赤外線耳温計と小児における直腸温計の比較:体系的なレビュー
Jean V Craig1, Gillian A Lancaster, Stephen Taylor
1University of Liverpool, Institute of Child Health, Alder Hey Children's Hospital, Liverpool L12 2AP, UK.
Lancet (London, England)
|September 21, 2002
まとめ
赤外線耳温計は,迅速な温度測定を提供しますが,小児の直腸の温度を正確に推定することはできません. 広範な合意の限界は,正確な体温評価のために耳の温度測定が信頼できないことを示しています.
科学分野:
- 小児科は小児科です.
- 医療機器 医療機器について
- クリニック・サーモメトリー (Clinical Thermometry) とは
背景:
- 赤外線耳温計は,アクセスしやすいため,小児の体温を測定するための一般的な迅速な方法です.
- 既定の方法と比較して,耳の温度測定の正確性と信頼性について懸念があります.
研究 の 目的:
- 小児の集団における直腸および赤外線耳の温度測定の間の一致性を体系的に評価する.
- 赤外線耳温計が,体温の信頼性の高い近似値を提供しているかどうかを判断する.
主な方法:
- 5935人の子供における直腸 (参照) と赤外線耳 (テスト) の温度を比較した44件の研究の体系的なレビューとメタ解析.
- 赤外線耳温計モードに基づくサブグループ分析による異質性の探求.
主要な成果:
- 総合的な平均気温差 (直腸経口減耳) は0.29°Cで, 95%の合意範囲 (-0.74°Cから1.32°C) が広い.
- 差異は耳温計のモードによって異なるが,すべてのグループで有意な異質性が持続した.
- 31件の比較 (4,441人の子供) のデータがメタ解析に含まれました.
結論:
- わずかな平均差があるにも関わらず,合意の広い境界線は,赤外線耳温計が子供の直腸温度測定の正確な代替物ではないことを示しています.
- 調査結果は,赤外線耳温計は,正確な体温評価のための基準方法と十分な合意がないことを示唆しています.
関連する概念動画
01:13Equipments Used to Measure Body Temperature
Body temperature can be assessed using various devices and measured in Celsius or Fahrenheit.
Glass-bulb Thermometer:
Glass-bulb thermometers are hollow glass tubes with a bulb tip containing liquid such as ethanol or mercury. Historically, glass bulb mercury thermometers were the standard device to measure body temperature. Today, mercury thermometers are prohibited in many countries due to the hazardous effects of mercury and the risk of exposure if the glass bulb breaks. In general,...
Glass-bulb Thermometer:
Glass-bulb thermometers are hollow glass tubes with a bulb tip containing liquid such as ethanol or mercury. Historically, glass bulb mercury thermometers were the standard device to measure body temperature. Today, mercury thermometers are prohibited in many countries due to the hazardous effects of mercury and the risk of exposure if the glass bulb breaks. In general,...
01:14Temperature Measurement Sites
A thermometer measures body temperature. The common sites for measuring body temperature are the oral cavity, axillary region, temporal artery, and skin surface, such as the forehead, abdomen, and axilla. True core body temperature is assessed in the rectum, tympanic membrane, pulmonary artery, esophagus, and urinary bladder.
Oral: When assessing oral temperature, the thermometer tip should be placed under the tongue in the posterior sublingual pocket. It offers accurate readings and can be...
Oral: When assessing oral temperature, the thermometer tip should be placed under the tongue in the posterior sublingual pocket. It offers accurate readings and can be...
01:14Assessing Body Temperature - Tympanic membrane
Assessing tympanic membrane temperature involves using a tympanic membrane thermometer (TMT). Here is a step-by-step guide:
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...
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...
01:14Assessing Body Temperature - Oral
Here are the steps to accurately measure oral temperature using an electronic thermometer:
Step 1:
Start by practicing proper hand hygiene to prevent the spread of microorganisms.
Step 2:
Take the thermometer out of the charging unit, switch it on, and wait for the ready sign.
Step 3:
Gently slide the probe cover until a click is heard. This simple action prevents cross-contamination and ensures the correct placement of the probe cover.
Step 4:
Instruct the patient to open their mouth and place...
Step 1:
Start by practicing proper hand hygiene to prevent the spread of microorganisms.
Step 2:
Take the thermometer out of the charging unit, switch it on, and wait for the ready sign.
Step 3:
Gently slide the probe cover until a click is heard. This simple action prevents cross-contamination and ensures the correct placement of the probe cover.
Step 4:
Instruct the patient to open their mouth and place...
01:27Assessing Body Temperature - Rectal
Rectal temperature measurement is considered the most precise method for assessing core body temperature and typically registers higher than oral temperature. For adults, the rectal thermometer should be inserted 1 to 1.5 inches into the rectum to obtain the most accurate reading.
Follow these steps for rectal temperature assessment:
Step 1: Perform hand hygiene and don clean gloves to prevent cross-infection.
Step 2: Position the patient in a side-lying position to better visualize the rectal...
Follow these steps for rectal temperature assessment:
Step 1: Perform hand hygiene and don clean gloves to prevent cross-infection.
Step 2: Position the patient in a side-lying position to better visualize the rectal...
01:19Assessing Body Temperature - Temporal Artery
Here is a stepwise guide to assessing the body temperature at the temporal artery using a temporal artery thermometer
Step 1: Perform hand hygiene and don a fresh pair of gloves to prevent cross-infection and ensure patient safety.
Step 2: Explain the procedure to the patient to establish trust. Clear communication establishes trust with the patient, ensures they understand what to expect, promotes cooperation, and enhances comfort during the procedure.
Step 3: Assess the patient's forehead...
Step 1: Perform hand hygiene and don a fresh pair of gloves to prevent cross-infection and ensure patient safety.
Step 2: Explain the procedure to the patient to establish trust. Clear communication establishes trust with the patient, ensures they understand what to expect, promotes cooperation, and enhances comfort during the procedure.
Step 3: Assess the patient's forehead...