Savaş Işıl Kübra, Bayhan Gülsüm İclal
Department of General Pediatrics, Ankara Yıldırım Beyazıt University, Ankara City Hospital, Ankara, Türkiye.
Department of Pediatric Infectious Disease, Faculty of Medicine, Ankara Yıldırım Beyazıt University, Ankara City Hospital, Ankara, Türkiye.
Turk Arch Pediatr. 2025 Jan 2;60(1):78-83. doi: 10.5152/TurkArchPediatr.2025.24240.
Objective: There is no widely accepted method that can reflect the core temperature exactly. The aim of this study is to investigate the accuracy of frequently used body temperature measurement methods. Materials and Methods: A total of 104 patients aged 3-9 years were included in this cross-sectional study. The body temperature was measured using a non-contact cutaneous thermometer (NCCT), tympanic thermometer (TT), temporal artery thermometer (TAT), and electronic oral thermometer. Four consecutive measurements each with a different technique were taken from each patient. The oral thermometer was accepted as the reference body temperature measurement method and an oral body temperature measurement of ≥37.8°C was accepted as fever. Results: The NCCT and TT provided lower body temperature results than the oral measurement, while the TAT measured body temperatures higher than the oral thermometer. In patients whose temperature was measured as <37.8°C orally, the oral and TT measurements showed a strong positive association, while the other methods showed a weak positive association with the oral thermometer. In patients with fever, the oral and TT, and the oral and NCCT had a strong positive association while the oral thermometer and TAT had a moderate positive association. The result provided by the ROC analysis that was performed to determine the fever cut-off value for NCCT was 37.4°C, 37.7°C for TT, and 38°C for TAT. Conclusion: None of the peripheral measurement methods can accurately measure the core temperature. However, the results can be interpreted more accurately if the characteristics of the thermometers are well known.
目前尚无被广泛接受的能准确反映核心体温的方法。本研究旨在探讨常用体温测量方法的准确性。材料与方法:本横断面研究共纳入104例3至9岁的患者。使用非接触式皮肤温度计(NCCT)、鼓膜温度计(TT)、颞动脉温度计(TAT)和电子口腔温度计测量体温。对每位患者采用四种不同技术连续测量四次。将口腔温度计测量法作为参考体温测量方法,口腔体温测量值≥37.8°C被视为发热。结果:NCCT和TT测得的体温结果低于口腔测量值,而TAT测得的体温高于口腔温度计测量值。在口腔测量体温<37.8°C的患者中,口腔测量值与TT测量值呈强正相关,而其他方法与口腔温度计测量值呈弱正相关。在发热患者中,口腔测量值与TT测量值、口腔测量值与NCCT测量值呈强正相关,而口腔温度计测量值与TAT测量值呈中度正相关。为确定NCCT发热临界值进行的ROC分析结果为37.4°C,TT为37.7°C,TAT为38°C。结论:外周测量方法均不能准确测量核心体温。然而,如果充分了解温度计的特性,结果可以得到更准确的解读。