Temperature Recording In Neonates by Non-Contact Thermometer Versus Routine Digital Thermometer - The Best Modality?
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Introduction: Measurement of temperature in neonates should be accurate, reliable and reproducible, considering that they have a limited ability to regulate their own temperature. There is no ideal thermometer to measure temperature, however, there has been a constant endeavour to find more accurate and non-invasive means of measurement. The present study was conducted to find whether Non-Contact Infrared thermometers were as accurate as Digital Axillary thermometers in measuring temperatures in neonates.
Methodology: This was a comparative diagnostic study, carried out in the maternity unit of a tertiary care hospital over a period of 6 weeks. A total of 154 neonates were recruited in the study through consecutive sampling and their temperatures recorded using Non-Contact Infrared Thermometer (NCIT) on forehead and Digital Axillary Thermometer (DAT) on axilla simultaneously.
Results: The average temperature recording on forehead using NCIT and axilla using DAT, was in the range of 36 – 37oC, with the NCIT showing a higher recording as compared to the DAT. The mean difference between the two modalities was -0.46oC. A Bland-Altman plot analysis was done, in which majority of readings had wide variation, falling beyond the upper (0.57oC) and lower (-1.49oC) limits. A linear regression plot also showed a positive correlation between NCIT on forehead and DAT on axilla, with absolute R value = 0.2, which showed a weak correlation between the two.
Conclusion: It was concluded that NCIT measurements on forehead are not as accurate as DAT measurements on axilla. However, a larger study, is needed to extrapolate these findings to the general population.
Conclusion: It was concluded that NCIT measurements on forehead are not as accurate as DAT measurements on axilla. However, a larger study, is needed to extrapolate these findings to the general population.
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References
Melbourne, T., 2022. Clinical Guidelines (Nursing: Temperature
management. [online] Rch.org.au. Available at:
<https://www.rch.org.au/rchcpg/hospital_clinical_
guideline_index/Temperature_Management/> [Accessed
November 2021]
Schubring C. Temperature regulation in healthy and
resuscitated newborns immediately after birth. J Perinat
Med. 1986;14(1):27-33.
Asakura H. Fetal and neonatal thermoregulation.
J Nippon Med Sch. 2004 Dec;71(6):360-70.
World Health Organization . Thermal protection of the
newborn: A practical guide. World Health Organization;
Geneva: 1997. Report No.: WHO/RHT/MSM/97.2.
Uslu S, Ozdemir H, Bulbul A, Comert S, Bolat F, Can
E, Nuhoglu A. A comparison of different methods of
temperature measurements in sick newborns. J Trop
Pediatr. 2011 Dec;57(6):418-23.
Robertson-Smith J, McCaffrey FT, Sayers R, Williams S,
Taylor BJ. A comparison of mid-forehead and axillary
temperatures in newborn intensive care. J Perinatol.
Feb;35(2):120-2.
Apa H, Gözmen S, Bayram N, Çatkoğlu A, Devrim
F, Karaarslan U, Günay İ, Ünal N, Devrim İ. Clinical
accuracy of tympanic thermometer and noncontact
infrared skin thermometer in pediatric practice: an
alternative for axillary digital thermometer. Pediatr
Emerg Care. 2013 Sep;29(9):992-7.
Thiagarajan S, Balaji R, Pothapregada S. Non-Contact
Infrared Thermometry in Febrile Infants. Indian
pediatrics 2020;57(9):857–858
Chiappini E, Sollai S, Longhi R, Morandini L, Laghi
A, Osio CE, Persiani M, Lonati S, Picchi R, Bonsignori
F, Mannelli F, Galli L, de Martino M. Performance of
non-contact infrared thermometer for detecting febrile
children in hospital and ambulatory settings. J Clin
Nurs. 2011 May;20(9-10):1311-8.
Hayward G, Verbakel JY, Ismail FA, Edwards G, Wang
K, Fleming S, Holtman GA, Glogowska M, Morris
E, Curtis K, van den Bruel A. Non-contact infrared
versus axillary and tympanic thermometers in children
attending primary care: a mixed-methods study of
accuracy and acceptability. British Journal of General
Practice 2020; 70 (693): e236-e244. DOI: https://doi.
org/10.3399/bjgp20X708845
Sugawara S, Imataka G, Yoshihara S. Usefulness of
Non-Contact Infrared Thermometer for Early Neonatal
Period Using Bland-Altman Analysis. Iranian journal of
public health. 2020;49(2): 411–413.
Dante A, Gaxhja E, Masotta V, LaCerra C, Caponnetto V,
Petrucci C, Lancia L. Evaluating the interchangeability of
infrared and digital devices with the traditional mercury
thermometer in hospitalized pediatric patients: an
observational study. Scientific Reports. 2021;11, 17014.
https://doi.org/10.1038/s41598-021-96587-y
Smith J, Alcock G, Usher K. Temperature measurement
in the preterm and term neonate: a review of the
literature. Neonatal Network. 2013 Jan 1;32(1):16-25.
Sener S, Karcioglu O, Eken C, Yaylaci S, Ozsarac
M. Agreement between axillary, tympanic, and midforehead
body temperature measurements in adult
emergency department patients. European Journal of
Emergency Medicine. August 2012;19(4): 252-256.