Ambulatory management of uncomplicated Jaundice for full-term neonates: An example of action- research in Rabat, Morocco
Journal Title: The Journal of Medical Research - Year 2017, Vol 3, Issue 4
Abstract
Aim of study: Evaluate the outpatient management of uncomplicated neonatal icterus in its therapeutic and economic aspects. Methodology: Prospective cohort study over 3 years. Were recruited all eutrophic newborns, born in the maternity CHIS and having an uncomplicated and not extended jaundice that requires at least one session phototherapy. Anamnestic, biological, therapeutic and economic parameters were then analyzed. Results: A total of 900 newborn jaundice received outpatient therapy during the study period. The average postnatal age was 4.7 ± 2.2. 43.3% or 391 newborns were completed. The mean birth weight was 3320.3 ± 578.8. 55.2% of patients were born at term. The mode of delivery was instrumentalized in 39.8% of cases. We noted a history of infectious positivity in 30.3% of cases. The median number of hours of phototherapy was 10 hours. The rate of indirect bilirubin admission was 177mg/L, the control rate after phototherapy was 101 mg/L. Concomitant mean hemoglobin in jaundiced episode was 16.33 ± 1.74. Parturients and newborns were mostly blood group O + with 38.3% and 38.8% of cases respectively. The direct Coombs test was positive in 20.4% of cases. Median CRP newborn on admission was 13 mg/L with a range of 5 and 21 mg/L. An amount of € 15,000 was saved by the center. Conclusion: Ambulatory management of neonatal uncomplicated icterus of eutrophic and fullterm neonates would seem to give encouraging therapeutic and economic results.
Authors and Affiliations
MA Radouani, Y Taboz, H Benkirane, M Mrabet, A Kharbach
Keywords
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- EP ID EP442657
- DOI 10.31254/jmr.2017.3405
- Views 125
- Downloads 0
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