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003 EG-GiCUC
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008 180201s2017 ua dh f m 000 0 eng d
040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aM.Sc
099 _aCai01.11.28.M.Sc.2017.Ni.A
100 0 _aNirmeen Samaan Barsoum Gaid
245 1 0 _aAccuracy of transcutaneous bilirubinometry compared to total serum bilirubin measurement by laboratory method in neonatal jaundice /
_cNirmeen Samaan Barsoum Gaid ; Supervised Magda Mahmoud Sedky Badawy , Dalia Sayed Mosallam
246 1 5 _aدقة قياس نسبة البيليروبين عبر الجلد باستخدام الجهاز بالمقارنة مع قياس نسبة البيليروبين الكلى بالدم استخدام المختبر فى الأطفال المبتسرين و حديثى الولادة
260 _aCairo :
_bNirmeen Samaan Barsoum Gaid ,
_c2017
300 _a144 P. :
_bcharts , facsimiles ;
_c25cm
502 _aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Pediatrics
520 _aBackround: Routine use of transcutaneous bilirubin (TcB) measurement in the newborn nursery could reduce costs, readmission rates for hyperbilirubinemia and the need for total serum bilirubin (TSB) measurements. Objectives: To compare transcutaneous and plasma bilirubin measurements before, during and after phototerapy, on sternum (exposed), forehead and back (covered) areas, to verify the correlation between TSB and TcB levels in full term and preterm infants to use it as screening method for neonatal jaundice. Methods: A prospective cohort study was performed on 200 neonates with indirect hyperbilirubinemia, Simultaneous plasmatic and transcutaneous (frontal, sternal and back regions) (within 30 min) bilirubin assays were performed before, 12 hours after the beginning of phototerapy and 6 hrs after discontinuing photo. The association between the measurements and neonatal weight, sex, gestational and postnatal ages and the type of photo was calculated Results: we studied 169 terms and 31 preterms. TSB and TcB measurements of Pre-phototherapy, at 12 hours after the beginning of phototerapy and at 6 hrs after discontinuing photo, showed that there were strong correlations between TSB & TcB regardless to timing and site of measurements. No neonatal characteristics were significantly affected transcutaneous bilirubin measurements. Conclusion: Transcutneous bilirubinometry has demonstrated signi{uFB01}cant accuracy compared to TSB, so can be safely used for evaluation of bilirubin level in preterm and term infants, but take inconsideration pre-phototherapy more accurate over sternum and back, while during and after photo more accurate over covered areas (forehead and back)
530 _aIssued also as CD
653 4 _aHyperbilirubinemia
653 4 _aNeonatal jaundice
653 4 _aTranscutneous bilirubinometry
700 0 _aDalia Sayed Mosallam ,
_eSupervisor
700 0 _aMagda Mahmoud Sedky Badawy ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aNazla
_eRevisor
905 _aShimaa
_eCataloger
942 _2ddc
_cTH
999 _c64780
_d64780