Neonatal Jaundice in Low- and Middle-Income Countries: Lessons and Future Directions from the 2015 Don Ostrow Trieste Yellow Retreat.

Autor: Greco, Chiara, arnolda, Gaston, Boo, Nem-Yun, Iskander, Iman F., Okolo, angela a., Rohsiswatmo, Rinawati, Shapiro, Steven M., Watchko, Jon, Wennberg, Richard P., Tiribelli, Claudio, Coda Zabetta, Carlos D.
Předmět:
Zdroj: Neonatology (16617800); Sep2016, Vol. 110 Issue 3, p172-180, 9p, 1 Color Photograph, 2 Charts
Abstrakt: Severe neonatal hyperbilirubinemia, defined as total serum bilirubin (TSB) ≥20 mg/dl, is associated with a higher risk of permanent neurological sequelae and death. Jaundice can and should be promptly diagnosed and treated. Reliable methods for TSB assay are not always readily available, particularly in low- and middle-income countries, making the true incidence of severe neonatal jaundice (NNJ) difficult to estimate. To gather a more comprehensive picture, a symposium addressing NNJ worldwide was organized during the 2015 Don Ostrow Trieste Yellow Retreat. Data collected by several researchers in different regions of the world were presented and differences/similarities discussed. This report points out the need for: (1) a coordinated worldwide effort to define the burden and the causes of severe NNJ and its consequences; (2) aggressive educational programs for families and health personnel to facilitate timely care-seeking, and (3) accurate diagnostics and effective phototherapy. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index