Validation and inter-rater reliability of inexpensive, mini, no-touch infrared surface thermometry devices as an assessment tool for prediction of wound-related deep and surrounding infection.

Industrial infrared thermometry devices are large and, despite being less expensive than the current gold standard Exergen Dermatemp medical infrared thermometer, are still not affordable enough to ensure unrestricted and consistent use of this assessment modality in regular wound-related day-to-day...

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Published in:World Council of Enterostomal Therapists Journal Vol. 39; no. 1; pp. 18 - 23
Main Authors: Smart, Hiske, Al Jahmi, Eman, Buhiji, Ebrahim, Smart, Sally-Anne
Format: pictorial research tables/charts Journal Article
Published: Cambridge Publishing Mar2019
Online Access:View this record in EBSCOhost
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      dt: Mar2019
      vid: 39
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      pub: Cambridge Publishing
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        10.33235/wcet.39.1.18-22
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        atl: Validation and inter-rater reliability of inexpensive, mini, no-touch infrared surface thermometry devices as an assessment tool for prediction of wound-related deep and surrounding infection.
      aug:
        au:
          Smart, Hiske
          Al Jahmi, Eman
          Buhiji, Ebrahim
          Smart, Sally-Anne
        affil: Clinical Nurse Specialist, Wound Care and Hyperbaric Oxygen Therapy Unit, King Hamad University Hospital, Kingdom of Bahrain
      sug:
        subj:
          Wound Infection Diagnosis
          Skin Temperature Evaluation
          Thermography Equipment and Supplies
          Thermometers Utilization
          Thermometers Economics
          Human
          Comparative Studies
          Wound Assessment Methods
          Medical Practice
          Wound Care
          Academic Medical Centers
          Bahrain
          Prospective Studies
          Cross Sectional Studies
          Paired T-Tests
          Descriptive Statistics
          Thermometers Classification
      ab: Industrial infrared thermometry devices are large and, despite being less expensive than the current gold standard Exergen Dermatemp medical infrared thermometer, are still not affordable enough to ensure unrestricted and consistent use of this assessment modality in regular wound-related day-to-day practice. An increased skin surface temperature differentiation of 3°F associated with a wound has a positive predictive ability to detect deep or surrounding wound infection. This study hypothesised that inexpensive, pen- or pocket-sized, no-touch surface infrared thermometry devices will be equal in ability to detect a 3oF increased skin temperature compared to the Exergen Dermatemp infrared device and be reliable in the hands of any wound assessor. The odds of the control and other thermometers to detect a 3oF temperature difference, irrespective of the raters, were achieved in all five of the mini thermometers tested, with a correct temperature difference prediction that occurred in 90.933% of the times (odds determined 9/10). As a result of this study mini, no-touch infrared thermometry, to detect a 3oF temperature difference in wound assessment to determine tendency, could be implemented into primary health care clinics, rural clinics, day-to-day hospital practice and standard outpatients departments at a small financial cost, regardless of which thermometer is put to use.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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