Ghobrial EE, Al Sayed HM, Saher AEM, Mahmoud BEDR. Neonatal jaundice: magnitude of the problem in Cairo University's neonatal intensive Care unit as a referral center.
Afr Health Sci 2023;
23:656-666. [PMID:
37545932 PMCID:
PMC10398477 DOI:
10.4314/ahs.v23i1.70]
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Abstract
Background
Neonatal jaundice is one of the most common physiologic problems requiring medical attention in newborns. It is benign in most cases; however, high levels of bilirubin are neurotoxic and can lead to serious brain damage.
Objectives
This study aimed at assessment of magnitude of neonatal jaundice in cases of neonatal hyperbilirubinemia admitted into neonatal intensive care unit (NICU), Cairo University Pediatric Hospital and to detect possible etiologies, management and outcome.
Methods
The present work is a retrospective study, included 789 neonates suffered from hyperbilirubinemia over a two-year period.
Results
Intensive phototherapy and exchange transfusion were used together in 6 cases. Two hundreds and twenty-two cases (28.1%) had exchange transfusion once, 44 cases had it twice, 6 cases had it 3 times and one case had it 4 times. Number of exchange transfusion significantly affects mortality among cases (P= 0.02).
Conclusion
Neonatal hyperbilirubinemia is an existing problem in our NICU. Intensive phototherapy is an excellent substitute for exchange transfusion. Respiratory distress and sepsis are significantly higher among dead cases. Screening for risk factors is needed to avoid critical hyperbilirubenemia.
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