When should we start phototherapy in preterm newborn infants?

Almeida, Maria Fernanda Branco de

doi:10.2223/jped.1197

Cited by 5 publications

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“…A icterícia é um problema comum no período neonatal, em especial na primeira semana de vida, configurando como o diagnóstico e o tratamento mais comum desse período 6 . A coloração amarelada da pele e da esclera, características da icterícia, é consequência da elevação sérica da bilirrubina, que é a hiperbilirrubinemia 7 .…”

Section: Revisão De Literaturaunclassified

“…Por não ser invasiva e ter um alto impacto na diminuição dos níveis de bilirrubina, a fototerapia é a terapêutica mais utilizada com neonatos internados tanto em unidades de terapia intensiva neonatais (UTINs), quanto em alojamentos conjuntos (ALCONs). Constitui--se de tratamento que expõe a superfície corporal do neonato ictérico a uma fonte de luz, a qual pode ser do tipo fluorescente, halógena ou LED [7][8][9] .…”

Section: Revisão De Literaturaunclassified

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Validação de tecnologia educacional sobre fototerapia para orientar familiares de neonatos ictéricos [Validation of educational technology on phototherapy to guide family members of icteric neonates] [Validación de tecnología educativa sobre fototerapia para orientar a familiares de neonatos ictéricos]

et al. 2018

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Objetivo: validar tecnologia educacional sobre fototerapia para orientar familiares de neonatos ictéricos. Método: estudo de desenvolvimento metodológico, realizado em 2012, com nove juízes especialistas, 11 enfermeiros assistenciais e 11 familiares, mediante aplicação de questionários submetidos à análise estatística. Foi realizado em uma maternidade pública estadual no município de Manaus, Brasil. Resultados: a tecnologia a ser validada foi do tipo álbum seriado, com dupla face, intitulado A luz que cura, a mão que cuida. O Índice de Validade de Conteúdo (IVC) foi de 79,7%. O Índice de Concordância (IC) na validação de aparência foi de 96,1% entre enfermeiros e 97,2% entre familiares. Conclusão:a tecnologia educacional mostrou-se válida quanto ao conteúdo e aparência, com potencial para orientar familiares de neonatos ictéricos por enfermeiros que atuam na área neonatal e maternidade.ABSTRACTObjective: to validate an educational technology on phototherapy designed to guide family members of icteric neonates. Method: a methodological study carried out in 2012 with 9 specialist, 11 nursing assistants and 11 family members, through the application of questionnaires later submitted to statistical analysis. The study was conducted in a state public maternity hospital in the city of Manaus, Brazil. Results: the technology that was to be validated was a double-sided flip chart called The light that heals, the hand that cares. The Content Validity Index was 79.7%. The Concordance Index for the validation of appearance was 96.1% among nurses and 97.2% among family members. Conclusion: the educational technology was validated for content and appearance and demonstrated potential for orientations of family members of icteric neonates conducted by nurses who work in the neonatal and maternity areas.RESUMENObjetivo: validar tecnología educativa sobre fototerapia para orientar a familiares de neonatos ictéricos. Método: estudio de desarrollo metodológico, realizado en 2012, con 9 jueces especialistas, 11 enfermeros asistenciales y 11 familiares, mediante aplicación de cuestionarios sometidos al análisis estadístico. Se realizó en una maternidad pública estadual en el municipio de Manaus, AM, Brasil. Resultados: la tecnología validada fue del tipo álbum seriado, con doble cara, titulado La luz que cura, la mano que cuida. El Índice de Validez de Contenido fue del 79,7%. El Índice de Concordancia en la validación de apariencia fue del 96,1% entre enfermeros y el 97,2% entre familiares. Conclusión: la tecnología educativa se mostró válida en cuanto al contenido y apariencia, con potencial para orientar a familiares de neonatos ictéricos por enfermeros que actúan en el área neonatal y maternidad.

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Section: Revisão De Literaturaunclassified

Validação de tecnologia educacional sobre fototerapia para orientar familiares de neonatos ictéricos [Validation of educational technology on phototherapy to guide family members of icteric neonates] [Validación de tecnología educativa sobre fototerapia para orientar a familiares de neonatos ictéricos]

et al. 2018

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“…Preterm infants, especially very low birth weight (VLBW) newborns, are more likely to be subject to hyperbilirubinemia due to various physiologic conditions such as short red blood cell (RBC) lifespan, low albumin level and the related limited binding capacity, deficiency in hepatic conjugation, and an increase in enterohepatic circulation. Associated diseases such as infection, hemo-lysis, hypoalbuminemia, asphyxia, acidosis, and hyperosmolarity that increase bilirubin production, reduce albumin binding, or compromise the permeability of the blood-brain barrier could place VLBW newborns at a greater risk of neurological sequelae (4)(5)(6).…”

Section: Introductionmentioning

confidence: 99%

Prophylactic Versus Therapeutic Phototherapy in Very Low Birth Weight Infants

et al. 2015

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Background: Preterm and very low birth weight (VLBW) infants are at great risk of hyperbilirubinemia and bilirubin-associated brain damage. Objectives: The aim of this study was to compare the efficacy of prophylactic versus therapeutic phototherapy in VLBW infants. Patients and Methods: Fifty VLBW infants were randomly assigned to receive either phototherapy from the first day of life regardless of their serum bilirubin level for up to five days (prophylactic group) or phototherapy when their bilirubin level reached half the exchange transfusion level (therapeutic group). All data, including gestational age, gender, birth weight, serum bilirubin level on the first day, peak serum bilirubin concentration, the age at which the peak serum bilirubin level was reached, duration of phototherapy, and the number of exchange transfusions, were studied and analyzed. Results: The mean bilirubin level on the first day in both groups exhibited no significant difference. The peak serum bilirubin was 7.7 ± 1.4 and 8.5 ± 2.1 mg/dL in the prophylactic and therapeutic group, respectively, and there was no significant difference in the age at which the peak serum bilirubin levels were reached in both groups (2.4 ± 1.2 vs. 2.1 ± 1 days in the prophylactic and the therapeutic group, respectively). The mean duration of phototherapy in the prophylactic group was 84 ± 43 hours, while for the therapeutic group it was 72 ± 39 hours, and hence the difference was not significant. The need for an exchange transfusion was lower in the prophylactic group compared to the therapeutic group (33% vs. 7%), although the difference was not statistically meaningful (P < 0.112). Conclusions: According to our study, phototherapy should not be used as prophylactic therapy for all VLBW infants, but rather it should be individualized in order to maintain low bilirubin levels.

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Prophylactic phototherapy for preventing jaundice in preterm very low birth weight infants

Okwundu

Okoromah

Shah

2009

Cochrane Database of Systematic Reviews

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When should we start phototherapy in preterm newborn infants?

Cited by 5 publications

References 6 publications

Prophylactic Versus Therapeutic Phototherapy in Very Low Birth Weight Infants

Prophylactic phototherapy for preventing jaundice in preterm very low birth weight infants

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