Abstract

Fever is defined as rise in normal body temperature above 98.6°F. Clinical thermometer is a medical instrument for measuring human body temperature. The traditionally used mercury in glass thermometer was replaced by digital thermometer due to mercury toxicity. Non-contact infra-red thermometer is a non-invasive thermometer used for un-cooperative pediatric patients. The objective of this study is to determine the clinical efficiency of non-contact infrared thermometer over axillary digital thermometer and mercury in glass thermometer over a range of body temperature by using paracetamol in febrile patients. This descriptive hospital based cross sectional study was conducted from 5th December 2019 till 23rd August 2020 after ethical approval from Institutional Review Committee of Nepal Medical College and Teaching Hospital. Mercury in glass thermometer, axillary digital thermometer and non-contact infrared thermometer were used to measure body temperature in febrile patient. Body temperature was re-measured one hour after administration of paracetamol. Data was entered and analyzed with statistical package for social sciences version 16. Axillary digital thermometer has high predictability in the upper body temperature range (in febrile state) but its predictability is low in lower body temperature range (our normal body temperature). Non-contact infrared thermometer in comparison with axillary digital thermometer has lower predictability in both upper and lower body temperature range. Clinical efficiency of non-contact infrared thermometer is less than that of axillary digital thermometer and mercury in glass thermometer in febrile patients.

Highlights

  • Fever is when there is rise in normal body temperature[1] that is managed with paracetamol; a safe antipyretic medication that reduces fever by inhibiting cyclooxygenase enzyme in the cerebral cortex.[2]

  • How efficient is non-contact infrared thermometer (NCIT)? There has been a surge in demand for NCIT but can it end the era of ADT? The objective of this study is to determine the clinical efficiency of NCIT over ADT and mercury in glass thermometer (MIGT) over a range of body temperature by using paracetamol in febrile patients

  • The mean, standard deviation, minimum and maximum temperature recorded by MIGT, ADT and NCIT are shown in table 1

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Summary

Introduction

Fever is when there is rise in normal body temperature[1] that is managed with paracetamol; a safe antipyretic medication that reduces fever by inhibiting cyclooxygenase enzyme in the cerebral cortex.[2] It is the easiest identifiable sign of illness and one of the most common reason for consultation in pediatric practice that is measured with a thermometer. There has been a surge in demand for NCIT but can it end the era of ADT? The objective of this study is to determine the clinical efficiency of NCIT over ADT and MIGT over a range of body temperature by using paracetamol in febrile patients How efficient is NCIT? There has been a surge in demand for NCIT but can it end the era of ADT? The objective of this study is to determine the clinical efficiency of NCIT over ADT and MIGT over a range of body temperature by using paracetamol in febrile patients

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