Phototherapy induced hypocalcemia in neonates: A case–control prospective study
Journal Title: Indian Journal of Child Health - Year 2018, Vol 5, Issue 3
Abstract
Objective: The objective of the study was to evaluate the adverse effects of phototherapy both total and ionic calcium levels in neonates. Methods: A case–control prospective study was conducted in the Department of Pediatrics, over a period of 15 months. All neonates preterm or term with icterus in phototherapy range formed the study group(s). Serum calcium total and ionized were measured on a serial basis. Results: Neonates in the study group had significant fall in total serum calcium after phototherapy (0.94±0.49 mg/dl). Similarly, ionized serum calcium also decreased after phototherapy in study group (0.56±0.36 mg/dl), p<0.001 statistically significant. The overall incidence of hypocalcemia was 9.6%, higher in preterm (11.7%) than term (8.5%) neonates. Jitteriness and irritability both were seen in 25% of the neonates. None of the neonate had convulsion, but it may occur if the level falls further. Conclusions: While giving phototherapy to a premature baby or a sick baby we should monitor serum calcium levels. Prophylactically oral supplementation of calcium may be considered in newborns receiving phototherapy as it induces hypocalcemia.
Authors and Affiliations
Madhu Goyal, Rambabu Sharma, D R Dabi
Keywords
Related Articles
- EP ID EP462997
- DOI -
- Views 51
- Downloads 0
A clinical study of the prevalence and impact of allergic rhinitis in children with asthma
Background: Allergic rhinitis (AR) and asthma are highly prevalent conditions that cause major illness worldwide. Surveys have shown that approximately 60-80% of children with asthma have symptoms of AR. Objectives: To s...
Acute kidney injury in severe dengue
Background: Several forms of renal involvement have been identified in patients with dengue, including proteinuria, glomerulonephritis, and IgA nephropathy to acute kidney injury (AKI). Objective: The objective of the st...
Effectiveness of video-assisted teaching program on dental hygiene among children
Introduction: Worldwide, dental problems affect children’s health, causing millions of school hours to be lost each year. An effective community prevention program as a planned procedure prevents the onset of a disease a...
Role of oral erythromycin for feed intolerance in neonates - A randomized controlled trial
Objective: The objective of this study was to compare the effect of high and low dose of erythromycin with placebo and to determine the efficacy and safety of oral erythromycin for feed intolerance in neonates admitted t...
Neonatal Jaundice: Knowledge, attitude beliefs, and practices of postnatal mothers in a tertiary care hospital in Uttarakhand, India
Background: Neonatal jaundice (NNJ), a preventable cause of brain damage, is the most common cause of admission in the 1st week of life in neonatal intensive care unit. Objective: To determine the knowledge attitude and...