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The Effect of Bundling on Neonatal Body Temperature

Journal of the Korean Pediatric Society 1998;41(1):26-32.
Published online January 15, 1998.
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
Hyun Sook Lee, Email: 1
: 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.
: 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.
: 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.
: 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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