The Role of Body Temperature on Respiratory Rate in Children with Acute Respiratory Infections

Overview

Journal Afr Health Sci

Date 2021 Nov 19

PMID 34795718

Citations 2

Authors

Beril Ozdemir

Siddika Songul Yalcin

Affiliations

Soon will be listed here.

Abstract

Background: The World Health Organization (WHO) recommends the use of tachypnea as a proxy to the diagnosis of pneumonia.

Objective: The purpose of this study was to examine the relationship between body temperature alterations and respiratory rate (RR) difference (RRD) in children with acute respiratory infections(ARI).

Methods: This cross-sectional study included 297 children with age 2-60 months who presented with cough and fever at the pediatric emergency and outpatient clinics in the Department of Pediatrics, Baskent University Hospital, from January 2016 through June 2018. Each parent completed a structured questionnaire to collect background data. Weight and height were taken. Body temperature, respiratory rate, presence of the chest indrawing, rales, wheezing and laryngeal stridor were also recorded. RRD was defined as the differences in RR at admission and after 3 days of treatment.

Results: Both respiratory rate and RRD were moderately correlated with body temperature (r=0.71, p<0.001 and r=0.65, p<0.001; respectively). For every 1°C increase in temperature, RRD increased by 5.7/minutes in overall, 7.2/minute in the patients under 12 months of age, 6.4/minute in the female. The relationship between body temperature and RRD wasn't statistically significant in patients with rhonchi, chest indrawing, and low oxygen saturation.

Conclusion: Respiratory rate should be evaluated according to the degree of body temperature in children with ARI. However, the interaction between body temperature and respiratory rate could not be observed in cases with rhonchi and severe pneumonia.

Citing Articles

Optimal diagnostic fever thresholds using non-contact infrared thermometers under COVID-19.

Lai F, Li X, Liu T, Wang X, Wang Q, Chen S Front Public Health. 2022; 10:985553.

PMID: 36504995 PMC: 9730337. DOI: 10.3389/fpubh.2022.985553.

Editorial: Infectious diseases and NCDs persist despite concerted effort.

Tumwine J Afr Health Sci. 2021; 21(2):i-v.

PMID: 34795757 PMC: 8568243. DOI: 10.4314/ahs.v21i2.1.

References

Barie P, Hydo L, Eachempati S . Causes and consequences of fever complicating critical surgical illness. Surg Infect (Larchmt). 2004; 5(2):145-59. DOI: 10.1089/sur.2004.5.145. View

Purssell E, While A, Coomber B . Tympanic thermometry--normal temperature and reliability. Paediatr Nurs. 2009; 21(6):40-3. DOI: 10.7748/paed2009.07.21.6.40.c7151. View

Falade A, Tschappeler H, Greenwood B, Mulholland E . Use of simple clinical signs to predict pneumonia in young Gambian children: the influence of malnutrition. Bull World Health Organ. 1995; 73(3):299-304. PMC: 2486666. View

Mathews B, Shah S, Cleveland R, Lee E, Bachur R, Neuman M . Clinical predictors of pneumonia among children with wheezing. Pediatrics. 2009; 124(1):e29-36. DOI: 10.1542/peds.2008-2062. View

Duke T, Wandi F, Jonathan M, Matai S, Kaupa M, Saavu M . Improved oxygen systems for childhood pneumonia: a multihospital effectiveness study in Papua New Guinea. Lancet. 2008; 372(9646):1328-33. DOI: 10.1016/S0140-6736(08)61164-2. View

Laupland K, Zahar J, Adrie C, Schwebel C, Goldgran-Toledano D, Azoulay E . Determinants of temperature abnormalities and influence on outcome of critical illness. Crit Care Med. 2011; 40(1):145-51. DOI: 10.1097/CCM.0b013e31822f061d. View

Rudan I, Boschi-Pinto C, Biloglav Z, Mulholland K, Campbell H . Epidemiology and etiology of childhood pneumonia. Bull World Health Organ. 2008; 86(5):408-16. PMC: 2647437. DOI: 10.2471/blt.07.048769. View

PALAFOX M, Guiscafre H, Reyes H, Munoz O, Martinez H . Diagnostic value of tachypnoea in pneumonia defined radiologically. Arch Dis Child. 2000; 82(1):41-5. PMC: 1718193. DOI: 10.1136/adc.82.1.41. View

Floyd J, Wu L, Hay Burgess D, Izadnegahdar R, Mukanga D, Ghani A . Evaluating the impact of pulse oximetry on childhood pneumonia mortality in resource-poor settings. Nature. 2015; 528(7580):S53-9. DOI: 10.1038/nature16043. View

10.

Harari M, Shann F, SPOONER V, Meisner S, Carney M, de Campo J . Clinical signs of pneumonia in children. Lancet. 1991; 338(8772):928-30. DOI: 10.1016/0140-6736(91)91785-s. View

11.

Mathew J, Patwari A, Gupta P, Shah D, Gera T, Gogia S . Acute respiratory infection and pneumonia in India: a systematic review of literature for advocacy and action: UNICEF-PHFI series on newborn and child health, India. Indian Pediatr. 2011; 48(3):191-218. DOI: 10.1007/s13312-011-0051-8. View

12.

Campbell H, Byass P, ODempsey T . Effects of body temperature on respiratory rate in young children. Arch Dis Child. 1992; 67(5):664. PMC: 1793722. DOI: 10.1136/adc.67.5.664. View

13.

Taylor J, Del Beccaro M, Done S, WINTERS W . Establishing clinically relevant standards for tachypnea in febrile children younger than 2 years. Arch Pediatr Adolesc Med. 1995; 149(3):283-7. DOI: 10.1001/archpedi.1995.02170150063011. View

14.

Shah S, Bachur R, Simel D, Neuman M . Does This Child Have Pneumonia?: The Rational Clinical Examination Systematic Review. JAMA. 2017; 318(5):462-471. DOI: 10.1001/jama.2017.9039. View

15.

March M, SantAnna C . Signs and symptoms indicative of community-acquired pneumonia in infants under six months. Braz J Infect Dis. 2005; 9(2):150-5. DOI: 10.1590/s1413-86702005000200005. View

16.

Yalcin S, Ozdemir B, Ozdemir S, Baskin E . Agreement Between Integrated Management of Childhood Illness and Final Diagnosis in Acute Respiratory Tract Infections. Indian J Pediatr. 2018; 85(12):1086-1089. DOI: 10.1007/s12098-018-2637-9. View

17.

Williams B, Gouws E, Boschi-Pinto C, Bryce J, Dye C . Estimates of world-wide distribution of child deaths from acute respiratory infections. Lancet Infect Dis. 2002; 2(1):25-32. DOI: 10.1016/s1473-3099(01)00170-0. View

18.

Zar H, Madhi S, Aston S, Gordon S . Pneumonia in low and middle income countries: progress and challenges. Thorax. 2013; 68(11):1052-6. PMC: 3960724. DOI: 10.1136/thoraxjnl-2013-204247. View

19.

Yalcin S, Aydemir O, Erkul E, Karabulut E, Akca T . The factors that have a role in variability for temperature. J Trop Pediatr. 2009; 56(1):53-9. DOI: 10.1093/tropej/fmp058. View

20.

LEVENTHAL J . Clinical predictors of pneumonia as a guide to ordering chest roentgenograms. Clin Pediatr (Phila). 1982; 21(12):730-4. DOI: 10.1177/000992288202101205. View