Çocuk Acil Servisine Başvuran 6 Ay-5 Yaş Arası Ateşli Hastalarda Aksiller, Rektal ve Timpanik Ateş Ölçümlerinin Karşılaştırılması
Journal Title: Eurasian Journal of Family Medicine - Year 2016, Vol 5, Issue 3
Abstract
Aim: We aimed to compare measurement of axillary, rectal, tympanic sites in children aged between 6 months and 5 years old, who presented to Emergency Service of Adana Numune Training and Research Hospital with fever. Methods: 518 children were enrolled in our study, aged between 6 months and 5 years old who presented to emergency service of Adana Numune Training and Research Hospital with complaints of fever. As a part of routine medical examination, digital and mercury glass thermometers used for detecting axillary and rectal temperatures. In the meantime, tympanic infrared thermometers were used for measurement of tympanic fever. Following the stabilization of patients, a questionnare was given to mothers or fathers of children which has 17 questions to answer about fever and demografic data. Results: Mean age of children enrolled in our study was 26.53±15.534 months, median 22.0, (6-60 months), female/male ratio 1,51/1 and mean number of siblings 1.2±1.1 (0-11). As we used rectal digital measurement as a baseline of correspondance, the mean difference of rectal digital temperature was about 0.4 0C higher than tympanic temperature, but the mean difference was about 0.184 0C higher when we used mercury glass thermometer instead of digital one. When we compared axillary measurements with others, we observed that tympanic measurement’s mean difference was 0.413 0C higher than axillary digital measurement, and tympanic measurement is 0.603 0C higher than mercury glass axillary thermometer measurement. Conclusion: As literature screened, both outcomes in the literature and outcomes that we obtain were found inconsistent. Thermometers need to be trusted less while establishing a clinical decision.
Authors and Affiliations
Muhteşem Erol Yayla
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