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conferenceseries
.com
Volume 8
Pediatrics & Therapeutics
ISSN: 2161-0665
Pediatrics and Pediatric Gastroenterology 2018
March 21-22, 2018
16
th
Annual World Congress on
3
rd
Annual World Congress on
March 21-22, 2018 | New York, USA
PEDIATRICS
PEDIATRIC NUTRITION,
GASTROENTEROLOGY & CHILD DEVELOPMENT
&
Effect of neonatal position during phototherapy in reducing bilirubin serum: An evidence-based case
report
Muhamad Shafiq Advani
1
and
Adhi Teguh
2,3
1
Newcastle University, Indonesia
2
Universtas Indonesia, Indonesia
3
Cipto Mangunkusumo Hospital, Indonesia
Background:
Neonatal jaundice is one of the most common problems in neonates, but most cases are physiologic. However, if left
untreated several complications may appear from malaise to ultimately kernicterus that can permanently damage central nervous
system due to toxic feature of excess bilirubin. Currently, phototherapy is the chosen prophylaxis treatment to prevent complications.
Several studies have been conducted to increase its efficacy by modifying certain factors including the neonate’s position during
phototherapy. In addition, American Academy of Pediatrics Subcommittee on Hyperbilirubinemia guidelines (AAP, 2004) and
National Collaborating Centre for Women’s and Children’s Health guidelines on Neonatal Jaundice (NICE, 2010) do not have any
consensus regarding the neonate’s position. Thus, the optimal position of the neonates during phototherapy remains vague.
Objective:
The objective of this study was to compare the effect of supine position versus periodic change of position during
phototherapy in late preterm and term neonates.
Method:
PubMed and Cochrane were used for literature browsing. Articles were then selected based on inclusion and exclusion
criteria. Selected articles were assessed with Oxford CEBM critical appraisal tools.
Results:
Two randomized controlled trial and one systematic review were obtained. 2 RCT shows RR 1.10 and 1.12 with NNT 30 and
100 respectively. All three studies can be applied to our patient.
Conclusion:
Changing the position of the neonates during phototherapy will not increase the efficacy of the treatment to lower total
bilirubin serum.
shafiq.advani@yahoo.comPediatr Ther 2018, Volume: 8
DOI: 10.4172/2161-0665-C1-049