Evaluation of the benefits and efficacy of light emitting diode (LED) device with respect to conventional fluorescent tube phototherapy device in neonatal hyper bilurubenimia in near term and full term neonates
Abstract
Introduction: Neonatal jaundice is a common, in most cases a benign problem in neonates. About 60% of term and 80% of preterm babies develop jaundice during the first week of life. About 5-10% of all newborns need phototherapy for this commonest morbidity in neonatal life. The commonly used light sources are special blue fluorescent tubes, compact fluorescent tubes and halogen spotlights. In recent years a new type of light source light emitting diodes (LED) has been incorporated into phototherapy.
Methodology: Hospital based prospective and observational study.The study was done over a period of two years in SNCU, NICU and Newborn ward, department of paediatrics, S.C.B. Medical College, Cuttack from September2014 to August 2016. Investigation were done in the department of pathology, biochemistry and central laboratory.
Results: The duration of phototherapy was shorter in patients who received LED phototherapy than those treated with conventional phototherapy. The children receiving LED phototherapy has less weightloss compared to conventional photo therapy. There is 12% extra loss of weight during phototherapy in children with conventional phototherapy. Rebound hyperbilirubenimia was more in children treated with LED phototherapy.About 12% babies developed rebound hyperbilirubenimia in those treated with LED Phototherapy as compared to 8 % of conventional phototherapy. Side effects are more in conventional phototherapy.
Conclusion: LED is safe rescue treatment for severe neonatal hyperbilirubenimia and its implementation reduce the failure of phototherapy and need for exchange transfusion.
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References
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