scholarly journals Prevalence of Neonatal Jaundice in the Zone Hospital of Suru-Lere at Cotonou (Benin)

2021 ◽  
Vol 12 (01) ◽  
pp. 20216-20219
Author(s):  
AÏKOU Nicolas ◽  
Sidiki Boubacar DRAME ◽  
Rock Allister LAPO ◽  
AHOYO Angèle Théodora ◽  
Gominan MOUTAWAKILOU ◽  
...  
Keyword(s):  
Risk Factors ◽  
Exchange Transfusion ◽  
Neonatal Jaundice ◽  
Early Discharge ◽  
Common Condition

Objectives: Summarize the data for better management of jaundice in neonatology Patients and methods: This was a study on 842 Beninese newborns aged 0 to 7 days hospitalized over the period from June 2014 to June 2015. Results: On 842 newborns, 170 were neonatal jaundice franc is 20.19%. The ratio is in favor of boys (1.8); jaundice is early in 2.35% of cases. Etiologies are represented by physiological jaundice, infection, maternal-fetal incompatibility erythrocyte. The use of exchange transfusion was required in 5.29% of cases. The rest of the treatment was dominated by intensive phototherapy and / or associated with conventional etiological treatment. Prematurity and infection are the main risk factors identified in our series. Conclusion: Jaundice is a common condition of course, but we draw attention to the importance of the rate of neonatal jaundice in our context related primarily to the non-monitoring of pregnancies, early discharge of maternity and consultations late. Tags: jaundice, prevalence, newborn, spectrophotometer, bilirubin.      

scholarly journals Risk factors and outcome of neonatal jaundice in a tertiary hospital

1970 ◽  
Vol 4 (2) ◽  
pp. 70-73 ◽  
Author(s):  
Bedowra Zabeen ◽  
Jebun Nahar ◽  
N Nabi ◽  
A Baki ◽  
S Tayyeb ◽  
...  
Keyword(s):  
Risk Factors ◽  
Gestational Age ◽  
G6pd Deficiency ◽  
Exchange Transfusion ◽  
Neonatal Jaundice ◽  
Complete Blood Count ◽  
Birth Asphyxia ◽  
Tertiary Hospital ◽  
Thyroid Stimulating Hormone ◽  
History Of

Neonatal jaundice is a common cause of newborn hospital admission. The risk factors, the characteristics and outcomes related to neonatal jaundice in Bangladesh has not been studied so far. This study addressed the outcomes, characteristics and risks of the jaundiced newborn admitted into hospital. The babies who had significant jaundice and required phototherapy and /or exchange transfusion were investigated. A detailed history of delivery with gestational age was noted and clinical examination of the admitted newborn was done. Birth weight was recorded. The investigations included complete blood count, ABO and Rh compatibility, serum bilirubin, glucose 6 phosphate dehydrogenase (G6PD), thyroid stimulating hormone (TSH) and ultrasonography (USG) of brain. The newborns were closely monitored for the prognosis. The requirement of individualized phototherapy and exchange transfusion were also noted. Finally, the outcomes were recorded. Overall, 60 (m v. f = 58.3 v. 41.7%) newborns were found who developed significant jaundice and were investigated. Of them, 35% had gestational age less than 32wks and only 32% had equal to or greater than 35wks. Regarding delivery, 83.3 % had the history of caesarean section. ABO- and Rh– incompatibilities were found in 13.3% and 3.3%, respectively. Septicemia was diagnosed among 26.7% though blood culture yielded growth only in 20%. Compared with the higher gestational age-group (? 35 wks) the lower group (<32 wks) showed significantly higher rate of septicemia (12.5 v. 68.8%, p<0.005). G6PD deficiency was found in only one (1.7%) case. Birth asphyxia was found as a concomitant factor in three patients. Exchange transfusion was done only in 2 (3.3%) babies. Among them one was preterm IDM with septicemia and other had G6PD deficiency. None of these babies developed kernicterus. Five (8.3%) babies died, all of them had septicemia and one baby also had intraventricular hemorrhage (IVH) with PDA. The study revealed that a substantial number of neonatal jaundice had the history of lower gestational age in Bangladeshi newborns; and the lower gestational age is significantly associated with septicemia and possibly with hyperbilirubinemia. More study is needed to establish the study findings. DOI: 10.3329/imcj.v4i2.6500Ibrahim Med. Coll. J. 2010; 4(2): 70-73

scholarly journals Causes of Neonatal Jaundice Requiring Exchange Transfusion

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Hassan Boskabadi ◽  
Gholamali Maamouri ◽  
Maryam Abbasi ◽  
Elahe Heidari
Keyword(s):  
Risk Factors ◽  
Exchange Transfusion ◽  
Neonatal Jaundice ◽  
Serum Bilirubin Level ◽  
Preterm Neonates ◽  
Total Serum ◽  
Cross Sectional ◽  
Abo Incompatibility ◽  
Blood Exchange ◽  
Rh Incompatibility

Background: Neonatal jaundice is highly prevalent in Asia and has serious complications, such as kernicterus. Therefore, it is very important to identify the risk factors of jaundice requiring exchange transfusion since it can be helpful in the prevention of the disease and early diagnosis of its complications. Objectives: The present study aimed to identify the causes of neonatal jaundice requiring blood exchange. Methods: The present cross-sectional study was performed on 251 term and preterm neonates. The studied newborns were 2-14 days old (born at ≥ 35 weeks of gestation) with jaundice and bilirubin of more than 17 mg/dL and received exchange transfusion during 2011 - 2020 in Ghaem teaching hospital, Mashhad, Iran. The required data of the study variables, such as hyperbilirubinemia risk factors, laboratory tests, the documented history of the mothers and neonates, and physical examination results, were collected through a questionnaire and the medical records of the patients. Finally, the collected data were analyzed in SPSS software (version 20). Results: Based on the results, the mean value of the total serum bilirubin level in neonates who received exchange transfusion was 27.53 ± 10.05 mg/dL. The blood types of about 40% of mothers and their neonates were O and A/B, respectively. Moreover, 11.4% of mothers were Rh-negative; however, their neonates were Rh-positive. The results also revealed that the causes of exchange transfusion were unknown, ABO incompatibility, Rh incompatibility, glucose-6-phosphate dehydrogenase deficiency (G6PDD), and sepsis in 52.7 %, 24%, 7.1%, 5.3%, and 5.3% of the neonates, respectively. Conclusions: The findings of this study suggest that after unknown causes, the most common causes of exchange transfusion were ABO incompatibility, Rh incompatibility, G6PDD, and sepsis. Therefore, since most of these causes can be recognized, it is recommended to perform related tests and take related measures in the Midwifery Department of the hospital to prevent the occurrence and exacerbation of jaundice. Moreover, it is recommended to perform an early follow-up after the discharge.

Neonatal Jaundice Detection Using a Computer Vision System

Designs ◽  
2021 ◽  
Vol 5 (4) ◽  
pp. 63
Author(s):  
Warqaa Hashim ◽  
Ali Al-Naji ◽  
Izzat A. Al-Rayahi ◽  
Makram Alkhaled ◽  
Javaan Chahl
Keyword(s):  
Neonatal Jaundice ◽  
Vision System ◽  
Digital Camera ◽  
Treatment Method ◽  
Common Condition ◽  
Computer Vision System ◽  
Efficient Treatment ◽  
Bilirubin Encephalopathy ◽  
High Level

Jaundice or Hyperbilirubinemia is a very common condition that affects newborns in their first few weeks of life. The main cause of jaundice is the high level of the bilirubin substance in the blood. As bilirubin is toxic to brain cells, acute bilirubin encephalopathy can occur in cases of extreme jaundice. This condition can result in brain trauma and lead to kernicterus, which causes repetitive and uncontrolled movements, a permanent upward look, and hearing loss. Thus, a timely diagnosis and treatment can help in preventing long-term damage. In this paper, a developed system based on a digital camera was proposed to diagnose and treat jaundice in newborns. The system detects jaundice and determines if the neonate needs treatment based on the analysis obtained from the real-time captured images. The treatment was achieved by using an Arduino Uno microcontroller to drive phototherapy lighting, which has proven to be an efficient treatment method for jaundice. In addition, the proposed system has the ability to send the diagnostic results to the mobile phone of the care provider. The obtained results from 20 infants inside the intensive care unit showed that the proposed system was accurate in terms of detecting jaundice, easy to implement, and affordable.

scholarly journals Risk Factors of Early Breastfeeding Jaundice: How Can Gynecologists and Nurses be Effective in Reducing It?

2020 ◽  
Vol 11 (3) ◽  
Author(s):  
Soheila Siroosbakht ◽  
Ali Reza Aminian ◽  
Bijan Rezakhaniha
Keyword(s):  
Risk Factors ◽  
Breast Feeding ◽  
Neonatal Jaundice ◽  
Preterm Neonates ◽  
Cross Sectional ◽  
Breastfeeding Education ◽  
High Prevalence ◽  
Rh Incompatibility ◽  
Study Population ◽  
Neonatal Problems

Background: Neonatal jaundice is one of the most common neonatal problems. About 60% of term and 80% of preterm neonates have jaundice. Objectives: Due to the high prevalence of early neonatal jaundice, which can lead to mothers’ concerns and even hospitalization of neonates, we decided to study the frequency and risk factors of breast feeding jaundice to determine the role of gynecologists and nurses in the development of this type of jaundice. Methods: This study was a cross-sectional descriptive study. The sampling method was by convenience. Study populations included one hundred terms, exclusively breastfed neonates aged equal or less than seven days with jaundice who were admitted in Golestan and Khanevadeh hospitals Tehran, Iran from July 2019 to January 2020. Results: The percentage of causes of jaundice in the study population was 65% non-breastfeeding jaundice (29 male, 36 female), including 36% blood group incompatibility, 19% Rh incompatibility and 10% G6PD deficiency. The amount of breast feeding jaundice was 35% (18 male, 17 female). The most significant factors in breastfeeding jaundice were: use of water or sugar water, depressed nipple, mother’s unwillingness to breastfeed; inappropriate breastfeeding technique, and birth weight < 2500 g. Conclusions: The high prevalence of breastfeeding jaundice indicates that policies of breastfeeding education need to be revised. Breastfeeding education before delivery, attention of gynecologists to breast problems of mothers during pregnancy, professional coordination of nurses and physicians for effective breastfeeding training, and early mothers’ revisit after the initial discharge of neonates can reduce the frequency of breastfeeding jaundice and readmission of neonates.

scholarly journals Maternal and neonatal risk factors for neonatal jaundice and readmission – An Indian perspective

2021 ◽  
Vol 8 (1) ◽  
pp. 44
Author(s):  
HarpreetSingh Dhillon ◽  
Navjot Kaur ◽  
GurpreetKaur Dhillon ◽  
Shibu Sasidharan
Keyword(s):  
Risk Factors ◽  
Neonatal Jaundice ◽  
Indian Perspective ◽  
Neonatal Risk Factors

“A PROSPECTIVE STUDY: ROLE OF TRACTION ON FOLEY’S CATHETER IN TURP PATIENTS”

2021 ◽  
pp. 27-29
Author(s):  
Prashant Lavania ◽  
Ankush Gupta ◽  
Rahul Chaudhary
Keyword(s):  
Blood Loss ◽  
Early Discharge ◽  
Common Condition ◽  
Medical College ◽  
Duration Of Hospital Stay ◽  
Group A ◽  
Foley’S Catheter ◽  
Group B ◽  
A Prospective Study

INTRODUCTION: Benign prostatic hyperplasia (BPH) is the most common condition affecting men those are 50 years of age and above.TURP is still the widely used technique for management of BPH. TURPwith advent of newer technologies in diathermy and visual scope, has turned into a relatively safe one. AIM:To study role of catheter traction on blood loss and complications in patients with TURP. MATERIALS AND METHODS: This study was done among patients of BPH admitted in the Department of Surgery at S.N. Medical College, Agra during the period from January 2019 to February 2020. Total 60 cases were enrolled in the study and divided into two groups. Group A(30 patients) with traction on catheter after TURPand Group B(30 patients) without traction on catheter. DISCUSSION: Blood loss and irrigation uid was signicantly less in the group with traction on foley's catheter. Duration of hospital stay and complications were also lesser in group with traction. CONCLUSION: Traction on foley's catheter post TURP is effective in managing BPH with the merits of higher safety due to less blood loss and early discharge.

Nonarteritic Ischemic Optic Neuropathy

2019 ◽  
pp. 15-20
Author(s):  
Matthew J. Thurtell ◽  
Robert L. Tomsak
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Optic Neuropathy ◽  
Acute Onset ◽  
Anterior Ischemic Optic Neuropathy ◽  
Management Approach ◽  
Ischemic Optic Neuropathy ◽  
Common Condition ◽  
Fellow Eye ◽  
Eye Involvement

Nonarteritic anterior ischemic optic neuropathy is the most frequent cause of acute-onset optic neuropathy in older adults. Its exact pathogenesis remains uncertain, although it often occurs in patients with a small, structurally congested optic disc (“disc at risk”). In this chapter, we begin by reviewing the clinical features of nonarteritic anterior ischemic optic neuropathy. We then discuss the prognosis for recovery of vision and fellow eye involvement. We review the risk factors and precipitating factors for this condition. We list the medications that have been associated with this condition. Lastly, we review the workup and management approach for this common condition.

Asthma in the Critically Ill Patient

2019 ◽  
pp. 150-156
Author(s):  
Jonathan J. Danaraj ◽  
Augustine S. Lee
Keyword(s):  
United States ◽  
Risk Factors ◽  
Immunoglobulin E ◽  
Age Distribution ◽  
The United States ◽  
Critically Ill Patient ◽  
Common Condition ◽  
Female Ratio ◽  
Genetic And Environmental Factors ◽  
Male To Female

Asthma is a common condition that affects an estimated 24 million children and adults in the United States (prevalence, 8%-10%). Globally, over 300 million people are affected and the number is expected to increase. The age distribution is bimodal, but in most patients, asthma is diagnosed before age 18 years (male to female ratio, 2:1 in children; 1:1 in adults). Susceptibility to asthma is multifactorial with both genetic and environmental factors. The strongest risk factor is atopy, a sensitivity to the development of immunoglobulin E (IgE) to specific allergens. A person with atopy is 3- to 4-fold more likely to have asthma than a person without atopy. Other risk factors include birth weight, prematurity, tobacco use (including secondary exposure), and obesity.

scholarly journals Late onset of new conduction disturbances requiring permanent pacemaker implantation following TAVI

Heart ◽  
2020 ◽  
Vol 106 (16) ◽  
pp. 1244-1251 ◽  
Author(s):  
Nynke H M Kooistra ◽  
Martijn S van Mourik ◽  
Ramón Rodríguez-Olivares ◽  
Alexander H Maass ◽  
Vincent J Nijenhuis ◽  
...  
Keyword(s):  
Risk Factors ◽  
Late Onset ◽  
Pacemaker Implantation ◽  
Early Discharge ◽  
Permanent Pacemaker ◽  
Conduction Delay ◽  
Intraventricular Conduction ◽  
Conduction Disturbances ◽  
Permanent Pacemaker Implantation ◽  
Timing Of Onset

BackgroundThe timing of onset and associated predictors of late new conduction disturbances (CDs) leading to permanent pacemaker implantation (PPI) following transcatheter aortic valve implantation (TAVI) are still unknown, however, essential for an early and safe discharge. This study aimed to investigate the timing of onset and associated predictors of late onset CDs in patients requiring PPI (LCP) following TAVI.Methods and resultsWe performed retrospective analysis of prospectively collected data from five large volume centres in Europe. Post-TAVI electrocardiograms and telemetry data were evaluated in patients with a PPI post-TAVI to identify the onset of new advanced CDs. Early onset CDs were defined as within 48 hours after procedure, and late onset CDs as after 48 hours. A total of 2804 patients were included for analysis. The PPI rate was 12%, of which 18% was due to late onset CDs (>48 hours). Independent predictors for LCP were pre-existing non-specific intraventricular conduction delay, pre-existing right bundle branch block, self-expandable valves and predilation. At least one of these risk factors was present in 98% of patients with LCP. Patients with a balloon-expandable valve without predilation did not develop CDs requiring PPI after 48 hours.ConclusionsSafe early discharge might be feasible in patients without CDs in the first 48 hours after TAVI if no risk factors for LCP are present.

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