Effect of phototherapy on Urinary Calcium Excretion in neonates with Hyperbilirubinemia
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 4
Abstract
Phototherapy is the most common, most effective, and least dangerous treatment method for neonatal hyperbilirubinemia and is the treatment of the first choice for neonatal icterus. Hypocalcemia is one of the lesser-known complications of phototherapy. Some studies have shown a relationship between increased urinary calcium excretion and phototherapy-induced hypocalcemia. Aim Of The Study: We aimed to assess the effect of phototherapy on urinary calcium excretion in term neonates and possibility of detecting hypocalcemia and giving calcium supplementation. It could be used a noninvasive method for detecting hypocalcemia This before-after study was performed on 57 term Neonates suffering from hyperbilirubinemia admitted in NICU( Neonatal intensive care unit) A.J Institute of medical sciences during the period of one year ( 2016- 2017) . Blood and urine samples were taken from all neonates before and 24 h after phototherapy. Phototherapy was performed using four lamps with similar wavelengths from a distance of 20 cm. The serum and urinary calcium before and after phototherapy were measured and compared. Results :It was found that there was significant increase in urine calcium excretion in 80% of the neonates , although it was not significantly causing hypocalcemia. Data was analyzed using SPSS software, version 16. Conclusion: Phototherapy increases urinary calcium excretion although it may or may not cause hypocalcemia.
Authors and Affiliations
Dr Lakshmi Ramya Gontla, Dr Amitha Rao Aroor, Dr Santosh T Soans
Keywords
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- EP ID EP370343
- DOI 10.9790/0853-1704021518
- Views 52
- Downloads 0
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