@article {Sosa Saenze000655, author = {Sonia E. Sosa Saenz and Mary Kate Hardy and Megan Heenan and Z. Maria Oden and Rebecca Richards-Kortum and Queen Dube and Kondwani Kawaza}, title = {Evaluation of a continuous neonatal temperature monitor for low-resource settings: a device feasibility pilot study}, volume = {4}, number = {1}, elocation-id = {e000655}, year = {2020}, doi = {10.1136/bmjpo-2020-000655}, publisher = {BMJ Specialist Journals}, abstract = {Objective Evaluate a novel continuous temperature monitor in a low-resource neonatal ward.Design We developed a low-cost continuous neonatal temperature monitor (NTM) for use in low-resource settings. Accuracy of NTM was initially assessed in the laboratory. Clinical evaluation then was performed in a neonatal ward in a central hospital in Malawi; eligible neonates (\<1 week of age) were recruited for continuous temperature monitoring with NTM and a Philips Intellivue MP30 Patient Monitor.Interventions and outcome measures The temperature probes of NTM and the reference patient monitor were attached to the infant{\textquoteright}s abdomen, and core temperature was continuously recorded for up to 3 hours. Axillary temperatures were taken every hour. We compared temperatures measured using NTM, the patient monitor and the axillary thermometer.Results Laboratory temperature measurements obtained with NTM were within 0.059{\textdegree}C (range: -0.035{\textdegree}C to 0.195{\textdegree}C) of a reference thermometer. A total of 39 patients were recruited to participate in the clinical evaluation of NTM; data from four patients were excluded due to faulty hardware connections. The mean difference in measured temperatures between the NTM and the Intellivue MP30 was -0.04{\textdegree}C (95\% CI -0.52{\textdegree}C to 0.44{\textdegree}C).Conclusion NTM meets ISO 80601-2-56 standards for accuracy and is an appropriate, low-cost continuous temperature monitor for neonatal wards in low-resource settings.Trial registration numbers NCT03965312 and NCT03866122.}, URL = {https://bmjpaedsopen.bmj.com/content/4/1/e000655}, eprint = {https://bmjpaedsopen.bmj.com/content/4/1/e000655.full.pdf}, journal = {BMJ Paediatrics Open} }