Publication: Clinico-Laboratory Profile and Immediate Outcomes of Hyperbilirubinemic Babies Admitted in Kanti Children Hospital
Date
2010
Article Type
Original Article
Journal Title
Journal ISSN
ISSN 1990-7974 eISSN 1990-7982
Volume Title
Pages
Pages: 31 - 36
Publisher
Nepal Paediatric Society (JNPS)
Abstract
Abstract:
Introduction: Jaundice is an important problem in the neonatal period especially in the first week of life. Our objective of the study is to find out the immediate outcome of hyperbilirubinemic babies admitted in Kanti Children Hospital.
Methodology: This is a retrospective study and carried out in tertiary care paediatric hospital.
Results: Altogether 73 babies were enrolled in the study. Male babies outnumbered the female (72.6% vs. 27.4%).Only 2.4% babies were near-term. LBW babies constitute 19.2% of the study population.86.3% of babies also have clinical sepses as defined by WHO criteria. Almost half of the babies have mild hyperbilirubinemia (15-19.9 mg/dl). Most of the babies (94.5%) improved and the mortality was 5.5%.
Conclusion: Healthy term babies with a serum bilirubin <17mg/dl should not be admitted for routinely as they do not need phototherapy. Phototherapy is effective in most of the time, but exchange transfusion should also be carried out when phototherapy fails. Causes of hyperbilirubinemia should be searched extensively especially to rule out haemolysis.
Description
Deepeshwara Nepal
WHO Fellow in Neonatology, Senior Medical Officer, Kanti Children Hospital Kathmandu
Dinesh Banstola
WHO Fellow in Neonatology, Senior Medical Officer, Kanti Children Hospital Kathmandu
Ajaya Kumar Khakal
Paediatric Resident, TUTH
Udbhabhat Mishra
Paediatric Resident, National Acedemy of Medical Science
Chandeshawar Maheseth
Professor of Paediatrics National Academy of Medical Science, Bir Hospital, Kathmandu, Nepal
Keywords
hyperbilirubinemia, kernicterus, neonates, phototherapy
Identifier
https://doi.org/10.3126/jnps.v30i1.2457