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High variability and low irradiance of phototherapy devices in Dutch NICUs
- Source :
- Archives of Disease in Childhood : Fetal and Neonatal Edition, 98, F112-6, Archives of Disease in Childhood : Fetal and Neonatal Edition, 98, 2, pp. F112-6, ARCHIVES OF DISEASE IN CHILDHOOD-FETAL AND NEONATAL EDITION, 98(2), F112-F116. BMJ PUBLISHING GROUP, Archives of Disease in Childhood-fetal and Neonatal Edition, 98(2), F112-F116. BMJ Publishing Group
- Publication Year :
- 2013
-
Abstract
- Item does not contain fulltext OBJECTIVE: To evaluate phototherapy practices by measuring the irradiance levels of phototherapy (PT) devices. DESIGN: Prospective study. SETTING: Tertiary neonatal intensive care units. PATIENTS: None. INTERVENTIONS: Irradiance levels of PT devices used in the 10 Dutch Neonatal Intensive Care Units (NICUs) were measured according to the local PT practice patterns. The irradiance levels of all overhead and fibre-optic PT devices were measured with a radiometer using an infant silhouette model. RESULTS: Eight different PT devices were used in the 10 NICUs; five were overhead devices and three fibre-optic pads. The median (range) irradiance level for overhead PT devices was 9.7 (4.3-32.6) microW/cm(2)/nm and for fibre-optic pads 6.8 (0.8-15.6) microW/cm(2)/nm. Approximately 50% of PT devices failed to meet the minimal recommended irradiance level of 10 microW/cm(2)/nm. Maximal irradiance levels for overhead PT spot lights were inversely related to the distance between device and infant model (R2=0.33). The distances ranged from 37 cm to 65 cm. CONCLUSIONS: PT devices in the Dutch NICUs show considerable variability with often too low irradiance levels. These results indicate that suboptimal PT is frequently applied and may even be ineffective towards reducing total serum bilirubin levels. These results underline the need for greater awareness among all healthcare workers towards the requirements for effective PT including measurements of irradiance and distance. 01 maart 2013
- Subjects :
- Pediatrics
medicine.medical_specialty
High variability
Irradiance
Total serum bilirubin
Child health
Intensive care
Intensive Care Units, Neonatal
Statistics
medicine
Fiber Optic Technology
Humans
Neonatal health
Prospective Studies
Radiometry
Netherlands
HYPERBILIRUBINEMIA
Practice patterns
business.industry
Infant, Newborn
Obstetrics and Gynecology
Reproducibility of Results
Professional Practice
General Medicine
Functional imaging [IGMD 1]
Phototherapy
Multicenter study
NEONATAL JAUNDICE
Pediatrics, Perinatology and Child Health
Hyperbilirubinemia, Neonatal
business
Subjects
Details
- Language :
- English
- ISSN :
- 13592998
- Volume :
- 98
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- ARCHIVES OF DISEASE IN CHILDHOOD-FETAL AND NEONATAL EDITION
- Accession number :
- edsair.doi.dedup.....da9bcdc8fb394c006dc9b2f064460c98