relation to age groups.
Main Methods:
- Retrospective analysis of medical records from Japanese patients diagnosed with measles.
- Data collected included patient age, duration of febrile period, and maximum recorded body temperature.
- Statistical analysis was performed to compare these parameters across different age cohorts (15-39 years).
Main Results:
- No statistically significant differences were observed in the febrile periods among the analyzed age groups (15-19, 20-24, 25-29, 30-34, 35-39 years).
- A notable trend indicated that a lower percentage of older patients (35-39 years) experienced maximum body temperatures exceeding 40°C compared to younger age groups.
- Specifically, 33% of the 35-39 year-olds had temperatures over 40°C, versus 50-61% in younger groups.
Conclusions:
- Age is not a significant determinant of the febrile period duration in adult measles cases.
- Maximum body temperature during measles may be inversely related to age, with older patients potentially exhibiting lower peak temperatures.
- These findings contribute to a nuanced understanding of measles clinical presentation in adults.
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Assessing Body Temperature - Tympanic membrane
Step 1: Begin by practicing good hand hygiene to prevent the transmission of microorganisms.
Step 2: Turn on the thermometer and wait until the ready sign appears on the screen to ensure accurate measurement.
Step 3: Slide the probe cover in place to prevent cross-contamination.
Step 4: Instruct the patient to tilt their head to the side for comfort and check for cerumen...
