附录一:英文技术资料翻译
英文原文:
Emerg Infect Dis. 2008 August; 14(8): 1255–1258.
doi:
PMCID: PMC2600390
Cutaneous Infrared Thermometry for Detecting Febrile Patients
Pierre Hausfater, Yan Zhao, Stéphanie Defrenne, Pascale Bonnet, and Bruno Riou*
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Abstract
We assessed the accuracy of cutaneous infrared thermometry, which measures temperature on the forehead, for detecting patients with fever in patients admitted to an emergency department. Although negative predictive value was excellent (), positive predictive value was low (). Therefore, we question mass detection of febrile patients by using this method.
Keywords: Fever, mass detection, cutaneous infrared thermometry, infectious diseases, emergency, dispatch
Recent efforts to control spread of epidemic infectious diseases have prompted health officials to develop rapid screening processes to detect febrile patients. Such screening may take place at hospital entry, mainly in the emergency department, or at airports to detect travelers with increased body temperatures (
1–3). Infrared thermal imaging devices have been proposed as a noncontact and noninvasive method for detecting fever (4–6). However, few studies have assessed their capacity for accurate detection of febrile patients in clinical settings. Therefore, we undertook a prospective study in an emergency department to assess diagnostic accuracy of infrared thermal imaging.
The Study
The study was performed in an emergency department of a large academic hospital (1,800 beds) and was reviewed and approved by our institutional review board (Comité de Protection des Personnes se Prêtant à la Recherche Biomédicale Pitié-Salpêtrière, Paris, France). Patients admitted to the emergency department were assessed by a trained triage nurse, and several variables were routinely measured, including tympanic temperature by using an
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