![]() Patients diagnosed as AOM were also recorded for the infected ear site. Every patient's gender, age, symptoms, and axillary and tympanic temperatures from both ears were recorded. Patients aged between 1 month and 18 years who were diagnosed as single-sided AOM were included consecutively in the study. Patients from pediatric outpatient and emergency clinics were included from August 2013 to February 2014. This is a prospective, observational study. The study was approved by the local ethics committee (Zeynep Kamil Maternity and Childrens' Diseases Hospital Ethics Committee name of chairperson: Professor Ayşenur Celayir, MD, date: approval number: 72) and informed parental consent was obtained from parents or the legal guardians. In this study, we aimed to compare tympanic temperature measurements in patients diagnosed as unilateral AOM with their normal ears and the control group and to compare the tympanic temperatures with axillary thermometry. ![]() Acute otitis media may affect the accuracy of tympanic temperature measurement. Studies about the accuracy of tympanic temperature measurements in patients with AOM have controversial results. Infrared tympanic thermometer readings were reported to be within the limits of agreement with mercury-in-glass thermometers for axillary recordings. Studies report tympanic measurement to be as accurate as axillary thermometry. Hypothalamus and tympanic membrane share arterial blood supply from carotid artery, so tympanic temperature is believed to reflect core temperature. Tympanic thermometer detects infrared energy emitted by the tympanic membrane. These advantages made it a first-line application with noncooperative pediatric patients and in pediatric emergency departments. Tympanic membrane temperature measurement is an easy-to-use, quick, widely acceptable, comfortable, and hygienic method. īody temperature measurement is a routine part of clinical assessment in pediatric patients. Fever is present in 70% of infants aged under 12 months and in fewer than half of older children. However, in young children, otalgia is suggested by crying, high fever, rubbing/holding of the ear, or changes in the child's sleep or behavior pattern. Children usually present with a history of rapid onset ear pain. Most frequent presenting symptoms are fever and otalgia. We suggest that the higher tympanic temperatures, approximately 0.5☌ in our study, in infected ears may aid in diagnosis of patients with fever without a source in pediatric clinics.Īcute otitis media (AOM) is a common upper respiratory tract infection in children 90% of children have at least one attack until two years of age. ![]() Comparisons of axillary and tympanic temperatures in children with AOM during the active infection concluded higher tympanic temperatures in infected ears. Compared with axillary temperature, the sensitivity of tympanic temperature in the infected ear was 91.7% and the specificity was 74.8%. ![]() There was no significant difference between the right and left tympanic temperatures in control group. In patients with AOM, infected ears had higher temperatures than normal ears with a mean of 0.48 ± 0.01☌. Normal ears of patients and children having the same age and gender who were not diagnosed as AOM were also studied as controls. Patients from pediatric outpatient and emergency clinics who were diagnosed as single-sided AOM were included consecutively in the study. We aimed to compare tympanic temperature measurements in patients with AOM against control groups, as well as compare the tympanic temperatures with axillary thermometry. Acute otitis media may affect the accuracy of tympanic temperature measurements. ![]()
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