Autor: |
Horn AR; Division of Neonatology, School of Child and Adolescent Health, University of Cape Town, South Africa. ahorn@uctgsh1.uct.ac.za, Kirsten GF, Kroon SM, Henning PA, Möller G, Pieper C, Adhikari M, Cooper P, Hoek B, Delport S, Nazo M, Mawela B |
Jazyk: |
angličtina |
Zdroj: |
South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde [S Afr Med J] 2006 Sep; Vol. 96 (9), pp. 819-24. |
Abstrakt: |
The purpose of this document is to address the current lack of consensus regarding the management of hyperbilirubinaemia in neonates in South Africa. If left untreated, severe neonatal hyperbilirubinaemia may cause kernicterus and ultimately death and the severity of neonatal jaundice is often underestimated clinically. However, if phototherapy is instituted timely and at the correct intensity an exchange transfusion can usually be avoided. The literature describing intervention thresholds for phototherapy and exchange transfusion in both term and preterm infants is therefore reviewed and specific intervention thresholds that can be used throughout South Africa are proposed and presented graphically. A simplified version for use in a primary care setting is also presented. All academic heads of neonatology departments throughout South Africa were consulted in the process of drawing up this document and consensus was achieved. |
Databáze: |
MEDLINE |
Externí odkaz: |
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