18. Comparison of Continuous with Intermittent Phototherapy Technique for the Management of Neonatal Jaundice
Muhammad Abubakre Khalid1, Ammara Bakhtawar2 and Noor Akbar1
ABSTRACT
Objective: To compare the two phototherapy techniques; continuous and intermittent for the treatment of neonatal jaundice.
Study Design: Randomized control trial study.
Place and Duration of Study: This study was conducted at the department of Paediatric Medicine, Nishtar hospital, Multan from October 2016 to March 2017.
Materials and Methods: This randomized control trial was conducted in the department of Paediatric Medicine, Nishtar hospital, Multan. Duration of study was six months from October 2016 to March 2017. Data was entered in statistical computer software SPSS v 23.1 and analyzed for desired variable analysis. Mean and SD was calculated for numerical data like age, Baseline bilirubin and follow up bilirubin, similarly frequency percentages were calculated categorical data like gender . Chi square test was applied for effect modification or association of outcome variables with effect modifiers. P value < 0.05 was considered as significant.
Results: A total number of 100% (n=300) babies were included in this study, both genders. Gender distribution showed there were 65.3% (n=196) males and 34.7% (n=104) females babies (p=0.849). The mean baseline bilirubin of the babies was 17.80±1.35mg/dl, while the mean follow-up bilirubin was 17.66±1.14 mg/dl. The mean difference between the baseline bilirubin and the follow-up bilirubin was 0.138±1.63 mg/dl i.e. no significant difference was found (p=0.298).
Conclusion: Both techniques of phototherapy intermittent and continuous phototherapies are equally effective in management of neonatal indirect bilirubin, but intermittent phototherapy have some additional benefits. So intermittent phototherapy technique can be used as routine treatment technique. Key Words: Neonatal Jaundice, Phototherapy, Continuous, Intermittent.
Citation of articles: Khalid MA, Bakhtawar A, Akbar N. Comparison of Continuous with Intermittent Phototherapy Technique for the Management of Neonatal Jaundice. Med Forum 2017;28(9):71-74.