Current phototherapy practice on Java, Indonesia.
Curtain
Distance
Hyperbilirubinemia
Irradiance
Phototherapy
Journal
BMC pediatrics
ISSN: 1471-2431
Titre abrégé: BMC Pediatr
Pays: England
ID NLM: 100967804
Informations de publication
Date de publication:
08 06 2019
08 06 2019
Historique:
received:
13
06
2018
accepted:
22
05
2019
entrez:
10
6
2019
pubmed:
10
6
2019
medline:
4
7
2020
Statut:
epublish
Résumé
In Indonesia, the burden of severe hyperbilirubinemia is higher compared to other countries. Whether this is related to ineffective phototherapy (PT) is unknown. The aim of this study is to investigate the performance of phototherapy devices in hospitals on Java, Indonesia. In 17 hospitals we measured 77 combinations of 20 different phototherapy devices, with and without curtains drawn around the incubator/crib. With a model to mimic the silhouette of an infant, we measured the irradiance levels with an Ohmeda BiliBlanket Meter II, recorded the distance between device and model, and compared these to manufacturers' specifications. In nine hospitals the irradiance levels were less than required for standard PT: < 10 μW/cm In half of the hospitals that we studied on Java the levels of irradiance are too low and, in some cases, too high. Given the risks of insufficient phototherapy or adverse effects, we recommend that manufacturers provide radiometers so hospitals can optimize the performance of their phototherapy devices.
Sections du résumé
BACKGROUND
In Indonesia, the burden of severe hyperbilirubinemia is higher compared to other countries. Whether this is related to ineffective phototherapy (PT) is unknown. The aim of this study is to investigate the performance of phototherapy devices in hospitals on Java, Indonesia.
METHODS
In 17 hospitals we measured 77 combinations of 20 different phototherapy devices, with and without curtains drawn around the incubator/crib. With a model to mimic the silhouette of an infant, we measured the irradiance levels with an Ohmeda BiliBlanket Meter II, recorded the distance between device and model, and compared these to manufacturers' specifications.
RESULTS
In nine hospitals the irradiance levels were less than required for standard PT: < 10 μW/cm
CONCLUSIONS
In half of the hospitals that we studied on Java the levels of irradiance are too low and, in some cases, too high. Given the risks of insufficient phototherapy or adverse effects, we recommend that manufacturers provide radiometers so hospitals can optimize the performance of their phototherapy devices.
Identifiants
pubmed: 31176379
doi: 10.1186/s12887-019-1552-1
pii: 10.1186/s12887-019-1552-1
pmc: PMC6555918
doi:
Substances chimiques
Bilirubin
RFM9X3LJ49
Types de publication
Journal Article
Multicenter Study
Observational Study
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
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