Is There Sufficient Evidence to Support the Use of Temporal Artery and Non-contact Infrared Thermometers in Clinical Practice? A Literature Review
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Keywords
Thermometer, Infra-red, temporal artery, non-contact, forehead, tympanic, oral, core, virus
Abstract
Background and Objective: Accurate measurement of body temperature is a key part of patient observations and can influence important decisions regarding tests, diagnosis and treatment. For routine measurements in hospitals, non-invasive thermometers such as tympanic infra-red ear thermometers are very widely used even though non-invasive thermometers are not as accurate as core thermometry. However, there are known issues regarding the accuracy of these thermometers due to user errors including dirty probe covers and not straightening the ear canal. We were therefore keen to understand if there was evidence to support the use of alternative non-tympanic, non-invasive thermometer that could be easily and widely deployed across Nottingham University Hospitals NHS Trust.
Material and Methods: A search of the published literature via the NICE HDAS was undertaken to identify the evidence on the use of temporal artery (TAT) or non-contact infra-red forehead (NCIT) thermometers compared to a core body temperature thermometer in a clinical setting. The relevant literature was identified, appraised and summarised.
Results: 15 papers described the use of TAT but only 5 reported results that were considered within clinically acceptable limits of which 2 included febrile patients. Nine of the 10 studies where TAT was considered not to be within acceptable limits included febrile patients. For the NCIT, 3 studies were identified but only 1 reported results within acceptable limits and this did not include febrile patients.
Conclusion: A review of the literature for both TAT and NCIT has indicated that neither is currently suitable as a replacement for tympanic IR ear thermometers in clinical practice. In particular, the evidence suggests that they are not acceptable methods for detecting temperatures outside the normothermic range and do not detect fever accurately. In addition, the potential for user error with TAT is considered unacceptable.
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References
2. Niven DJ, Gaudet JE; Laupland KB, et al. Accuracy of peripheral thermometers for estimating temperature: a systematic review and meta-analysis. Ann Intern Med 2015;163(10);768–77.
3. Jefferies S, Weatherall M, Young P et al. A systematic review of the accuracy of peripheral thermometry in estimating core temperatures among febrile critically ill patients. Crit Care Resusc 2011;13:194–99
4. Kiekkas P, Stefanopoulos N, Bakalis N, et al. Agreement of infrared temporal artery thermometry with other thermometry methods in adults: systematic review. Journal Clin Nursing 2016;25 (7-8);894–905.
5. Ryan-Wenger N, Sims M, Patton RA et al. Selection of the most accurate thermometer devices for clinical practice: Part 1: Meta-analysis of the accuracy of non-core thermometer devices compared to core body temperature. Pediatric Nursing 2019;44(3):116–33.
6. Gates D, Horner V; Bradley L, et al. Temperature measurements: comparison of different thermometer types for patients with cancer. Clinical J Oncol Nurs 2018;22(6);611–17.
7. Royal Marsden Manual of Clinical Nursing Procedures (ninth edition), chapter 11: Observations http://www.rmmonline.co.uk/manual/c11-sec-0002#c11-sec-0002
8. Davie A; Amoore J. Best practice in the measurement of body temperature. Nursing Standard (Royal College of Nursing (Great Britain) 1987;2010;24(42);42–49.
9. The Pharmaceutical Journal. Warning on the use of infrared thermometers. [Internet] 2003;270 (7248); 640. Available at: https://www.pharmaceutical-journal.com/pj-online-news-warning-on-use-of-infrared-thermometers/20009407.article
10. Horizon Scan Report 0025. November 2013. NIHR Diagnostic Evidence Co-operative Oxford. Available at: https://www.community.healthcare.mic.nihr.ac.uk/reports-and-resources/horizon-scanning-reports/hs-report-0025.
11. Technologies Scoping Report. Number 11, December 2012. Health Improvement Scotland. Available at: http://www.healthcareimprovementscotland.org/our_work/technologies_and_medicines/earlier_scoping_reports/technologies_scoping_report_11.aspx
12. Allegaert K, Casteels K, van Gorp I et al. Tympanic, infrared skin, and temporal artery scan thermometers compared with rectal measurement in children: a real-life assessment. Curr Therapeutic Res, Clin Exper 2014;76:34–38.
13. Barringer LB, Evans CW, Ingram LL et al. Agreement between temporal artery, oral, and axillary temperature measurements in the perioperative period. J Perianesth Nurs 2011;26 (3):143–50.
14. Bodkin RP, Acquisto NM, Zwart JM, et al. Differences in noninvasive thermometer measurements in the adult emergency department. Am J Emerg Med 2014;32 (9):987–89.
15. Brosinski C, Valdez S, Riddell, A et al. Comparison of temporal artery versus rectal temperature in emergency department patients who are unable to participate in oral temperature assessment. J Emerg Nurs 2018;44(1):57–63
16. Calonder EM, Sendelbach S, Hodges JS, et al. Temperature measurement in patients undergoing colorectal surgery and gynecology surgery: a comparison of esophageal core, temporal artery, and oral methods. J Perianesth Nursing 2010;25(2):71–78.
17. Counts D, Acosta M, Holbrook H, et al. Evaluation of temporal artery and disposable digital oral thermometers in acutely ill patients. Medsurg Nurs 2014;23(4):239.
18. Forrest AJ, Juliano ML, Conley SP, et al. Temporal artery and axillary thermometry comparison with rectal thermometry in children presenting to the ED. Am J Emerg Med 2017;35(12):1855–58.
19. Gates D, Horner V, Bradley L, et al. Temperature measurements: comparison of different thermometer types for patients with cancer. Clin J Oncol Nursing 2018;22(6):611–17.
20. Hamilton PA, Kasbekar RS, Monro R. Clinical performance of infrared consumer-grade thermometers. J Nurs Measure 2013;21(2):166–77.
21. Hamilton PA, Marcos LS, Secic M. Performance of infrared ear and forehead thermometers: a comparative study in 205 febrile and afebrile children. J Clin Nurs 2013;22(17–18):2509–18.
22. Langham GE, Maheshwari A, Contrera K, et al. Noninvasive temperature monitoring in postanesthesia care units. Anesthesiology 2009;111(1):90–96.
23. Lunney M, Tonelli B, Lewis R, et al. A comparison of temporal artery thermometers with internal blood monitors to measure body temperature during hemodialysis. BMC Nephrol 2018;19(1):137.
24. Marable K, Shaffer LE, Dizon V, et al. Temporal artery scanning falls short as a secondary, noninvasive thermometry method for trauma patients. J Trauma Nurs 2009;16(1):41–47.
25. Opersteny E, Anderson H, Bates J, et al. Precision, sensitivity and patient preference of non-invasive thermometers in a pediatric surgical acute care setting. J Pediatr Nursing 2017;35:36–41.
26. Sollai S, Dani C, Berti E, et al. Performance of a non-contact infrared thermometer in healthy newborns. BMJ Open 2016;6(3);e008695.
27. Stelfox HT, Straus SE, Ghali WA, et al. Temporal artery versus bladder thermometry during adult medical-surgical intensive care monitoring: an observational study. BMC
Anesthesiol 2010;10:13.
28. Geijer H, Udumyan R, Lohse G, et al. Temperature measurements with a temporal scanner: systematic review and meta-analysis. BMJ Open 2016;6(3):e009509.
29. Fletcher T, Whittam A, Simpson R, et al. Comparison of non-contact infrared skin thermometers. J Med Engineer Technol 2018;42(2);65–71.
30. Barry L, Branco J, Kargbo N, et al. The impact of user technique on temporal artery thermometer measurements. Nurs Crit Care 201611(5):12–14.
31. Yeoh WK, Lee JKW, Lim HY, et al. Re-visiting the tympanic membrane vicinity as core body temperature measurement site. PLoS ONE 2017;12(4):e1074120.
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