Photoprevention or phototherapy in newborn infants born prematurely?

Luca Maggio, Costantino Romagnoli, Maria Pia De Carolis, Enrico Zecca, Antonio Alberto Zuppa, Giuseppe Gio Batta Tortorolo, Umberto Muzii

Risultato della ricerca: Contributo in rivistaArticolo in rivista

Abstract

The authors studied the effects of different kinds of phototherapy in 186 newborns with a gestational age less than 33 weeks and weighing less than 2500 g. A control group of 60 infants was compared with a group of 31 infants submitted to photoprophylaxis, a group of 54 infants treated with day light, and a group of 41 infants treated with day light + special blue light. As far as the serum bilirubin variations in the first week, the maximum levels attained and the number of exchange transfusions are concerned, phototherapy always proved effective in reducing potentially neurotoxic serum bilirubin concentrations. Among the infants subjected to treatment, those treated with the day light showed a significant smaller decrease of serum bilirubin compared to those treated with the day light + special blue light, even if levels above 15 mg/dl were found in a similar percentage. Only 3.2% of the babies treated with photoprophylaxis showed serum bilirubin values above 15 mg/dl. The authors conclude that prophylaxis seems to be preferable to other phototherapeutic schedules used in the treatment of hyperbilirubinemia in low gestational age infants.
Titolo tradotto del contributo[Autom. eng. transl.] Photoprevention or phototherapy in newborn infants born prematurely?
Lingua originaleItalian
pagine (da-a)191-195
Numero di pagine5
RivistaPediatria Medica e Chirurgica
Stato di pubblicazionePubblicato - 1987

Keywords

  • Photoprevention
  • phototherapy

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