Thermometers and rectal perforations in the neonate

Area of Science:

• Neonatal care
• Pediatric surgery

Background:

• Rectal perforation is a rare but serious complication in neonates.
• Accurate temperature monitoring is critical for neonatal health management.

Observation:

• Three cases of neonates presenting with rectal perforations potentially linked to rectal thermometer use were observed.
• Diagnosis of rectal perforation can be challenging, even during exploratory surgery (laparotomy).

Findings:

• The use of rectal thermometers in neonates is associated with a risk of rectal perforation.
• Axillary temperature measurement accurately reflects core body temperature in neonates.

Implications:

• Routine use of rectal thermometers in neonates should be discontinued, except in specific clinical situations.
• Alternative methods like axillary temperature monitoring should be prioritized for neonatal temperature assessment.
• Increased awareness and vigilance are needed to prevent iatrogenic injuries in neonatal care.