Efficacy of single phototherapy with low-cost reflective sheets versus single phototherapy alone in mild-to-moderate unconjugated hyperbilirubinaemia in full-term neonates.

Autor: Sabry AM; Department of Pediatrics, Faculty of Medicine, Cairo University, Cairo, Egypt., El-Shabrawi MHF; Department of Pediatrics, Faculty of Medicine, Cairo University, Cairo, Egypt., Abdelrazek AA; Department of Pediatrics, Faculty of Medicine, Cairo University, Cairo, Egypt., Ali MF; Department of Pediatrics, Faculty of Medicine, Cairo University, Cairo, Egypt.
Jazyk: angličtina
Zdroj: Paediatrics and international child health [Paediatr Int Child Health] 2021 Aug; Vol. 41 (3), pp. 206-210. Date of Electronic Publication: 2021 Sep 02.
DOI: 10.1080/20469047.2021.1958603
Abstrakt: Background: An economical alternative method of increasing the light intensity of phototherapy for neonatal jaundice is the use of reflective sheets placed on the sides of the incubator.
Aim: To determine whether reflective sheets in addition to phototherapy increase the reduction of bilirubin levels and the duration of hospital stay.
Methods: The study was undertaken in the neonatal intensive care unit of Cairo University Children's Hospital. There were two groups: a study group of 90 full-term neonates with neonatal jaundice who received single phototherapy in incubators covered with white plastic reflective sheets and a control group of 90 full-term neonates with neonatal jaundice who received single phototherapy without the reflective sheets.
Results: The mean (SD) rate of bilirubin decline in the first 24 hours of phototherapy was greater in the study group [3.7 (0.86) µmol/L/hr] than in the control group [2.2 (0.14) µmol/L/hr] ( p <0.001).
Conclusion: Use of reflective sheets decreases the total duration of phototherapy and the cost and duration of hospitalisation without any added complications. Abbreviations: AAP: American Academy of Pediatrics; HIDS: high-intensity double-surface; LMIC: low- and middle-income countries; MCTP: mirror-covered tunnel phototherapy; NICU: neonatal intensive care unit; TSB: total serum bilirubin.
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje