Jaundice in the healthy term neonate: When is treatment indicated?

Bland, Harold

doi:10.1016/s0045-9380(96)80033-8

Cited by 3 publications

(4 citation statements)

References 32 publications

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“…1,12,21 This minimal effective dose would be the cutoff point below which the photoreaction of bilirubin is too small to justify phototherapy. Unfortunately, despite current clinical and laboratory evidence, numerous newborns are still submitted to subtherapeutic doses of phototherapy.…”

Section: Irradiancementioning

confidence: 99%

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Treatment of neonatal hyperbilirubinemia

Carvalho¹

2001

J Pediatr (Rio J)

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Objective: to review the recent medical literature on the treatment of neonatal jaundice, focusing on practical aspects that are relevant to pediatricians and neonatologists.Sources: an extensive review of the related literature was performed, also including the author's clinical experience in this field of investigation. Summary of the findings:jaundice is very common among infants during the first days of life. Several factors such as maternal and neonatal history have to be considered before implementing treatment. Significant advances have been made in the past few years concerning the treatment of jaundiced newborn infants. This review focuses on three forms of treatment of neonatal hyperbilirubinemia: phototherapy, exchange transfusion and the use of drugs to reduce serum bilirubin concentration.Conclusions: nowadays, the in-depth knowledge about the mechanism of action of phototherapy, the development of intensified phototherapy units and the use of drugs to reduce bilirubin formation, have contributed to significantly decrease the need for exchange transfusion.

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Section: Irradiancementioning

confidence: 99%

“…It is estimated that around 60% of newborns develop serum bilirubin levels higher than 5mg%. 1 In most cases, the etiology of this disorder is multifactorial. Treatment depends on the type and intensity of hyperbilirubinemia.…”

Section: Introductionmentioning

confidence: 99%

Treatment of neonatal hyperbilirubinemia

Carvalho¹

2001

J Pediatr (Rio J)

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“…A icterícia neonatal é o distúrbio mais frequentemente encontrado em recém-nascidos 19 . A fototerapia durante o período neonatal tem sido preconizada, desde 1958, para o tratamento de alguns graus de icterícia e prevenção de complicações mais graves, como o kernicterus.…”

Section: Nevos Melanocíticos Na Infância E Fototerapia No Período Neounclassified

“…Esse comprimento de onda da luz penetra na epiderme e atinge o tecido subcutâneo, de maneira que somente a bilirrubina que está próxima à superfície da pele (até 2 mm) será afetada diretamente pela luz 22,23 . Por esse motivo, existem inúmeros aparelhos de fototerapia para hiperbilirrubinemia no mercado, sendo os mais comuns as lâmpadas fluorescentes brancas e azuis, luz monocromática azul e lâmpadas de quartzo halogênicas com filamento de tungstênio 19 .…”

Section: Nevos Melanocíticos Na Infância E Fototerapia No Período Neounclassified

Topical photoprotection in childhood and adolescence

2012

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Objective: Exposure to sunlight in childhood is often more intense than in adults. Literature data unequivocally show the association between this social behavior and the risk for developing malignant melanoma and non-melanoma skin cancer, even in adulthood. Furthermore, skin photoaging begins already in childhood through inadequate sun exposure. This review aims to guide pediatricians on appropriate measures of topical photoprotection in children and adolescents, which will positively change the future of these patients. Sources:A review of the literature indexed in MEDLINE/PubMed between the years 1999 and 2012 on photoprotection in childhood was conducted. The most relevant review articles on photoprotection in children and adolescents, photoprotection and vitamin D in neonatal phototherapy and impact on skin cancer, artificial tanning and skin cancer were selected as sources. Summary of the findings:Children and adolescents should adopt appropriate measures of photoprotection in order to decrease the risk of melanoma and non-melanoma skin cancer. Conclusions:There are published data that support the association between sun exposure habits and safe use of topical sunscreens in children and adolescents on the one hand and a reduced occurrence of skin cancer on the other. ResumoObjetivo: A exposição à luz solar na infância ocorre, frequentemente, de forma mais intensa do que em muitos adultos. Dados da literatura comprovam de maneira inequívoca a associação desse comportamento social com o risco de desenvolvimento do melanoma maligno e do câncer cutâneo não melanoma mesmo na vida adulta. Além disso, o fotoenvelhecimento cutâneo é semeado já na infância com a exposição solar inadequada. Esta revisão tem como objetivo orientar os pediatras nas medidas adequadas de fotoproteção tópica nas crianças e adolescentes, o que irá alterar de maneira positiva o futuro desses pacientes. Fontes dos dados:Realizou-se uma revisão da literatura indexada na base de dados MEDLINE/PubMed entre os anos de 1999 e 2012 sobre fotoproteção na infância, selecionando-se como fonte os artigos de revisão mais relevantes, do ponto de vista de abrangência do tema fotoproteção em crianças e adolescentes, fotoproteção e vitamina D, fototerapia na neonatologia e impacto no câncer cutâneo, bronzeamento artificial e câncer cutâneo. Síntese dos dados:Crianças e adolescentes devem adotar medidas adequadas de fotoproteção para diminuir o risco de câncer cutâneo melanoma e não melanoma. Conclusões:Há dados na literatura que suportam a associação de hábitos de exposição solar segura e uso de fotoprotetores tópicos em crianças e adolescentes com a redução da ocorrência do câncer cutâneo.J Pediatr (Rio J). 2012;88(3):203-10: Melanoma maligno, câncer cutâneo, fotoproteção.

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Ictère grave du nouveau-né. Définition et prise en charge

Labrune¹

1998

Archives de Pédiatrie

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Jaundice in the healthy term neonate: When is treatment indicated?

Cited by 3 publications

References 32 publications

Treatment of neonatal hyperbilirubinemia

Treatment of neonatal hyperbilirubinemia

Topical photoprotection in childhood and adolescence

Ictère grave du nouveau-né. Définition et prise en charge

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