Effectiveness of phototherapy with reflecting curtains on neonatal jaundice

Abstract

Background Although phototherapy has been used in clinical practice for 40 years, there is still much debate on how to provide the most efficacious phototherapy. Phototherapy with white reflecting curtains may increase the average spectral irradiance provided, as well as decrease serum bilirubin concentrations at a faster rate in neonates with jaundice.

Effect of phototherapy with alumunium foil reflectors on neonatal hyperbilirubinemia

“…9 Previous studies on phototherapy with reflectors in Kelantan (Malaysia) and Medan (Indonesia) used white reflecting curtains. 6,7 Results from both studies showed that white reflecting curtains increased the efficacy of phototherapy compared to phototherapy without reflectors. Both studies also showed that the phototherapy spectral irradiance with white reflecting curtains was 1.5-2 times greater than that of phototherapy without reflectors.…”

“…Both studies also showed that the phototherapy spectral irradiance with white reflecting curtains was 1.5-2 times greater than that of phototherapy without reflectors. 6,7 By using aluminum foil as a reflector, about 92-98% of light is reflected, wavelength, and irradiance, and it resists corrosion. 10 Aluminum foil also is very thin and easy to fold into the desired shape.…”

“…[3][4][5] Previous studies from Malaysia and Indonesia showed that white reflecting curtains can increase the efficacy of phototherapy in neonates with NH. 6,7 In addition to white reflecting curtains, aluminum foil can reflect about 92-98% of light and wavelength, so it can be used as a reflector in phototherapy.…”

Perbandingan Efektivitas antara Terapi Sinar Tunggal dengan dan Tanpa Kain Putih pada Bayi Berat Lahir Rendah dengan Hiperbilirubinemia

“…Penelitian terdahulu di Kelantan, Malaysia, melaporkan hasil peningkatan intensitas terapi sinar 1,5 kali dan penelitian di Medan, Indonesia, sebesar 2 kali. 6,12 Penurunan kadar bilirubin serum total dan indirek lebih besar pada kelompok intervensi dibandingkan kelompok kontrol. Hal ini sesuai dengan penelitian terdahulu yang dilakukan di Malaysia, Medan, India dan Iran.…”

“…Terdapat modalitas dalam meningkatkan efektifitas terapi sinar yaitu dengan menambahkan material sebagai pemantul dan pemakaian terapi sinar ganda. [6][7][8][9][10][11][12] Penambahan material sebagai pemantul sangat bermanfaat terutama untuk negara yang sedang berkembang yang mempunyai keterbatasan biaya dalam pengadaan alat terapi sinar sehingga dapat memperpendek masa rawat serta menghemat biaya.…”