Obtaining Infant Temperatures: An Evidence-Based Project
HANISH, Nicole, THILL, Jennifer, & VESTLE, Jennifer. (2021). Rectal thermometry is an invasive route of measuring temperatures in pediatric emergency departments. To reduce patient discomfort, another reliable temperature source needs to be identified to detect fever. The purpose of this study is to identify the most accurate alternative route for temperature obtainment in infants one year old and younger in pediatric emergency departments, focusing on axillary and temporal thermometry, that is more practical and less invasive than the use of rectal thermometry. There was limited available research comparing axillary and temporal thermometers in the infant age group and the evidence found was conflicting for the use of other temperature measurement routes to replace rectal measurement. Axillary digital thermometer (ADT) was found to be the most accurate temperature route to predict rectal temperature in children aged 1 month to 4 years (Berksoy, Anıl, Bıcılıoğlu, Gökalp, & Bal, 2018). Tympanic thermometry was found to be the most optimal route in Dante, Franconi, Marucci, Alfes, and Lancia (2020) and the second-best method in the study of Berksoy, Anıl, Bıcılıoğlu, Gökalp, and Bal (2018). Temporal artery thermometry (TAT) was studied in many articles, however, differing conclusions were made on whether TAT could be used to replace rectal thermometry. Additional research is necessary to identify a noninvasive temperature route that maintains accuracy comparable to rectal thermometry in pediatric emergency departments for infants one year of age or younger.