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Reliability of perception of fever by touch

机译：通过触摸感知发烧的可靠性

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Objective : To assess the reliability of touch to predict fever in children.Methods : 200 children who reported with fever formed the study material. Group I consisted of 100 children between 0–1 year of age and Group II consisted of 100 children between 6–12 years of age. Preterm, neonates under warming device, tachypnoeic and hypothermic were excluded from the study. The caregiver (CG) and the medical staffs (MS) response regarding presence or absence of fever by touch was noted in each child. Both were blinded to each other’s response. Immediately temperature was recorded by calibrated rectal thermometer in Group I and calibrated axillary thermometer in Group IIResults : The CG’s touch had a sensitivity of 70.5% specificity of 40.9%, PPV of 38% NPV of 72.9%, PLR was 1.16 and NLR was 0.75. The MS’s touch had a sensitivity of 78.0%, specificity of 63.6%, PPV of 38.0% NPV 84.8%, PLR of 2.08 and NLR of 0.36. There is over and under diagnosis of fever by both, the former being more by the CG reflecting the parental anxiety. The MS’s touch is better to affirm or negative fever as compared to CG. The best site to palpate for presence of fever was abdomen, neck and forehead.Conclusion : Touch is not a valid screening test for fever. It is recommended that a thermometer must always be used by the MS to record fever and CG must be motivated for the same. Key words Fever - Touch
机译：目的：评估触摸预测儿童发烧的可靠性。方法：200名发烧的儿童组成了研究材料。第一组由100名0-1岁之间的儿童组成，第二组由100名6-12岁之间的儿童组成。早产儿，处于加温装置下的新生儿，快速呼吸和体温过低的新生儿被排除在研究之外。在每个孩子中，记录了照顾者（CG）和医护人员（MS）关于通过触摸发烧或不发烧的反应。双方都不知道对方的回应。结果：CG的触摸灵敏度为70.5％，特异性为40.9％，PPV为38％，NPV为72.9％，PLR为1.16，NLR为0.75，立即记录了温度。 MS的触摸灵敏度为78.0％，特异性为63.6％，PPV为38.0％NPV为84.8％，PLR为2.08，NLR为0.36。两者都有发烧和诊断不足的情况，前者更多的是由CG反映出的父母的焦虑。与CG相比，MS的触摸更容易确认或消退。触及发烧的最佳部位是腹部，颈部和前额。结论：接触不是发烧的有效筛查手段。建议MS必须始终使用温度计记录发烧，并且必须出于同样的原因而激发CG。关键词发烧-触摸

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