Ear measurement of temperature is only useful for screening for fever in an adult emergency department

Mogensen, Christian Backer; Vilhelmsen, Malene Bue; Jepsen, Johanne; Boye, Lilian Keene Guldhammer; Persson, Maiken Hjuler; Skyum, Florence

doi:10.1186/s12873-018-0202-5

Cited by 13 publications

(15 citation statements)

References 13 publications

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“…In two reports, a maximal acceptable agreement of 0.5°C was arbitrarily chosen (Sousa et al 2011, Lamb & McBrearty 2013 but, in the other, opinions of 16 board-certified clinical experts defined the maximal clinically-acceptable difference of 0.3°C. In human medicine, some recent studies (Mogensen et al 2018, Huang et al 2020 comparing temperature measurement methods accepted ±0.5°C as the limits of agreement.…”

Section: Discussionmentioning

confidence: 99%

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The use of thermometer protective sheets provides reliable measurement of rectal temperature: a prospective study in 500 dogs

Jolivet¹,

Pic²,

Rishniw³

et al. 2020

J of Small Animal Practice

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Objectives To measure and compare rectal temperature measurement with and without thermometer protective sheaths. To survey veterinary practices regarding thermometer use and disinfection. Materials and Methods Thermometers were validated with and without protective sheaths for accuracy and repeatability in a water bath with a high precision thermometer as reference. Then, the rectal temperature of 500 dogs was measured with and without protective sheaths in randomised order. The difference in temperature measured by the two methods was analysed with a generalised linear model with order of temperature measurement, life stage, dog size, body condition, level of consciousness, class of temperature and operator as explanatory variables. Practical thermometer use and disinfection was surveyed by online questionnaire. Results In the pre‐clinical phase, study thermometers recorded average temperature differences of −0.05 ± 0.07°C (mean ± SD) and −0.03 ± 0.08°C with and without sheath, respectively and the coefficients of variation ranged from 0.1 to 0.5% with and without sheath. In the clinical study, temperatures measured with and without sheaths differed by less than ±0.2°C for 92% of the measurements. None of the explanatory variables were associated with the observed differences. Twenty‐five percent of survey respondents were aware of the guidelines for disinfection of thermometers. Clinical Significance Thermometer protective sheaths do not affect the measurement of canine rectal temperature in the clinic.

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Section: Discussionmentioning

confidence: 99%

“…In human medicine, some recent studies (Mogensen et al . , Huang et al . ) comparing temperature measurement methods accepted ±0.5°C as the limits of agreement.…”

Section: Discussionmentioning

confidence: 99%

The use of thermometer protective sheets provides reliable measurement of rectal temperature: a prospective study in 500 dogs

Jolivet¹,

Pic²,

Rishniw³

et al. 2020

J of Small Animal Practice

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“…A majority of the patients in our study were screened by temperature measurement since it is the most economical and convenient method of screening. 11 Chest CT examination was also performed routinely as part of our preoperative management. Computed tomography reports provide important evidence that forms the basis for the diagnosis of COVID-19.…”

Section: Discussionmentioning

confidence: 99%

COVID-19 and Perioperative Management Strategies for Gastrointestinal Surgery: An Experience From Jiaxing, China

Zhou

Cen

2021

The American Surgeon

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Background The coronavirus disease (COVID-19) was leading to a worldwide pandemic, which affected surgical operation. This study assessed the efficacy of perioperative management of patients scheduled for gastrointestinal surgery during COVID-19 pandemic of 2020. Methods We retrospectively analyzed 188 patients who underwent gastrointestinal surgery during the COVID-19 outbreak in Jiaxing, China. Perioperative data were collected, including data on pre-, intra-, and postoperative management strategies. The same data over the same period in 2019 were also collected for comparison. Results A total of 117, 63, and 8 patients underwent emergency, semi-elective, and elective surgeries, respectively. The locals: nonlocals ratio was significantly higher during this investigation period in 2020 than during the same period in 2019 ( P < .05). After screening, 12 patients were identified as unqualified. The number of gastrointestinal surgeries was reduced in 2020. There were no differences in the ratio of emergency surgery or semi-elective surgery between in 2020 and in 2019. The elective surgery ratio between January 27 and February 28 was found to be lower in 2020 than in 2019 ( P < .05). The disease spectra of emergency surgery and semi-elective surgery were similar. A total of 31 elective surgeries were postponed. There were five cases of short-term complications for emergency surgeries and two cases of short-term complications for semi-elective surgeries. No long-term complications or COVID-19 infection occurred in any of the cases, and no medical staff member was infected. Conclusion Perioperative management strategies minimize the risk of nosocomial infection and reduce the influence of epidemics on gastrointestinal surgery.

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“…Although some measures like infrared tympanic measurements are not reliable, they still have some value. When a threshold of 37.5°C is used for fever detection, less than 5% with fever ≥38.0°C will remain undetected [69]. Table 2 shows the results in percentages.…”

Section: Measurement Of Body Core Temperaturementioning

confidence: 99%

“…Table 2 shows the results in percentages. However, one-fifth of the subjects needs a follow-up with a rectal temperature measurement to exclude fever [69].…”

Section: Measurement Of Body Core Temperaturementioning

confidence: 99%

COVID-19 and thermoregulation-related problems: Practical recommendations

et al. 2020

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The COVID-19 pandemic started in the cold months of the year 2020 in the Northern hemisphere. Concerns were raised that the hot season may lead to additional problems as some typical interventions to prevent heat-related illness could potentially conflict with precautions to reduce coronavirus transmission. Therefore, an international research team organized by the Global Health Heat Information Network generated an inventory of the specific concerns about this nexus and began to address the issues. Three key thermal and covid-19 related topics were highlighted: 1) For the general public, going to public cool areas in the hot season interferes with the recommendation to stay at home to reduce the spread of the virus. Conflicting advice makes it necessary to revise national heat plans and alert policymakers of this forecasted issue. 2) For medical personnel working in hot conditions, heat strain is exacerbated due to a reduction in heat loss from wearing personal protective equipment to prevent contamination. To avoid heat-related injuries, medical personnel are recommended to precool and to minimize the increase in body core temperature using adopted work/rest schedules, specific clothing systems, and by drinking cold fluids. 3) Fever, one of the main symptoms of COVID-19, may be difficult to distinguish from heat-induced hyperthermia and a resting period may be necessary prior to measurement to avoid misinterpretation. In summary, heat in combination with the COVID-19 pandemic leads to additional problems; the impact of which can be reduced by revising heat plans and implementing special measures attentive to these compound risks.

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Ear measurement of temperature is only useful for screening for fever in an adult emergency department

Cited by 13 publications

References 13 publications

The use of thermometer protective sheets provides reliable measurement of rectal temperature: a prospective study in 500 dogs

The use of thermometer protective sheets provides reliable measurement of rectal temperature: a prospective study in 500 dogs

COVID-19 and Perioperative Management Strategies for Gastrointestinal Surgery: An Experience From Jiaxing, China

COVID-19 and thermoregulation-related problems: Practical recommendations

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