Comparison of triple and double phototherapy in neonatal hyperbilirubinemia

AUTHORS

Salma Naderi 1 , * , Fatemeh Safdarian 1 , Alireza Shahab Jahanlou 2 , Davood Mazloomi 3

1 Assistant Professor Department of Pediatrics, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

2 Assistant Professor Department of Community Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

3 Pediatrician, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

How to Cite: Naderi S, Safdarian F, Jahanlou A S, Mazloomi D. Comparison of triple and double phototherapy in neonatal hyperbilirubinemia, Hormozgan Med J. 2009 ; 13(1):e88621.

ARTICLE INFORMATION

Hormozgan Medical Journal: 13 (1); e88621
Published Online: November 05, 2009
Article Type: Research Article
Received: December 02, 2008
Accepted: November 05, 2009

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Abstract

Introduction: Icterus is the most common medical problem in neonates. Phototherapy is
standard treatment of neonatal hyperbilirubinemia. This study aims to compare efficacy
and length of hospitalization of double and triple phototherapy in term newborns with
indirect hyperbilirubinemia.
Methods: In a randomized clinical trial, 40 healthy term newborns (gestational age>37
weeks) with weight≥2500 gr and bilirubin≥12 and ≥15 mg/dl in the second and third day,
respectively, were randomly assigned to triple (n=20) or double phototherapy (n=20)
groups. Total and direct serum bilirubin was measured at admission, 8, 16 and 24 hours
after beginning of phototherapy, and thus each 12 hours until discharge (when bilirubin
reached ≤10 mg/dl). The data were analyzed by repeated measurement and T-Test.
Results: The repeated measurement test showed that the phototherapy reduced Indirect
bilirubin in both groups (P<0.000). There was no difference in mean of both weigh, time of
Icter and mean of total bilirubin in scheduled time between triple and double groups.
Conclusion: Triple phototherapy failed to reduce total serum bilirubin and shorten
length of hospitalization more rapidly than double phototherapy.

Keywords

Hyperbilirubinemia - Phototherapy - Term Birth

© 2009, Hormozgan Medical Journal. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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