Abstract:Abstract: Objective To investigate the accuracy of infrared thermal imaging (IRTI) by comparing the forehead temperature of the fever patients with acute upper respiratory infection (AURI) detected by IRTI with the armpit temperature of the patients by mercury thermometers. Methods The body temperature of 71 fever patients with AURI in the Emergency Room was simutaneously detected by mercury thermometers (armpit temperature) and IRTI(forehead temperature), and then compared. Results The quantitative analysis showed that the armpit temperature of the fever patients was (38.45 ± 0.66)℃ ; and the lowest forehead temperature of the patients was (36.30 ± 1.08) ℃ ,the average forehead temperature was (37.57 ± 0.76) ℃ , the highest forehead temperature was (38.66 ± 0.68) ℃ using the IRTI. There were statistical differences between the axillary temperature and the lowest and average forehead temperature of the patients (P < 0.05). However, there was no significant difference between the axillary temperature and the highest forehead temperature (P > 0.05) and they were positively correlated (P <0.05). Conclusions IRTI can replace mercury thermometer to detect the body temperature of the fever patients with AURI by measuring the highest forehead temperature.