The Effect of Bundling on Neonatal Body Temperature |
Ja Kyoung Lee, Eun Jung Kim, Hea Kyoung Lee, Young Hee Yu, Hyun Sook Lee |
Department of Pediatrics, Korea Veterans Hospital, Seoul, Korea |
감싸기(bundling)가 신생아 체온에 미치는 영향 |
이자경, 김은정, 이혜경, 유영희, 이현숙 |
한국보훈병원 소아과 |
Correspondence:
Hyun Sook Lee, Email: 1 |
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Abstract |
Purpose : Fever in newborn might be an indicator of serious bacterial infection. Differentiating environmental from disease-related temperature elevations in newborn is clinically important, because neonate with environment-related temperature elevation might be subjected to an unnecessary work-up to detect occult disease. But there are exists no consistent conclusions about environmental effect in previous literatures. We prospectively evaluated the effect of bundling on body temperature.
Methods : Twenty-five well, full-term newborns within 1 week old were assigned to the control group(one blanket) or to the study group(five blankets and hat). Rectal and axillary temperatures and arousal states were measured at 15-minute interval for 2 hours.
Results : There were 13 control and 12 study newborns. The mean axillary temperature of contol group increased by 0.21℃; mean rectal temperature increased by 0.23℃. The mean axillary temperature of study group increased by 0.63℃; mean rectal temperature increased by 0.56℃. Comparing study newborns to controls, there were significant rises in both axillary temperature and rectal temperature. One newborn of the study group reached 38.3℃ in rectal temperature.
Conclusion : Bundling can cause significant elevations in axillary and rectal temperature in newborn within 1 week old. Therefore, physicians treating neonates with elevated temperature should question whether to use bundling to differentiate endogenous from exogenous causes. |
Key Words:
Bundling, Fever, Hyperthermia, Newborn |
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