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  1. Subjective assessment of fever by parents : Comparison with measurement by noncontact tympanic thermometer and calibrated rectal glass mercury thermometer.

    Article - En anglais

    Study objective 

    To assess the ability of parents to subjectively evaluate their children for fever and to compare their assessments with temperature measurements made with the use of a noncontact tympanic (NCT) or rectal glass mercury thermometer.

    A secondary goal was to assess how well a recently developed definition of fever for NCT thermometers, when used in the ear-equivalent mode (temperature of 37.7° C or more), performed in a clinical situation.

    Methods 

    This 6-month prospective observational study employed a convenience sample of 180 children, aged birth to 4 years, who presented to the emergency department of a tertiary care children's hospital.

    Parents were asked to subjectively assess whether their child had a fever.

    The child's temperature was then measured with an NCT thermometer (three times in the rectal-equivalent mode and three times in the actual-ear mode).

    Both the subjective assessment and the NCT temperatures were compared with the rectal temperature measured by a rectal glass mercury thermometer.

    Results 

    The mean age of participants was 14.6±11.8 months (range, 2 days to 48 months) ; 56% were boys.

    The sensitivity of parental detection of fever by subjective means was 81.8% and the specificity 76.5%. The parent and the rectal glass thermometer agreed 79% of the time (95% confidence interval [Cl], 73% to 85%). The sensitivity of the first temperature reading obtained with the NCT thermometer in rectal-equivalent mode was 74. (...)

    Mots-clés Pascal : Fièvre, Evaluation subjective, Parent, Thermomètre, Etude comparative, Enfant, Homme

    Mots-clés Pascal anglais : Fever, Subjective evaluation, Parent, Thermometer, Comparative study, Child, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0446704

    Code Inist : 002B30A03B. Création : 10/04/1997.