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Why Temperature Screening for Coronavirus Disease 2019 With Noncontact Infrared Thermometers Does Not Work
William F Wright1, Philip A Mackowiak2
1Division of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Temperature screening for Coronavirus disease 2019 (COVID-19) aids patient evaluation and limits viral spread. Optimizing this process requires considering individual, environmental factors, and the fever threshold.
Area of Science:
- Public Health
- Infectious Disease Control
- Medical Diagnostics
Background:
- Temperature screening is a key strategy for Coronavirus disease 2019 (COVID-19) detection.
- Fever is a common early symptom, making temperature checks crucial for case identification.
- Screening large patient groups reduces healthcare exposure and viral transmission.
Purpose of the Study:
- To evaluate the effectiveness of temperature screening in Coronavirus disease 2019 (COVID-19) detection.
- To identify critical factors influencing the accuracy of temperature screening.
- To propose improvements for optimal temperature-based screening protocols.
Main Methods:
- Review of current temperature screening practices for Coronavirus disease 2019 (COVID-19).
- Analysis of individual and environmental factors affecting temperature measurements.
- Evaluation of existing fever thresholds and their outcomes.
Main Results:
- Temperature screening offers a scalable method for Coronavirus disease 2019 (COVID-19) case detection.
- Accuracy is influenced by individual physiology and environmental conditions.
- Current fever thresholds may require adjustment for optimal sensitivity and specificity.
Conclusions:
- Optimizing Coronavirus disease 2019 (COVID-19) screening necessitates a comprehensive approach.
- Consideration of individual and environmental factors is vital for accurate temperature-based detection.
- Revisiting the standard fever threshold could enhance screening efficacy.
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