Department of Pediatrics, Division of Neonatology, Sisli Etfal Children Hospital, Istanbul, Turkey.
J Trop Pediatr. 2011 Dec;57(6):418-23. doi: 10.1093/tropej/fmq120. Epub 2011 Jan 18.
We aimed to compare the accuracy of digital axillary thermometer (DAT), rectal glass mercury thermometer (RGMT), infrared tympanic thermometer (ITT) and infrared forehead skin thermometer (IFST) measurements with traditional axillary glass mercury thermometer (AGMT) for intermittent temperature measurement in sick newborns. A prospective, descriptive and comparative study in which five different types of thermometer readings were performed sequentially for 3 days. A total of 1989 measurements were collected from 663 newborns. DAT and ITT measurements correlated most closely to AGMT (r = 0.94). The correlation coefficent for IFST and RGMT were 0.74 and 0.87, respectively. The mean differences for DAT, ITT, RGMT and IFST were +0.02°C, +0.03°C, +0.25°C and +0.55°C, respectively. There were not any clinical differences (defined as a mean difference of 0.2°C) between both mean AGMT&DAT and AGMT&ITT measurements. Our study suggests that tympanic thermometer measurement could be used as an acceptable and practical method for sick newborn in neonatal units.
我们旨在比较数字腋下温度计（DAT）、直肠玻璃水银温度计（RGMT）、红外鼓膜温度计（ITT）和红外额皮肤温度计（IFST）与传统腋下玻璃水银温度计（AGMT）在测量新生儿间歇性体温时的准确性。这是一项前瞻性、描述性和比较性研究，其中连续 3 天对 5 种不同类型的温度计读数进行了测量。共有 663 名新生儿进行了 1989 次测量。DAT 和 ITT 测量与 AGMT 最密切相关（r = 0.94）。IFST 和 RGMT 的相关系数分别为 0.74 和 0.87。DAT、ITT、RGMT 和 IFST 的平均差异分别为+0.02°C、+0.03°C、+0.25°C 和+0.55°C。AGMT&DAT 和 AGMT&ITT 测量之间没有任何临床差异（定义为平均差异为 0.2°C）。我们的研究表明，鼓膜温度计测量可以作为新生儿重症监护病房中患病新生儿的一种可接受和实用的方法。
