Background: Hyperbilirubinemia is a very common entity in newborns. Screening all the babies for hyperbilirubinemia is must. Serum bilirubin is the standard method of checking the bilirubin in newborns. This is very cumbersome, invasive and time consuming method. Hence many newborns will be discharged without screening. Transcutaneous bilirubinometry would help us in making this task easy and safe. Hence the present study was planned.Methods: This is an institutional cross sectional study conducted in a tertiary care hospital for a period of 6 months. After a written informed consent from parents/ guardians and considering selection criteria, 500 newborns with clinical jaundice were included in study. Each newborn was examined, transcutaneous bilirubin checked at forehead and sternum and serum bilirubin was done at the same time. Data was statistically analyzed to see the correlation between TcB and TSB.Results: Out of 500 newborns, 316 were males, 184 were females and 475 were term gestation and 25 were preterm. Coefficient of correlation was 0.73 and 0.72 for total serum bilirubin versus forehead and sternum respectively which were statistically significant.Conclusions: Transcutaneous bilirubinometer readings closely correlate with that of serum bilirubin. Hence TcB can be used as a safer, economical and effective tool in screening newborns for hyperbilirubinemia.
Background: The practice of immunization dates back to hundreds of years. Buddhist monks drank snake venom to confer the immunity against snake bite. World Health Organization (WHO) covers broad scope of global activities in order make the globe free of vaccine preventable diseases. Many surveillance activities are going on, in order to fulfill the aim of disease free globe.Methods: Children admitted to the Pediatric ward of Belgavi Institute of Medical Sciences were enrolled and parents/ guardians were enquired about the vaccination the child received and their knowledge about immunization and interpretation was done to find out the reasons for snail’s pace of successful elimination of the vaccine preventable diseases.Results: Out of 630 participants, 364 had partial immunization and 12 (1.9%) were un- immunized. Poor knowledge being the first reason found in 247 (67.9%) children. No visit by the health worker was the 2nd reason found in 220 (60.4%) children and child illness was the third reason in 116 (31.9%) children.Conclusions: In order to increase the rates of immunization in the community, improving the knowledge of community, about the benefits of immunizing their children as well as empowering the grass root health workers in immunizing the children of their locality can help us achieve a nation free of vaccine preventable diseases.
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