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01-11-2020 | COVID-19 | Concise Research Report

Performance of Temporal Artery Temperature Measurement in Ruling Out Fever: Implications for COVID-19 Screening

Authors: Adrian D. Haimovich, MD, PhD, R. Andrew Taylor, MD, MHS, Harlan M. Krumholz, MD, SM, Arjun K. Venkatesh, MD, MBA, MHS

Published in: Journal of General Internal Medicine | Issue 11/2020

Excerpt

Current CDC recommendations for mitigation of community COVID-19 transmission include temperature screening.¹ Due to low cost and ease-of-use, temporal artery thermometers (TATs) applied to the forehead are widely employed to screen for fever, but prior literature has suggested poor sensitivity and high variability.^{2, 3} Published data are largely limited by small per-study sample sizes and a focus on pediatric, surgical, and intensive care settings that are not generalizable to real-world screening populations. …

Centers for Disease Control and Prevention. Implementation of Mitigation Strategies for Communities with Local COVID-19 Transmission. Published online March 10, 2020:10.

Niven DJ, Gaudet JE, Laupland KB, Mrklas KJ, Roberts DJ, Stelfox HT. Accuracy of Peripheral Thermometers for Estimating Temperature: A Systematic Review and Meta-analysis. Ann Intern Med. 2015;163(10):768. https://doi.org/10.7326/M15-1150.CrossRefPubMed

Geijer H, Udumyan R, Lohse G, Nilsagård Y. Temperature measurements with a temporal scanner: systematic review and meta-analysis. BMJ Open. 2016;6(3):e009509. https://doi.org/10.1136/bmjopen-2015-009509.CrossRefPubMedPubMedCentral

Bijur PE, Shah PD, Esses D. Temperature measurement in the adult emergency department: oral, tympanic membrane and temporal artery temperatures versus rectal temperature. Emerg Med J. 2016;33(12):843-847. https://doi.org/10.1136/emermed-2015-205122.CrossRefPubMed

Delaware Health and Social Services Division of Public Health. Essential Services Screening Recommendations for COVID-19 Pandemic. Accessed June 3, 2020. https://coronavirus.delaware.gov/wp-content/uploads/sites/177/2020/05/5.7-Essential-Services-Screening-Policy.pdf.

Chow EJ, Schwartz NG, Tobolowsky FA, et al. Symptom Screening at Illness Onset of Health Care Personnel With SARS-CoV-2 Infection in King County, Washington. JAMA. 2020;323(20):2087. https://doi.org/10.1001/jama.2020.6637.CrossRefPubMedPubMedCentral

Title: Performance of Temporal Artery Temperature Measurement in Ruling Out Fever: Implications for COVID-19 Screening
Authors: Adrian D. Haimovich, MD, PhD
R. Andrew Taylor, MD, MHS
Harlan M. Krumholz, MD, SM
Arjun K. Venkatesh, MD, MBA, MHS
Publication date: 01-11-2020
Publisher: Springer International Publishing
Keyword: COVID-19
Published in: Journal of General Internal Medicine / Issue 11/2020
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI: https://doi.org/10.1007/s11606-020-06205-2

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