Performance of non-contact infrared thermometer for detecting febrile children in hospital and ambulatory settings

Journal of Clinical Nursing

Volumn 20, Issue 9-10, 2011, Pages 1311-1318

  Chiappini, Elena ^a   Sollai, Sara ^a   Longhi, Riccardo ^b   Morandini, Liana ^c   Laghi, Anna ^d   Osio, Catia Emilia ^e   Persiani, ilvia ^c   Picchi, RMario ^b   Lonati, Saffaella ^b   Bonsignori, Francesca ^a   Mannelli, Francesco ^f   Galli, Luisa ^a   De Martino, Maurizio ^a  

^a UNIVERSITY OF FLORENCE   (Italy)

^b SANT ANNA HOSPITAL   (Italy)

^c Anzio Hospital   (Italy)

^d Pediatric Unit   (Italy)

^e Primary Care Paediatrician   (Italy)

^f UNIVERSITY OF FLORENCE   (Italy)

Author keywords

Children; Nurses; Nursing; Temperature; Thermometer

Indexed keywords

AMBULATORY CARE; ARTICLE; CHILD; CLINICAL TRIAL; FEVER; HOSPITAL; HUMAN; MULTICENTER STUDY; PROSPECTIVE STUDY; THERMOMETER;

AMBULATORY CARE; CHILD; FEVER; HOSPITALS; HUMANS; PROSPECTIVE STUDIES; THERMOMETERS;

EID: 79954618964     PISSN: 09621067     EISSN: 13652702     Source Type: Journal    
DOI: 10.1111/j.1365-2702.2010.03565.x     Document Type: Article

References (29)

1. American Society for Testing and Materials (ASTM) International (2009) Standard Specification for Infrared Thermometers for Intermittent Determination of Patient Temperature, 1998-2009. Available at: (accessed 18 October 2009).
2. Bitar D, Goubar A & Desenclos JC (2009) International travels and fever screening during epidemics: a literature review on the effectiveness and potential use of non-contact infrared thermometers. Euro Surveillance 14, 19115.
3. Bland JM & Altman DG (1986) Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1, 307-310.
4. Chamberlain JM, Terndrup TE, Alexander DT, Silverstone FA, Wolf-Klein G, O'Donnell R & Grandner J (1995) Determination of normal ear temperature with an infrared emission detection thermometer. Annals of Emergency Medicine 25, 15-20.
5. Chan LS, Cheung GT, Lauder IJ, Kumarna CR & Lauder IJ (2004) Screening for fever at airports and imported dengue. Journal of Travel Medicine 11, 273-279.
6. Chiappini E, Principi N, Longhi R, Tovo PA, Becherucci P, Bonsignori F, Esposito S, Festini F, Galli L, Lucchesi B, Mugelli A & de Martino M; Writing Committee of the Italian Pediatric Society Panel for the Management of Fever in Children (2009) Management of fever in children: summary of the Italian Pediatric Society guidelines. Clinical Therapeutics 31, 1826-1843.
7. Chiu WT, Lin PW, Chiou HY, Lee WS, Lee CN, Yang YY, Lee HM, Hsieh MS, Hu CJ, Ho YS, Deng WP & Hsu CY (2005) Infrared thermography to mass-screen suspected SARS patients with fever in children. Asia-Pacific Journal of Public Health 17, 26-28.
8. Craig JV, Lancaster GA, Taylor S, Williamson PR & Smyth RL (2002) Infrared ear thermometry compared with rectal thermometry in children: a systematic review. Lancet 360, 603-609.
9. De Curtis M, Calzolari F, Marciano A, Cardilli V & Barba G (2008) Comparison between rectal and infrared skin temperature in the newborn. Archives of Disease in Childhood Fetal and Neonatal Edition 93, 55-57.
10. Devrim I, Kara A, Ceyhan M, Tezer H, Uludaǧ AK, Cengis AB, Yiǧitkanl I & Seçmeer G (2007) Measurement accuracy of fever by tympanic and axillary thermometry. Pediatric Emergency Care 23, 16-19.
11. Dodd SR, Lancaster GA, Craig JV, Smyth RL & Williamson PR (2006) In a systematic review, infrared ear thermometry for fever diagnosis in children finds poor sensitivity. Journal of Clinical Epidemiology 59, 354-357.
12. Duran R, Vatansever U, Acunas B & Sut N (2009) Comparison of temporal artery, mid-forehead skin and axillary temperature recordings in preterm infants <1500 g of birthweight. Journal of Paediatrics and Child Health 45, 444-447.
13. El-Radhi AS & Barry W (2006) Thermometry in pediatric practice. Archives of Disease in Childhood 91, 351-355.
14. European Parliament (2007) Directive 2007/51/EC amending Council Directive 76/769/EEC Relating to Restrictions on the Marketing of Certain Measuring Devices Containing Mercury. Available at: (accessed 27 October 2009).
15. Greenes DS & Fleisher GR (2001) Accuracy of a noninvasive temporal artery thermometer for use in infants. Archives of Pediatrics & Adolescent Medicine 155, 376-381.
16. Hausfater P, Zhao Y, Defrenne S, Bonnet P & Riou B (2008) Cutaneous infrared thermometry for detecting febrile patients. Emerging Infectious Diseases 14, 1255-1258.
17. Imamura M, Matsukawa T, Ozaki M, Sessler DI, Nishiyama T & Kumazawa T (1998) The accuracy and precision of four infrared aural canal thermometers during cardiac surgery. Acta Anaesthesiologica Scandinavica 42, 1222-1226.
18. Jean-Mary MB, Dicanzio J, Shaw J & Bernstein HH (2002) Limited accuracy and reliability of infrared axillary and aural thermometers in a paediatric outpatient population. The Journal of Pediatrics 141, 671-676.
19. Liu CC, Chan RE & Chang WC (2004) Limitations of forehead infrared body temperature detection for fever screening for severe acute respiratory syndrome. Infection Control and Hospital Epidemiology 25, 1109-1111.
20. Michael Marcy S, Kohl KS, Dagan R, Nalin D, Blum M, Jones MC, Hansen J, Labadie J, Lee L, Martin BL, O'Brien K, Rothstein E & Vermeer P; Brighton Collaboration Fever Working Group (2004) Fever as an adverse event following immunisation: case definition and guidelines of data collection, analysis and presentation. Vaccine 22, 551-556.
21. Mounier-Jack S, Jas R & Coker R (2007) Progress and shortcomings in European national strategic plans for pandemic influenza. Bulletin of the World Health Organisation 85, 923-929.
22. National Institute for Health and Clinical Excellence (2007) NICE clinical guideline. Feverish illness in children younger than 5 years. BMJ 334, 1165-1167.
23. Ng DK, Chan CH, Lee RS & Leung LC (2005) Non-contact infrared thermometry temperature measurement for screening fever in children. Annals of Tropical Paediatrics 25, 267-275.
24. Osio CE & Carnelli V (2007) Comparative study of body temperature measured with a non-contact infrared thermometer versus conventional devices. The first Italian study on 90 pediatric patients. Minerva Pediatrica 59, 327-336.
25. Rotello LC, Crawford L & Terndrup TE (1996) Comparison of infrared ear thermometer derived and equilibrated rectal temperatures in estimating pulmonary artery temperatures. Critical Care Medicine 24, 1501-1506.
26. Shane SA, Fuchs SM & Khine H (1994) Efficacy of rectal midazolam for the sedation of preschool children undergoing laceration repair. Annals of Emergency Medicine 24, 1065-1073.
27. Smitz S, Giagoultsis T, Dewé W & Albert A (2000) Comparison of rectal and infrared ear temperatures in older hospital inpatients. Journal of the American Geriatrics Society 48, 63-66.
28. Smitz S, Van de Winckel A & Smitz MF (2009) Reliability of infrared ear thermometry in the prediction of rectal temperature in older inpatients. Journal of Clinical Nursing 18, 451-456.
29. Wong JJ & Wong CY (2006) Non contact infrared thermal imagers for mass fever screening: state of the art or myth? Hong Kong Medical Journal 12, 242-244.