儿科急诊科中鼓膜温度计与直肠温度计和口腔温度计的比较。

Comparison of a tympanic thermometer to rectal and oral thermometers in a pediatric emergency department.

作者信息

Chamberlain J M, Grandner J, Rubinoff J L, Klein B L, Waisman Y, Huey M

机构信息

Emergency Medical Trauma Center (EMTC), Children's National Medical Center, Washington, DC 20010.

出版信息

Clin Pediatr (Phila). 1991 Apr;30(4 Suppl):24-9; discussion 34-5. doi: 10.1177/0009922891030004S08.

DOI:10.1177/0009922891030004S08

PMID:2029814

Abstract

We performed a clinical trial of a new tympanic thermometer to test its accuracy in a pediatric emergency department. Tympanic temperature was compared to oral or rectal glass and electronic temperature, depending on the developmental age of the child. Results were controlled for age of the child, cooperation, quantity of cerumen, and the presence or absence of otitis media. Our results suggest good correlation of tympanic with oral and rectal glass thermometry except in infants less than three months of age. Sensitivity and specificity, respectively, were 80% and 93% for detecting fever of 38 degrees C and 80% and 95% for detecting fever of 38.5 degrees C.

摘要

我们对一种新型鼓膜温度计进行了一项临床试验，以测试其在儿科急诊科的准确性。根据儿童的发育年龄，将鼓膜温度与口腔或直肠玻璃体温计及电子体温计的测量结果进行比较。对儿童的年龄、配合程度、耵聍量以及是否存在中耳炎等因素进行了结果控制。我们的结果表明，除了三个月以下的婴儿外，鼓膜温度与口腔和直肠玻璃体温计测量结果具有良好的相关性。检测38摄氏度发热的敏感性和特异性分别为80%和93%，检测38.5摄氏度发热的敏感性和特异性分别为80%和95%。