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J Med Eng Technol ; 45(2): 136-144, 2021 Feb.
Article in English | MEDLINE | ID: covidwho-1104643

ABSTRACT

There has been a marked rise in the number of avoidable deaths in health services around the world. At the same time there has been a growing increase in antibiotic resistant so-called "superbugs." We examine here the potential role of body temperature measurement in these adverse trends. Electronic based thermometers have replaced traditional mercury (and other liquid-in-glass type) thermometers for reasons of safety rather than superiority. Electronic thermometers are in general less robust from a measurement perspective than their predecessors. We illustrate the implications of unreliable temperature measurement on the diagnosis and management of disease, including COVID-19, through statistical calculations. Since a return to mercury thermometers is both undesirable and impractical, we call for better governance in the current practice of clinical thermometry to ensure the traceability and long-term accuracy of electronic thermometers and discuss how this could be achieved.


Subject(s)
Body Temperature/physiology , Thermometry/methods , COVID-19/diagnosis , COVID-19/physiopathology , Humans , Practice Guidelines as Topic , SARS-CoV-2 , Thermometers/adverse effects , Thermometers/standards , Thermometry/adverse effects , Thermometry/instrumentation , Thermometry/standards , Uncertainty
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