{"id":164,"date":"2018-01-15T15:15:22","date_gmt":"2018-01-15T20:15:22","guid":{"rendered":"http:\/\/mire.zonart.co\/?p=164"},"modified":"2025-05-17T15:48:15","modified_gmt":"2025-05-17T19:48:15","slug":"buccale-ou-rectale","status":"publish","type":"post","link":"https:\/\/mireformations.com\/fr\/buccale-ou-rectale\/","title":{"rendered":"Buccale ou rectale ?"},"content":{"rendered":"<blockquote><p>La question m\u2019est souvent pos\u00e9e : \u00ab Est-il pr\u00e9f\u00e9rable de prendre la temp\u00e9rature par voie buccale ou rectale ? \u00bb Je vous partage ici le r\u00e9sum\u00e9 d\u2019un article du Dr Fr\u00e9d\u00e9ric Picotte, omnipraticien et urgentologue de la r\u00e9gion de Shawinigan.<\/p><\/blockquote>\n<p><strong>La temp\u00e9rature rectale serait la plus fiable lorsque la personne, quel que soit son \u00e2ge, pr\u00e9sente un changement dans son \u00e9tat de sant\u00e9.<\/strong> En effet, une \u00e9tude de Niven et al. a d\u00e9montr\u00e9 que dans 30% des cas, la fi\u00e8vre ne serait pas d\u00e9tect\u00e9e par la prise par voie buccale ou axillaire. (Niven et al., Accuracy of peripheral thermometers for estiming temperature : A systemic review and meta-analysis, 2015)<\/p>\n<p>Selon Dr.Picotte, d\u00e8s que l\u2019on prend la temp\u00e9rature en d\u00e9pistage, la temp\u00e9rature rectale est la plus recommand\u00e9e. Les autres voies seraient fiables en situation o\u00f9 le patient pr\u00e9sente des signes et des sympt\u00f4mes de fi\u00e8vre. En situation de d\u00e9pistage, ils sont incapables de d\u00e9tecter la hausse de temp\u00e9rature chez 30% des patients.<\/p>\n<p>Pour les lecteurs travaillant en CHSLD, le document D\u00e9finitions pour la surveillance des infections nosocomiales dans les milieux d\u2019h\u00e9bergement et de soins de longue dur\u00e9e, INSPQ 2014, fait \u00e9tat des r\u00e9sultats de la prise de temp\u00e9rature chez un a\u00een\u00e9. Il y est mentionn\u00e9 les r\u00e9sultats de prise de temp\u00e9rature orale, tympanique, axillaire ou rectale qui indiquent la pr\u00e9sence de fi\u00e8vre g\u00e9riatrique.<\/p>\n<p>J\u2019en conclus donc que notre choix de la voie pour la prise de temp\u00e9rature est guid\u00e9 par :<\/p>\n<ul>\n<li>Prescription m\u00e9dicale,<\/li>\n<li>Protocole d\u2019\u00e9tablissement,<\/li>\n<li>Situation de d\u00e9pistage, d\u2019admission ou de routine de soin<\/li>\n<li>Le patient pr\u00e9sente-t-il des signes et sympt\u00f4mes infectieux.<\/li>\n<\/ul>\n<p>&#8211;<\/p>\n<div class=\"page\" title=\"Page 2\">\n<div class=\"section\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<p>Mireille Guillemette inf.B.\u00e9d.<\/p>\n<p>&#8211;<\/p>\n<a href=\"\/wp-content\/uploads\/2018\/01\/Buccale-ou-rectale.pdf\" \n                       target=\"_blank\" \n                       class=\"av-button \">\n                       T\u00e9l\u00e9chargement du .pdf\n                    <\/a>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>La question m\u2019est souvent pos\u00e9e : \u00ab Est-il pr\u00e9f\u00e9rable de prendre la temp\u00e9rature par voie buccale ou rectale ? \u00bb Je vous partage ici le r\u00e9sum\u00e9 d\u2019un article du Dr Fr\u00e9d\u00e9ric Picotte, omnipraticien et urgentologue de la r\u00e9gion de Shawinigan. La temp\u00e9rature rectale serait la plus fiable lorsque la personne, quel que soit son \u00e2ge, [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":28,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_seopress_titles_title":"","_seopress_titles_desc":"Est-il pr\u00e9f\u00e9rable de prendre la temp\u00e9rature par voie buccale ou rectale ?\u00bb Je vous partage ici le r\u00e9sum\u00e9 d\u2019un article de Dr Fr\u00e9d\u00e9ric Picotte.","_seopress_robots_index":"","_seopress_robots_follow":"","_seopress_robots_imageindex":"","_seopress_robots_snippet":"","_seopress_robots_primary_cat":"none","_seopress_robots_breadcrumbs":"","_seopress_robots_freeze_modified_date":"","_seopress_robots_custom_modified_date":"","_seopress_robots_canonical":"","_seopress_social_fb_title":"","_seopress_social_fb_desc":"","_seopress_social_fb_img":"","_seopress_social_fb_img_attachment_id":0,"_seopress_social_fb_img_width":0,"_seopress_social_fb_img_height":0,"_seopress_social_twitter_title":"","_seopress_social_twitter_desc":"","_seopress_social_twitter_img":"","_seopress_social_twitter_img_attachment_id":0,"_seopress_social_twitter_img_width":0,"_seopress_social_twitter_img_height":0,"_seopress_redirections_value":"","_seopress_redirections_enabled":"","_seopress_redirections_enabled_regex":"","_seopress_redirections_logged_status":"both","_seopress_redirections_param":"","_seopress_redirections_type":301,"_seopress_analysis_target_kw":"Buccale rectale","_seopress_news_disabled":"","_seopress_video_disabled":"","_seopress_video":[],"_seopress_pro_schemas_manual":[],"_seopress_pro_rich_snippets_disable_all":"","_seopress_pro_rich_snippets_disable":[],"_seopress_pro_schemas":[],"_breakdance_hide_in_design_set":false,"_breakdance_tags":"","footnotes":""},"categories":[19],"tags":[],"class_list":["post-164","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-suivi-clinique-aine"],"acf":[],"_oembed_3d159cc46700d6687636e1435546f5f1":null,"_post":{"0":"","post_course_short_description":""},"_oembed_4b99bf6488373e8b39bc513723d6d0e2":null,"_oembed_c058e7ceaab9bfd5f158b9b7a9fe12cd":null,"_oembed_8510a525f34169a4f0e5e79d0bfc161c":null,"_oembed_6936e72bdaa928020334e628e8fdf593":null,"_oembed_time_6936e72bdaa928020334e628e8fdf593":null,"_oembed_c8f053cdff3f00aee8a106b0c08def8c":null,"_oembed_time_c8f053cdff3f00aee8a106b0c08def8c":null,"_oembed_10da257e7326df54796667156d4e298c":null,"_oembed_time_10da257e7326df54796667156d4e298c":null,"_oembed_991b4693b210ed492b0007b99411c4dd":null,"_oembed_time_991b4693b210ed492b0007b99411c4dd":null,"_oembed_d78bc60d84da8de49112bc162fa64b70":null,"_oembed_time_d78bc60d84da8de49112bc162fa64b70":null,"_oembed_739171529c996e688e92d187581d6bf0":null,"_oembed_time_739171529c996e688e92d187581d6bf0":null,"_oembed_d2ee12fee10084c3c572ee37804c2879":null,"_oembed_time_d2ee12fee10084c3c572ee37804c2879":null,"_oembed_cf14aaf13f8c30e2b9f4ffd128b45852":null,"_oembed_f5e5ae01d8cfc25c4ead9b02f2c46021":null,"_oembed_d3e161395d2cab953e8385c955cf179b":null,"_seopress_social_fb_img_attachment_id":null,"_seopress_social_fb_img_width":null,"_seopress_social_fb_img_height":null,"_seopress_social_twitter_img":null,"_seopress_social_twitter_img_attachment_id":null,"_seopress_social_twitter_img_width":null,"_seopress_social_twitter_img_height":null,"meta_box":[],"publishpress_future_action":{"enabled":false,"date":"2026-07-24 03:00:25","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/mireformations.com\/fr\/wp-json\/wp\/v2\/posts\/164","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mireformations.com\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/mireformations.com\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/mireformations.com\/fr\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/mireformations.com\/fr\/wp-json\/wp\/v2\/comments?post=164"}],"version-history":[{"count":0,"href":"https:\/\/mireformations.com\/fr\/wp-json\/wp\/v2\/posts\/164\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/mireformations.com\/fr\/wp-json\/wp\/v2\/media\/28"}],"wp:attachment":[{"href":"https:\/\/mireformations.com\/fr\/wp-json\/wp\/v2\/media?parent=164"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/mireformations.com\/fr\/wp-json\/wp\/v2\/categories?post=164"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/mireformations.com\/fr\/wp-json\/wp\/v2\/tags?post=164"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}