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New Emirates Medical Journal

Author(s): Shabih Manzar*

DOI: 10.2174/0250688201901010001

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A Novel Approach to Phototherapy Initiation in Preterm Infants

Article ID: e081124179625 Pages: 3

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Abstract

Therapeutic interventions in preterm infants are determined based on birth weight. Phototherapy (PTx) is the treatment for hyperbilirubinemia, started based on serum bilirubin level. However, weight-based guidelines for PTx in preterm infants are lacking. We present a simple way of calculating the bilirubin to initiate PTx. A percentage body weight, ranging from 0.5%-1%, is used to calculate bilirubin.

Keywords: Phototherapy, Preterm infants, Bilirubin, Jaundice, Hyperbilirubinemia, Therapeutic interventions.

[1]
Management of hyperbilirubinemia in the newborn infant 35 or more weeks of gestation. Pediatrics 2004; 114(1): 297-316.
[http://dx.doi.org/10.1542/peds.114.1.297] [PMID: 15231951]
[2]
Maisels MJ, Watchko JF, Bhutani VK, Stevenson DK. An approach to the management of hyperbilirubinemia in the preterm infant less than 35 weeks of gestation. J Perinatol 2012; 32(9): 660-4.
[http://dx.doi.org/10.1038/jp.2012.71] [PMID: 22678141]
[3]
Morris BH, Oh W, Tyson JE, et al. Aggressive vs. conservative phototherapy for infants with extremely low birth weight. N Engl J Med 2008; 359(18): 1885-96.
[http://dx.doi.org/10.1056/NEJMoa0803024] [PMID: 18971491]
[4]
Bratlid D, Nakstad B, Hansen TW. National guidelines for treatment of jaundice in the newborn. Acta Paediatr 2011; 100(4): 499-505.
[http://dx.doi.org/10.1111/j.1651-2227.2010.02104.x] [PMID: 21114525]
[5]
Mukherjee D, Coffey M, Maisels MJ. Frequency and duration of phototherapy in preterm infants <35 weeks gestation. J Perinatol 2018; 38(9): 1246-51.
[http://dx.doi.org/10.1038/s41372-018-0153-4] [PMID: 29915375]
[6]
Jegathesan T, Sgro M, Shah V, Campbell A, Campbell D. Investigating the phototherapy thresholds in preterm infants Paediatrics and Child Health 2018; 23(suppl_1): e28.
[http://dx.doi.org/10.1093/pch/pxy054.073]
[7]
Mreihil K, Benth JŠ, Stensvold HJ, Nakstad B, Hansen TWR. Phototherapy is commonly used for neonatal jaundice but greater control is needed to avoid toxicity in the most vulnerable infants. Acta Paediatr 2018; 107(4): 611-9.
[http://dx.doi.org/10.1111/apa.14141] [PMID: 29119603]
[8]
Morioka I. Hyperbilirubinemia in preterm infants in Japan: New treatment criteria. Pediatr Int (Roma) 2018; 60(8): 684-90.
[http://dx.doi.org/10.1111/ped.13635] [PMID: 29906300]