附录一：英文技术资料翻译英文原文：EmergInfectDis.2008August;14(8):1255–1258.doi:10.3201/eid1408.080059PMCID:PMC2600390CutaneousInfraredThermometryforDetectingFebrilePatientsPierreHausfater,YanZhao,StéphanieDefrenne,PascaleBonnet,andBrunoRiou*AuthorinformationCopyrightandLicenseinformationThisarticlehasbeencitedbyotherarticlesinPMC.AbstractWeassessedtheaccuracyofcutaneousinfraredthermometry,whichmeasurestemperatureontheforehead,fordetectingpatientswithfeverinpatientsadmittedtoanemergencydepartment.Althoughnegativepredictivevaluewasexcellent(0.99),positivepredictivevaluewaslow(0.10).Therefore,wequestionmassdetectionoffebrilepatientsbyusingthismethod.Keywords:Fever,massdetection,cutaneousinfraredthermometry,infectiousdiseases,emergency,dispatchRecenteffortstocontrolspreadofepidemicinfectiousdiseaseshavepromptedhealthofficialstodeveloprapidscreeningprocessestodetectfebrilepatients.Suchscreeningmaytakeplaceathospitalentry,mainlyintheemergencydepartment,oratairportstodetecttravelerswithincreasedbodytemperatures(1–3).Infraredthermalimagingdeviceshavebeenproposedasanoncontactandnoninvasivemethodfordetectingfever(4–6).However,fewstudieshaveassessedtheircapacityforaccuratedetectionoffebrilepatientsinclinicalsettings.Therefore,weundertookaprospectivestudyinanemergencydepartmenttoassessdiagnosticaccuracyofinfraredthermalimaging.TheStudyThestudywasperformedinanemergencydepartmentofalargeacademichospital(1,800beds)andwasreviewedandapprovedbyourinstitutionalreviewboard(ComitédeProtectiondesPersonnessePrêtantàlaRechercheBiomédicalePitié-Salpêtrière,Paris,France).Patientsadmittedtotheemergencydepartmentwereassessedbyatrainedtriagenurse,andseveralvariableswereroutinelymeasured,includingtympanictemperaturebyusinganinfraredtympanicthermometer(Pro4000;WelchAllyn,SkaneatelesFalls,NY,USA),systolicanddiastolicarterialbloodpressure,andheartrate.Tympanictemperaturewasmeasuredtwice(onceintheleftearandonceintherightear).Thistemperaturewasusedasareferencebecauseitisroutinelyusedinouremergencydepartmentandisanappropriateestimateofcentralcoretemperature(7–9).Cutaneoustemperaturewasmeasuredontheforeheadbyusinganinfraredthermometer(RayngerMX;Raytek,Berlin,Germany)(Figure1).Rationaleforaninfraredthermometerdeviceinsteadofalargerthermalscannerwasthatwewantedtotestamethod(i.e.,measurementofforeheadcutaneoustemperaturebyusingasimpleinfraredthermometer)andnotaspecificdevice.Theforeheadregionwaschosenbecauseitismorereliablethantheregionbehindtheeyes(5,10).Thelatterregionmaynotbeappropriateformassscreeningbecauseonecannotaccuratelymeasuretemperaturethrougheyeglasses,whicharewornbymanypersons.Outdoorandindoortemperatureswerealsorecorded.Figure1Measurementofcutaneoustemperaturewithaninfraredthermometer.A)Thedeviceisplaced20cmfromtheforehead.B)Assoonastheexaminerpullsthetrigger,thetemperaturemeasuredisshownonthedisplay.Usedwithpermission.Themainobjectiveofourstudywastoassessdiagnosticaccuracyofinfraredthermometryfordetectingpatientswithfever,definedasatympanictemperature>38.0°C.Thesecondobjectivewastocomparemeasurementsofcutaneoustemperatureandtympanictemperature,withthelatterbeingusedasareferencepoint.Dataareexpressedasmean±standarddeviation(SD)orpercentagesandtheir95%confidenceintervals(CIs).Comparisonof2meanswasperformedbyusingtheStudentttest,andcomparisonof2proportionswasperformedbyusingtheFish...