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Title: Root causes for late presentation of severe neonatal hyperbilirubinaemia in Egypt
Authors: Iskander, I.
Gamaleldin, R.
Kabbani, M.
Issue Date: 2012
Language: English
Abstract: This study aimed to understand the reasons for late presentation of cases of severe neonatal hyperbilirubinaemia. We administered a questionnaire to parents of 130 infants with severe jaundice admitted to Cairo University Children's Hospital neonatal intensive care unit at age >/= 6 days over an 18-month period. Although 125 infants [96.2%] were delivered in a health care facility, no discharge physical examination was performed in 99/125 cases [79.2%]. No parent was given instructions about neonatal jaundice and no follow-up appointments were scheduled. Parents of 109 infants sought medical advice prior to hospital readmission; most babies were assessed clinically, but serum bilirubin was measured in only one-quarter of cases [28/109]. Medical advice included placing the infant under a neon lamp at home [87/109 cases], advice to supplement breastfeeding [75/109] and prescribed medications, including vitamins [15/109]. Increasing the availability of inexpensive point-of-care diagnostic instruments and phototherapy units in health care facilities are urgently needed
Description: 882 - 887
Keywords: Delayed Diagnosis
Hospitals, Public
Jaundice, Neonatal
Subject: Hyperbilirubinemia, Neonatal
ISSN: 1020-3397
Other Identifiers:
Appears in Collections:EMRO Journal Articles (EMHJ)

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