Detecting fever in young infants: reliability of perceived, pacifier, and temporal artery temperatures in infants younger than 3 months of age.

Abstract:

OBJECTIVES:Fever in young infants frequently triggers a laboratory evaluation because of the increased likelihood of serious bacterial infections. Reported fever by methods other than rectal thermometry is of concern. This study evaluates the validity of perceived, pacifier, and temporal artery (TA) temperatures. METHODS:A convenience sample of 200 babies younger than 3 months of age presenting to an emergency department was evaluated for parental perception of fever and with TA, pacifier, and rectal temperatures. RESULTS:The sensitivity and specificity of perceived and TA detection of fever were similar at 91 and 79, and 83 and 86, respectively. Febrile pacifier readings had a sensitivity of 99, but a specificity of only 46. CONCLUSIONS:Rectal thermometry must remain the standard for infants younger than 3 months of age.

journal_name

Pediatr Emerg Care

journal_title

Pediatric emergency care

authors

Callanan D

doi

10.1097/01.pec.0000086231.54586.15

subject

Has Abstract

pub_date

2003-08-01 00:00:00

pages

240-3

issue

4

eissn

0749-5161

issn

1535-1815

pii

00006565-200308000-00004

journal_volume

19

pub_type

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