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dc.typeArtigo de periódicopt_BR
dc.titleFollow-up Of Neonatal Jaundice In Term And Late Premature Newborns.pt_BR
dc.contributor.authorFacchini, Fernando Ppt_BR
dc.contributor.authorMezzacappa, Maria Aparecidapt_BR
dc.contributor.authorRosa, Izilda Rpt_BR
dc.contributor.authorMezzacappa Filho, Franciscopt_BR
dc.contributor.authorAranha-Netto, Abimaelpt_BR
dc.contributor.authorMarba, Sergio Tadeupt_BR
unicamp.authorFernando P Facchini, Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brazil. fepefaca@fcm.unicamp.brpt_BR Aparecida Mezzacappa,pt R Rosa,pt Mezzacappa Filho,pt Aranha-Netto,pt Tadeu Marba,pt
dc.subjectFollow-up Studiespt_BR
dc.subjectInfant, Newbornpt_BR
dc.subjectInfant, Prematurept_BR
dc.subjectJaundice, Neonatalpt_BR
dc.subjectNeonatal Screeningpt_BR
dc.subjectPatient Readmissionpt_BR
dc.subjectReference Valuespt_BR
dc.subjectTime Factorspt_BR
dc.description.abstractTo report on the results of a project following term and near term newborn infants who were jaundiced during the neonatal period. Neonates were referred to the follow-up clinic with weight >/= 2,000 g and/or gestational age >/= 35 weeks, and jaundice at discharge was initially assessed with an Ingram icterometer or Bilicheck and, if indicated, with a Unistat bilirubinometer (Leica). These newborn infants had bilirubinemia at or above the 40th percentile on the nomogram developed by Bhutani. All infants treated with phototherapy while in hospital were reassessed by laboratory methods 24 hours after withdrawal of treatment. Patients were rehospitalized for intensive phototherapy if their level was greater than or equal to 20 mg/dL. From a total sample of 11,259 neonates, 2,452 (21.8%) were referred to the follow-up clinic, 87.2% (2,140) of whom did return. Eighty returned neonates were readmitted. Return appointments were set for 2,452 patients, 180 (7.3%) of whom had bilirubinemia >/= 15 mg/dL at discharge. Of these 180, 151 returned for follow-up. Twenty (13.2%) were readmitted for treatment. Of the total number of readmitted patients, two newborn infants had levels >/= 25 mg/dL and none >/= 30 mg/dL. All responded rapidly to intensive phototherapy, and there was no need for exchange transfusions. Our results suggest that the regime adopted is effective for detecting and preventing hyperbilirubinemia at risk of causing bilirubin-induced encephalopathy in term and near term newborn infants.en
dc.relation.ispartofJornal De Pediatriapt_BR
dc.relation.ispartofabbreviationJ Pediatr (Rio J)pt_BR
dc.identifier.citationJornal De Pediatria. v. 83, n. 4, p. 313-22pt_BR
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