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Randomized Controlled Trial
. 2006 Nov;91(6):F439-42.
doi: 10.1136/adc.2006.095687. Epub 2006 Jul 28.

Efficacy of phototherapy for neonatal jaundice is increased by the use of low-cost white reflecting curtains

S Djokomuljanto  1 , B S Quah, Y Surini, R Noraida, N Z N Ismail, T W R Hansen, H Van Rostenberghe
Affiliations
Randomized Controlled Trial

Efficacy of phototherapy for neonatal jaundice is increased by the use of low-cost white reflecting curtains

S Djokomuljanto et al. Arch Dis Child Fetal Neonatal Ed. 2006 Nov.

Abstract

Objective: To determine whether the addition of low-cost reflecting curtains to a standard phototherapy unit could increase effectiveness of phototherapy for neonatal jaundice.

Design: Randomised controlled clinical trial.

Setting: Level-one nursery of the Hospital Universiti Sains Malaysia, Kelantan, Malayasia.

Patients: Term newborns with uncomplicated neonatal jaundice presenting in the first week of life.

Interventions: Phototherapy with white curtains hanging from the sides of the phototherapy unit (study group, n = 50) was compared with single phototherapy without curtains (control group, n = 47).

Main outcome measures: The primary outcome was the mean difference in total serum bilirubin measured at baseline and after 4 h of phototherapy. The secondary outcome was the duration of phototherapy.

Results: The mean (standard deviation) decrease in total serum bilirubin levels after 4 h of phototherapy was significantly (p<0.001) higher in the study group (27.62 (25.24) micromol/l) than in the control group (4.04 (24.27) micromol/l). Cox proportional hazards regression analysis indicated that the median duration of phototherapy was significantly shorter in the study group (12 h) than in the control group (34 h; chi(2) change 45.2; p<0.001; hazards ratio 0.20; 95% confidence interval 0.12 to 0.32). No difference in adverse events was noted in terms of hyperthermia or hypothermia, weight loss, rash, loose stools or feeding intolerance.

Conclusion: Hanging white curtains around phototherapy units significantly increases efficacy of phototherapy in the treatment of neonatal jaundice without evidence of increased adverse effects.

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Conflict of interest statement

Competing interests: None.

References

    1. Sarici S U, Alpay F, Unay B.et al Double versus single phototherapy in term newborns with significant hyperbilirubinemia. J Trop Pediatr 20004636–39. - PubMed
    1. Hansen T W R. Jaundice, neonatal. eMedicine. 2002. http://www.emedicine.com/ped/topic1061.htm (accessed 11 Aug 2006)
    1. Meslo M T L, Hansen T W R. Effektivisering av lysbehandling med enkle midler. Jordmorbladet 2000718–21.
    1. De Carvalho M, De Carvalho D, Trzmielina S.et al Intensified phototherapy using daylight fluorescent lamps. Acta Paediatr 199988768–771. - PubMed
    1. Ministry of Health Malaysia Clinical practice guidelines. Management of jaundice in healthy term newborns, 2003. http://www.moh.gov.my/medical (accessed 11 Aug 2006) and http://www.moh.gov.my/MohPortal/cpgDetail.jsp?action = view&id = 9

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