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A comparison of tympanic and rectal temperatures in term NIGERIAN neonates

机译:尼日利亚足月新生儿的鼓膜温度和直肠温度的比较

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Background Tympanic thermometry has come as a suitable alternative to traditional thermometry because of its safety and ease of use. However, it is still yet to gain wide acceptance in African settings due to conflicting results on its accuracy, thus rectal thermometry remains the gold standard in the newborn. The aim of this study was to compare tympanic and rectal temperatures in term Nigerian neonates. Methods Rectal and tympanic temperatures were measured simultaneously in 300 consecutive term neonates between the ages of 37 and 42?weeks gestation using mercury-in-glass and the Infrared tympanic thermometers respectively. Paired t test, Pearson correlation coefficient and the Bland-Altman plot were used to compute data. Using rectal thermometry as gold standard, the sensitivity, specificity and predictive values of tympanic thermometry at various rectal temperature cut-offs were determined. Receiver Operating Curves (ROC) were constructed and the Areas Under the Curves (AUC) were compared. Results The mean rectal temperature (37.34?±?0.55°C) was significantly higher than the mean tympanic temperature (37.25?±?0.56°C) (p? Conclusions The sensitivity of tympanic thermometry was relatively low in detecting rectal temperatures despite the good correlation and agreement between them. The specificities and predictive values of tympanic temperatures in detecting rectal temperatures were high and accuracy increased with higher temperatures. Though using the tympanic route for measuring temperature in the newborn is relatively safe and non-invasive, its low sensitivity limits its use. Further studies would be required to further assess the accuracy of tympanic temperature measurements in the newborn.
机译:背景技术鼓膜测温法因其安全性和易用性而成为传统测温法的合适替代品。然而,由于其准确性的结果相互矛盾,它在非洲地区仍未获得广泛的接受,因此直肠测温法仍是新生儿的金标准。这项研究的目的是比较足月尼日利亚新生儿的鼓膜温度和直肠温度。方法分别使用玻璃水银测温仪和红外鼓膜温度计同时测量300名妊娠37至42周的连续足月新生儿的直肠和鼓膜温度。使用配对t检验,Pearson相关系数和Bland-Altman图来计算数据。以直肠测温法为金标准,确定了在各种直肠温度阈值时鼓膜测温法的敏感性,特异性和预测值。绘制接收器工作曲线(ROC)并比较曲线下面积(AUC)。结果平均直肠温度(37.34℃±0.55℃)显着高于平均鼓膜温度(37.25℃±0.56℃)(p?)结论尽管检测方法良好,但鼓膜测温法在检测直肠温度方面的灵敏度较低。鼓膜温度在检测直肠温度方面的特异性和预测值较高,并且随着温度的升高其准确性也有所提高,尽管使用鼓膜测量新生儿体温的方法相对安全且无创,但灵敏度低需要进一步研究以进一步评估新生儿鼓膜温度测量的准确性。

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