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Journal of Tropical Pediatrics Advance Access first published online on June 28, 2005
This version published online on July 1, 2005
Journal of Tropical Pediatrics, doi:10.1093/tropej/fmh106
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© The Author [2005]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oupjournals.org

Brief Report

Comparison of Axillary, Rectal and Tympanic Temperature Measurements in Children Admitted with Malaria

C. O. Musumba 1, K. L. Griffiths 1, A. Ross 1, and C. R. J. C. Newton 2*

1 Kenya Medical Research Institute (KEMRI) Centre for Geographic Medicine Research, Coast, Kilifi, Kenya
2 Kenya Medical Research Institute (KEMRI) Centre for Geographic Medicine Research, Coast, Kilifi, Kenya; Neurosciences Unit, Institute of Child Health, London, UK

* To whom correspondence should be addressed.
C. R. J. C. Newton, E-mail: cnewton{at}kilifi.mimcom.net


  Abstract

We compared axillary, rectal and tympanic temperatures in children admitted with severe malaria. The axillary temperatures were 0.74°C (95% limits of agreement -0.85 to 2.33°C) less than rectal temperatures and tympanic temperatures 0.42°C (95% limits of agreement -0.16 to 2.44°C) less than rectal temperatures. The difference was greater on admission than 24 hours later. These differences may be important in defining criteria for clinical syndromes.


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