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Assessment of preferable site for temperature measurement using non-contact infra-red temperature among pediatric
Saiprasad O Kavthekar1, Ashok A Chougule2, Swati S Kavthekar3
1Department of Pediatrics, Dr D.Y. Patil Hospital and Research Center, D.Y. Patil Medical College, D.Y. Patil Education Society, Kolhapur, India.
Background:
Accurate temperature measurement with little or no discomfort that is safe, without risk of hospital-acquired infections or perforations, is the preferred choice of medical professionals in pediatric settings. The objective was to discover the preferable site for body temperature measurement using non-contact infra-red thermometer (NCIT) among pediatric patients.
Methods:
NCIT measurement at mid forehead (F), right temporal region (T), right side of neck-over-carotid artery area (N), jugular notch (J), sternum (S), umbilical region and sublingual region (U) were compared with digital axillary temperature (DAT) in a single attempt in 500 patients, aged between 2 to 5 years with fever. Data was analyzed using Pearson's correlation, paired t-test and Bland-Altman plot to assess the correlation and agreement between the DAT and NCIT sites.
Results:
The mean temperature of NCIT-T (38.42±0.64 °C) was more agreeable with DAT (38.42±0.63 °C) compared to other body sites. The minimum mean bias of -0.00480 °C was noted for NCIT-F with 95% CI of -0.164-0.15; however, NCIT-F revealed many outliers as compared to NCIT-J. A strong positive correlation existed between DAT and NCIT sites (r value: 0.99-0.98). However, significant difference was found between DAT and NCIT-N, NCIT-F and NCIT-U (P<0.0001).
Conclusions:
NCIT-J is the most preferable choice for measuring body temperature and can be interchanged with DAT. It will help to deliver fast results with enhanced patient comfort due to its non-invasive nature.
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