儿科患者口腔温度计的准确性,精度和诊断准确性
Apostolos Deligakis1, Diamanto Aretha2, Eleni Almpani3
1Infection Department, General Hospital of Patras "Agios Andreas", Greece.
Journal of pediatric nursing
|August 31, 2024
概括
在儿科患者中,口腔温度计对发烧检测的灵敏度低,对低温的特异性低于最佳. 调整温度值可以提高发烧和低温的诊断准确度.
科学领域:
- 儿科医学 儿科医学
- 临床测热仪临床测热仪
- 诊断准确性研究 诊断准确性研究
背景情况:
- 准确的温度测量在儿科护理中至关重要.
- 口腔温度计是一种常见的方法,但其用于检测发烧和低温的可靠性需要评估.
- 直肠温度计是核心体温评估的黄金标准.
研究的目的:
- 评估儿科患者口腔温度计的准确性和精度.
- 为了确定口腔温度计检测发烧和低温的灵敏度和特异性.
- 为了将口腔温度读数与直肠温度计作为参考标准进行比较.
主要方法:
- 一项方法比较研究,涉及100名儿科患者 (6-17岁) 超过21个月.
- 使用KD-2150测量了口腔温度,使用IVAC Temp Plus II测量了直肠温度.
- 布兰德-阿尔特曼分析评估了准确性和精度;对于发烧 (≥38.0°C) 和低温 (≤35.9°C) 计算了敏感性,特异性和预测值.
主要成果:
- 口腔和直肠温度的平均差异为-0.34°C (95%的一致度:-0.52到-0.16).
- 口服温度计显示,发烧的灵敏度为0.50,特异性为1.0.
- 对于低温症,灵敏度为1.0,特异性为0.88.8. 35.7°C的口服门优化了低温检测.
结论:
- 口腔温度计对儿童发烧的敏感性较低,对低温的特异性低于最佳.
- 目前的温度截止值 (发烧<38.0°C,低温<36.0°C) 缺乏很高的确定性来排除发烧或确认低温.
- 使用调整的口腔温度值 (发烧<38.0°C,低温<35.9°C) 可以提高诊断的准确性.
相关概念视频
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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.
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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.
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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.
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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:
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Glass-bulb Thermometer:
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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...
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Assessing tympanic membrane temperature involves using a tympanic membrane thermometer (TMT). Here is a step-by-step guide:
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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...
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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...
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Here is a stepwise guide to assessing the body temperature at the temporal artery using a temporal artery thermometer
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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.
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