Evaluation of temporal artery thermometry in children 3-36 months old.

PURPOSE: This study aims to determine whether temporal artery (TA) thermometer readings are accurate and better tolerated than rectal readings in young children. DESIGN AND METHODS: Paired rectal and TA temperature readings and Face Legs Activity Cry and Consolability (FLACC) scores were obtained. RESULTS: TA thermometry failed to detect rectal fever (38 degrees C or greater) in approximately 20% of paired temperature readings. FLACC scores were significantly lower after TA readings than after rectal readings. PRACTICE IMPLICATIONS: This study questions TA readings as an accurate substitute for rectal thermometry.