Erenberk Ufuk, Torun Emel, Ozkaya Emin, Uzuner Selcuk, Demir Aysegul Dogan, Dundaroz Rusen
Department of Pediatrics, Medical Faculty, Bezmialem Vakif University, Istanbul, Turkey.
Pediatr Int. 2013 Dec;55(6):767-70. doi: 10.1111/ped.12188.
The aim of this study was to determine if the skin temperature of febrile children is affected by the child's exposure to cold outdoor temperatures immediately prior to the taking of that temperature.
A total of 150 febrile and non-febrile children (aged 3-10 years) who had walked to the hospital's pediatric emergency department and were thus exposed to outside cold weather were enrolled in the study. Using infrared thermometry, forehead and chest skin temperatures were simultaneously measured every 2 min during the first 14 min after presentation. Temperatures were recorded and differences between the two measurements were calculated.
By the fifth evaluation (10 min from the first reading), skin temperatures from forehead and chest had equalized.
Determination of fever from the body parts that had been exposed to cold environmental conditions may cause contradictory results if taken while the child is still chilled from exposure to the cold. For accuracy, children should be acclimated to the indoor temperature before taking body temperature readings. Acclimation takes at least 10 min after coming in from cold weather outside.
本研究的目的是确定发热儿童的体温是否会受到其在测量体温前立即暴露于寒冷室外温度的影响。
共有150名发热和未发热的儿童（年龄3至10岁）参与了本研究，这些儿童步行前往医院儿科急诊科，因此暴露于室外寒冷天气。使用红外测温法，在就诊后的前14分钟内，每2分钟同时测量一次额头和胸部皮肤温度。记录温度并计算两次测量之间的差异。
到第五次评估（第一次读数后10分钟）时，额头和胸部的皮肤温度已趋于平衡。
如果在儿童仍因暴露于寒冷而发冷时，从暴露于寒冷环境条件的身体部位测定发热情况，可能会得出矛盾的结果。为了保证准确性，在测量体温前，儿童应适应室内温度。从寒冷的室外进入室内后，至少需要10分钟来适应。
