Clinico-Laboratory Profile and Immediate Outcomes of Hyperbilirubinemic Babies Admitted in Kanti Children Hospital

Authors

  • Deepeshwara Nepal WHO Fellow in Neonatology, Senior Medical Officer, Kanti Children Hospital Kathmandu
  • Dinesh Banstola WHO Fellow in Neonatology, Senior Medical Officer, Kanti Children Hospital Kathmandu
  • Ajaya Kumar Khakal Paediatric Resident, TUTH
  • Udbhabhat Mishra Paediatric Resident, National Acedemy of Medical Science
  • Chandeshawar Maheseth Professor of Paediatrics National Academy of Medical Science, Bir Hospital, Kathmandu, Nepal

DOI:

https://doi.org/10.3126/jnps.v30i1.2457

Keywords:

hyperbilirubinemia, kernicterus, neonates, phototherapy

Abstract

Introduction: Jaundice is an important problem in the neonatal period especially in the first week of life. Our objective of the study is to find out the immediate outcome of hyperbilirubinemic babies admitted in Kanti Children Hospital.

Methodology: This is a retrospective study and carried out in tertiary care paediatric hospital.

Results: Altogether 73 babies were enrolled in the study. Male babies outnumbered the female (72.6% vs. 27.4%).Only 2.4% babies were near-term. LBW babies constitute 19.2% of the study population.86.3% of babies also have clinical sepses as defined by WHO criteria. Almost half of the babies have mild hyperbilirubinemia (15-19.9 mg/dl). Most of the babies (94.5%) improved and the mortality was 5.5%.

Conclusion: Healthy term babies with a serum bilirubin <17mg/dl should not be admitted for routinely as they do not need phototherapy. Phototherapy is effective in most of the time, but exchange transfusion should also be carried out when phototherapy fails. Causes of hyperbilirubinemia should be searched extensively especially to rule out haemolysis.

Key words: hyperbilirubinemia, kernicterus, neonates, phototherapy

DOI: 10.3126/jnps.v30i1.2457

Journal of Nepal Paediatric Society Vol.30(1) 2010 31-36

Downloads

Download data is not yet available.
Abstract
628
PDF
787

Downloads

How to Cite

Nepal, D., Banstola, D., Khakal, A. K., Mishra, U., & Maheseth, C. (2009). Clinico-Laboratory Profile and Immediate Outcomes of Hyperbilirubinemic Babies Admitted in Kanti Children Hospital. Journal of Nepal Paediatric Society, 30(1), 31–36. https://doi.org/10.3126/jnps.v30i1.2457

Issue

Vol. 30 No. 1 (2010)

Section

Original Articles

License

Authors who publish with this journal agree to the following terms:

Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).