Axillary temperature appears to be an acceptable alternative to rectal/oral temperature measurements in children. Similarly, the mean difference (95% limits of agreement) between oral and axillary measurements for children aged 6-14 years was observed to be 0.6 degree C (-0.4 degree C, 1.4 degrees C). Rectal and axillary temperatures for infants agreed well the mean difference (95% limits of agreement) between the two being 0.6 degree C (-0.3 degree C, 1.4 degrees C). Various tests of agreement were applied to the data obtained. The axillary and rectal temperatures (Group 1: infants < 1 year age) and axillary and oral temperatures (Group 2: children 6-14 years age) were compared using mercury-in-glass thermometers. To determine whether axillary temperature can act as a surrogate for oral/rectal temperatures, a prospective comparative study was conducted. While axillary temperature is commonly used because of convenience and safety, there are conflicting reports about its accuracy. If your axillary temperature is 37.8 ☌ (100 ☏), your oral temperature is about 38.3 ☌ (101 ☏).The ideal technique for measuring temperature should be rapid, painless, reproducible and accurately reflect the core temperature.Remember, a child has a fever when his or her temperature is 38 ☌ (100.4 ☏) or higher, measured rectally.
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