The Use of Intensive Phototherapy in Severe Neonatal Hyperbilirubinemia

May Ahmed Khairy Abd-Ellatif; Dalia Ahmed Khairy Abd-Ellatif

doi:10.12816/0006334

Article Details

The Use of Intensive Phototherapy in Severe Neonatal Hyperbilirubinemia

Authors:

May Ahmed Khairy Abd-Ellatif | Dalia Ahmed Khairy Abd-Ellatif

Publisher:

The Egyptian Society of Parasitology

Main Topics:

Medicine

Journal:

Journal of the Egyptian Society of Parasitology 2012 Vol.42 Issue 2, pp.483-493

Document Type:

Article

Publication Date:

8/2012

Document Language:

English

Document ID (Org No.):

53463

Frequency:

Tri-Annual

pISSN:

11100583

DOI:

10.12816/0006334

Descriptors:

Keywords:

Abstract:

 Phototherapy has been the therapy of choice for the newborn with indirect hyperbilirubinemia.Intensive phototherapy requires a spectral irradiance of 30 μw/cm2/nm, delivered over as much of the body surface as possible and is nowadaysrecommended for cases of neonatal hyperbilirubinemia with elevated total serumbilirubin (TSB) levels according to the guidelines.This study was conducted on neonates presenting to the out-born Neonatal IntensiveCare Unit (NICU) of Cairo University Hospital with severe and extreme neonatalunconjugated hyperbilirubinemia during a 6 month period from August 2011to January 2012. A total of 212 neonates presented with TSB ≥20mg/dl and wereadmitted for intensive phototherapy. The mean TSB on admission for all the caseswas 26.8±6.2 mg/dl, ranging from 20 to 44mg/dl.The mean duration of intensive phototherapy use was 14 hr. The mean rate ofTSB declined during stay in the bilisphere was 1.019 mg/dl/hr. Exchange bloodtransfusion was indicated in 13 cases with extreme hyperbilirubinemia. 31 cases(14.62%) had rebound hyperbilirubinemia after phototherapy removal.

Article Details

The Use of Intensive Phototherapy in Severe Neonatal Hyperbilirubinemia

Authors:

May Ahmed Khairy Abd-Ellatif | Dalia Ahmed Khairy Abd-Ellatif

Publisher:

The Egyptian Society of Parasitology

Main Topics:

Medicine

Journal:

Journal of the Egyptian Society of Parasitology 2012 Vol.42 Issue 2, pp.483-493

Document Type:

Article

Publication Date:

8/2012

Document Language:

English

Document ID (Org No.):

53463

Frequency:

Tri-Annual

pISSN:

11100583

DOI:

10.12816/0006334

Descriptors:

NEONATAL DISEASES

BILIRUBINEMIA

THYROID GLAND

THERAPY

PATIENTS

Egypt

Neonatal Hyperbilirubinemia

Intensive Phototherapy

Issues

Article Details

Authors: May Ahmed Khairy Abd-Ellatif | Dalia Ahmed Khairy Abd-Ellatif

Publisher: The Egyptian Society of Parasitology

Main Topics: Medicine

Journal: Journal of the Egyptian Society of Parasitology 2012 Vol.42 Issue 2, pp.483-493

Document Type: Article

Publication Date: 8/2012

Document Language: English

Document ID (Org No.): 53463

Frequency: Tri-Annual

pISSN: 11100583

DOI: 10.12816/0006334

Descriptors:

Issues

Authors:

May Ahmed Khairy Abd-Ellatif | Dalia Ahmed Khairy Abd-Ellatif

Publisher:

The Egyptian Society of Parasitology

Main Topics:

Medicine

Journal:

Journal of the Egyptian Society of Parasitology 2012 Vol.42 Issue 2, pp.483-493

Document Type:

Article

Publication Date:

8/2012

Document Language:

English

Document ID (Org No.):

53463

Frequency:

Tri-Annual

pISSN:

11100583

DOI:

10.12816/0006334