Clinical and Experimental Pediatrics

The Korean Pediatric Society (대한소아청소년과학회)
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A Study for Accuracy and Usefulness of Tympanic Membrane and Forehead Thermometers

고막 체온계와 이마 체온계의 정확성 및 유용성에 대한 연구

  • Yun, Gi Wook (Department of Pediatrics, College of Medicine, Chungang University) ;
  • Lim, In Seok (Department of Pediatrics, College of Medicine, Chungang University)
  • 윤기욱 (중앙대학교 의과대학 소아과학교실) ;
  • 임인석 (중앙대학교 의과대학 소아과학교실)
  • Received : 2005.01.27
  • Accepted : 2005.04.25
  • Published : 2005.08.15
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Abstract

Purpose : The presence and degree of fever in children is a useful indicator of illness. This project aimed to assess the accuracy and usefulness of infrared tympanic membrane(TM) & forehead feverscan thermometers for measuring children's temperatures. Methods : Data were obtained from 1,050 children with a median age of 4.5 years. They visited the pediatric clinics at Chung-Ang University Yongsan Hospital from January 2004 to December 2004. We measured body temperatures at axilla by mercury thermometer, at ear by infrared TM thermometer and at forehead by feverscan. Then we analyzed the correlation between these data. Results : Mercury and TM thermometer, and Mercury and forehead feverscan thermometer very well correlated with each others(P<0.05). And the sensitivity of infrared TM thermometer(right and left) to correctly identify febrile children was 81.1 percent and 82.4 percent, the positive predictive value to detect a fever was 81.8 percent and 73.6 percent. The sensitivity of forehead feverscan was 83.3 percent and the positive predictive value was 74.4 percent. Conclusion : The tympanic membrane temperature measured by the BRAUN IRT $3020^{(R)}$ and forehead arterial temperature measured by the HubDIC $DOTORY^{(R)}$ feverscan accurately reflects mercury axillary temperature, validly assesses the presence of fever in children, and is easy to use. The Braun IRT $3020^{(R)}$ & HubDIC $DOTORY^{(R)}$ therefore is an adequate tool to assess fever and may be used both in a clinical setting and for research purposes.

목 적 : 감염과 질병상태의 유용한 인자인 열의 존재와 정도를 좀더 손쉽고 정확하게 확인하기 위해, 고막체온계 및 이마체온계의 정확성과 유용성을 평가하고자 하였다. 방 법 : 2004년 1월 1일부터 12월 31일 까지 중앙대학교 부속 병원에 입원하여 치료받았던 환아 중 무작위로 1,050명을 선출하여 대상으로 하였으며, 수은 체온계, 고막 체온계(BRAUN IRT $3020^{(R)}$) 및 이마 체온계(HubDIC $DOTORY^{(R)}$)로 동시에 체온을 측정하였고 이를 비교, 분석하여 상관관계를 조사하였다. 결 과 : 고막 체온계와 이마 체온계의 측정치는 각각 표준 검사인 수은 체온계의 측정치와 유의한 상관관계 및 상호 교환성을 가졌으며, 양측 고막 간, 그리고 고막 체온계와 이마 체온계 사이에서도 유의한 상관관계를 보였다. 발열에 대한 고막 체온계의 민감도는 오른쪽과 왼쪽에서 각각 81.1%, 82.4%였고, 양성 예측률은 각각 81.8%, 73.6%였다. 이마 체온계의 민감도는 83.3%였으며, 양성 예측률은 74.4%였다. 결 론 : 고막 체온계(BRAUN IRT $3020^{(R)}$) 및 이마형 체온계(HubDIC $DOTORY^{(R)}$)가 액와형 수은체온계와 통계적으로 유의한 상관성 및 일치성을 보이며(P<0.05), 또한 발열에 대한 민감도 및 양성 예측률이 매우 높아 일상의 가정에서나 병원에서 진료목적으로, 연구 목적으로 체온 측정하는 데 유용하게 사용될 수 있을 것으로 본다.

Keywords

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