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Journal of Tropical Pediatrics Advance Access published online on November 25, 2007
Journal of Tropical Pediatrics, doi:10.1093/tropej/fmm077
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© The Author [2007]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

The Accuracy of Mother's Touch to Detect Fever in Children: A Systematic Review

C. L. Tenga, C. J. Ngb, H. Nik-Sherinab, A. H. Zailinawatic and S. F. Tongd

aDepartment of Family Medicine, International Medical University, Seremban, Negeri Sembilan, Malaysia bDepartment of Primary Care Medicine, University of Malaya, Kuala Lumpur, Malaysia cKlinik Keluarga, Kuala Lumpur, Malaysia and dDepartment of Family Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia

Correspondence: Associate Prof. C. L. Teng, Department of Family Medicine, International Medical University, Jalan Rasah, 70300 Seremban, Malaysia. E-mail < tengcl{at}gmail.com>.


  Abstract

Universally, mothers often use touching to detect fever in their children. We perform a systematic review of published diagnostic studies evaluating the ability of mothers to detect fever in their children by touching. We found 10 studies satisfying our inclusion criteria. The meta-analysis revealed a summary sensitivity of 89.2% and summary specificity of 50%—maternal touch is perhaps more useful to exclude fever rather than to ‘rule in’ fever. However, due to significant heterogeneity in the included studies, interpretation of the summary data is difficult.

Key Words: fever • mother • palpation • children • systematic review


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