Classification of medical thermometer

time2011/07/22

The temperature can be measured in various locations on the body which maintain a fairly stable temperature (mainly sub-lingual, axillary, rectal, vaginal, forehead, or temporal artery). The normal temperature varies slightly with the location; an oral reading of 37 °C does not correspond to rectal, temporal, etc. readings of the same value. When a temperature is quoted the location should also be specified. If a temperature is stated without qualification (e.g., typical body temperature) it is usually assumed to be sub-lingual. The differences between core temperature and measurements at different locations, known as clinical bias, is discussed in the article on normal human body temperature. Measurements are subject to both site-dependent clinical bias and variability between a series of measurements (standard deviations of the differences). For example, one study found that the clinical bias of rectal temperatures was greater than for ear temperature measured by a selection of thermometers under test, but variability was less.


Oral
Oral temperature may only be taken from a patient who is capable of holding the thermometer securely under the tongue, which generally excludes small children or people who are unconscious or overcome by coughing, weakness, or vomiting. (This is less of a problem with fast-reacting digital thermometers, but was certainly an issue with mercury thermometers, which took several minutes to stabilise their reading.) If the patient has drunk a hot or cold liquid beforehand time must be allowed for the mouth temperature to return to its normal value.[4]
The typical range of a sub-lingual thermometer for use in humans is from about 35°C to 42°C or 90°F to 110°F.


Rectal
Rectal temperature-taking, especially if performed by a person other than the patient, should be facilitated with the use of lubricant (such as petroleum jelly (now discouraged) or a water-based personal lubricant). Although rectal temperature is the most accurate, this method may be considered unpleasant, or embarrassing in some countries or cultures, especially if used on patients older than young children; also, if not taken the correct way, rectal temperature-taking can be uncomfortable and in some cases painful for the patient. Rectal temperature-taking is considered the method of choice for infants.