PT - JOURNAL ARTICLE AU - Thomas Holder AU - Frances Sophie Woodley Hooper AU - David Yates AU - Zion Tse AU - Samadhan Patil AU - Ahmed Moussa AU - Lucy Batten AU - Vignesh Radhakrishnan AU - Mark Allison AU - Catherine Hewitt AU - Ada Keding AU - Greg Forshaw AU - Vijay Jayagopal TI - Clinical accuracy of infrared temperature measurement devices: a comparison against non-invasive core-body temperature AID - 10.7861/clinmed.2022-0252 DP - 2023 Mar 01 TA - Clinical Medicine PG - 157--163 VI - 23 IP - 2 4099 - http://www.rcpjournals.org/content/23/2/157.short 4100 - http://www.rcpjournals.org/content/23/2/157.full SO - Clin Med2023 Mar 01; 23 AB - During the coronavirus 2019 (COVID-19) pandemic, the implementation of non-contact infrared thermometry (NCIT) became an increasingly popular method of screening body temperature. However, data on the accuracy of these devices and the standardisation of their use are limited. In the current study, the body temperature of non-febrile volunteers was measured using infrared (IR) thermography, IR tympanic thermometry and IR gun thermometry at different facial feature locations and distances and compared with SpotOn core-body temperature. Poor agreement was found between all IR devices and SpotOn measurements (intra-class correlation coefficient <0.8). Bland–Alman analysis showed the narrowest limits of agreement with the IR gun at 3 cm from the forehead (bias = 0.19°C, limits of agreement (LOA): −0.58°C to 0.97°C) and widest with the IR gun at the nose (bias = 1.40°C, LOA: −1.15°C to 3.94°C). Thus, our findings challenge the established use of IR thermometry devices within hospital settings without adequate standard operating procedures to reduce operator error.