[Double phototherapy with Wallaby optic fibers versus conventional phototherapy. Case reports].
The authors have valued the efficacy of the double phototherapy with fiberoptic Wallaby vs conventional phototherapy in 2 groups of term infants, without any complication at birth, utilized respectively as study group and control group. While conventional phototherapy produced a bilirubin reduction of 0.60 +/- 0.26% per hour (with a total reduction of 28.1 +/- 11.1%), the double phototherapy was statistically more effective (p < 0.05) then conventional phototherapy causing a bilirubin reduction of 0.73 +/- 0.28% (with a total reduction of 33.3 +/- 9.5%). At 24 hour after the interruption of the treatment 9 newborns of the study group (36%) and 7 of the control group (28%) presented a rebound effect (increase of the bilirubinemia more than 17 mumol/l), but without a statistical difference (p > 0.05). Our study shows that double phototherapy with Wallaby fiberoptic and conventional phototherapy represent a valid strategy in the treatment of the non haemolytic neonatal hyperbilirubinemia, because, compared to conventional phototherapy, double phototherapy is more effective and reduces the period of the treatment, showing a simple management of the jaundiced newborn.
Pometta
P
P
Dipartimento di Pediatria, Ospedale di Bruderholz, Svizzera.
Rodonó
A
A
Distefano
G
G
Amato
M
M
D001663:Bilirubin / Q000097:blood; D005336:Fiber Optic Technology / Q000295:instrumentation; D006801:Humans; D007231:Infant, Newborn; D007567:Jaundice, Neonatal / Q000097:blood / Q000628:therapy; D010789:Phototherapy / Q000295:instrumentation / Q000379:methods* / Q000706:statistics & numerical data; D013997:Time Factors
D001663:Bilirubin