Normal oral, rectal, tympanic and axillary body temperature in adult men and women: a systematic literature review.

Normal oral, rectal, tympanic and axillary body temperature in adult men and women: a systematic literature review The purpose of this study was to investigate normal body temperature in adult men and women. A systematic review of data was performed. Searches were carried out in MEDLINE, CINAHL, and manually from identified articles reference lists. Studies from 1935 to 1999 were included. Articles were classified as (1) strong, (2) fairly strong and (3) weak evidence. When summarizing studies with strong or fairly strong evidence the range for oral temperature was 33.2-38.2 degrees C, rectal: 34.4-37.8 degrees C, tympanic: 35.4- 37.8 degrees C and axillary: 35.5-37.0 degrees C. The range in oral temperature for men and women, respectively, was 35.7-37.7 and 33.2-38.1 degrees C, in rectal 36.7-37.5 and 36.8-37.1 degrees C, and in tympanic 35.5-37.5 and 35.7-37.5 degrees C. The ranges of normal body temperature need to be adjusted, especially for the lower values. When assessing body temperature it is important to take place of measurement and gender into consideration. Studies with random samples are needed to confirm the range of normal body temperature with respect to gender and age.

[1]  L. Keilson,et al.  Screening for hypothermia in the ambulatory elderly. The Maine experience. , 1985, JAMA.

[2]  R. Erickson Oral Temperature Differences in Relation to Thermometer and Technique , 1980, Nursing research.

[3]  Barbara Kozier Fundamentals of Nursing: Concepts, Process, and Practice , 1983 .

[4]  S. Toledo,et al.  Lowering the temperature criterion improves detection of infections in nursing home residents , 1993 .

[5]  L Wilhelmsen,et al.  Body temperature in general population samples. The study of men born in 1913 and 1923. , 2009, Acta medica Scandinavica.

[6]  T. R. Knapp,et al.  The effect of type of thermometer and length of time inserted on oral temperature measurements of afebrile subjects. , 1984, Nursing research.

[7]  R. H. Fox,et al.  Diagnosis of accidental hypothermia of the elderly. , 1971, Lancet.

[8]  J. C. Zimmerman,et al.  Chronobiology of aging: Temperature, sleep-wake rhythms and entrainment , 1982, Neurobiology of Aging.

[9]  T. Howell Axillary temperatures in aged women. , 1972, Age and ageing.

[10]  P. Payne,et al.  Environmental Conditions and Body Temperatures of Elderly Women Living Alone or in Local Authority Home , 1971, British medical journal.

[11]  T. Terndrup,et al.  A comparison of oral, rectal, and tympanic membrane-derived temperature changes after ingestion of liquids and smoking. , 1989, The American journal of emergency medicine.

[12]  P. Mackowiak,et al.  A critical appraisal of 98.6 degrees F, the upper limit of the normal body temperature, and other legacies of Carl Reinhold August Wunderlich. , 1992, JAMA.

[13]  J. Hirschmann Normal body temperature. , 1992, JAMA.

[14]  J. Chamberlain,et al.  Determination of normal ear temperature with an infrared emission detection thermometer. , 1995, Annals of emergency medicine.

[15]  D. Norman,et al.  Fever and Aging , 1985 .

[16]  A. Kolanowski,et al.  Hypothermia in the elderly. , 1981, Geriatric nursing.

[17]  F Cascetta,et al.  An assessment of infrared tympanic thermometers for body temperature measurement. , 1997, Physiological measurement.

[18]  J. Downton,et al.  'Silent' pyrexia in the elderly. , 1987, Age and ageing.

[19]  P. Mackowiak,et al.  Carl Reinhold August Wunderlich and the evolution of clinical thermometry. , 1994, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[20]  D. Norman,et al.  Fever in the elderly. , 2000, Infectious disease clinics of North America.

[21]  R H Fox,et al.  Body Temperatures in the Elderly: A National Study of Physiological, Social, and Environmental Conditions , 1973, British medical journal.

[22]  J. Spangler,et al.  The influence of gender and race on mean body temperature in a population of healthy older adults. , 1993, Archives of family medicine.

[23]  Michael Yeh,et al.  Fever Response in Elderly Nursing Home Residents: Are the Older Truly Colder? , 1991, Journal of the American Geriatrics Society.

[24]  G. M. Piersol,et al.  Oral and rectal temperatures of man. , 1950, Journal of the American Medical Association.

[25]  A. Guz,et al.  The febrile response to mild infections in elderly hospital inpatients. , 1991, Age and ageing.

[26]  A. Guz,et al.  Normal rectal, auditory canal, sublingual and axillary temperatures in elderly afebrile patients in a warm environment. , 1991, Age and ageing.

[27]  Royston Jp,et al.  The choice between rectum and mouth as sites for basal body temperature measurements. , 1982 .

[28]  Y. Motohashi,et al.  Oral temperatures of the elderly in nursing homes in summer and winter in relation to activities of daily living , 1997, International journal of biometeorology.

[29]  R. Collacott Screening for hypothermia in Orkney. , 1975, The Journal of the Royal College of General Practitioners.

[30]  Dubois Ef,et al.  The many different temperatures of the human body and its parts. , 1951 .

[31]  R. Thatcher 98.6 degrees F: what is normal? , 1983, Journal of gerontological nursing.

[32]  G. Marion,et al.  Core body temperature in the elderly and factors which influence its measurement. , 1991, Gerontology.