TAILIEUCHUNG - Current phototherapy practice on Java, Indonesia

In Indonesia, the burden of severe hyperbilirubinemia is higher compared to other countries. Whether this is related to ineffective phototherapy (PT) is unknown. The aim of this study is to investigate the performance of phototherapy devices in hospitals on Java, Indonesia. | Sampurna et al. BMC Pediatrics 2019 19 188 https s12887-019-1552-1 RESEARCH ARTICLE Current phototherapy practice on Java Indonesia Open Access Check for updates A A 1 1 -I- A 1 . A Fl . 1 n. í- 1 1 A I I rx 9 rv . 7 Mahendra T. A. Sampurna Kinanti A. Ratnasari 1 Darto Saharso Arend F. Bos2 Pieter J. J. Sauer2 Peter H. Dijk2 and Christian V. Hulzebos2 Abstract Background In Indonesia the burden of severe hyperbilirubinemia is higher compared to other countries. Whether this is related to ineffective phototherapy PT is unknown. The aim of this study is to investigate the performance of phototherapy devices in hospitals on Java Indonesia. Methods In 17 hospitals we measured 77 combinations of 20 different phototherapy devices with and without curtains drawn around the incubator crib. With a model to mimic the silhouette of an infant we measured the irradiance levels with an Ohmeda BiliBlanket Meter II recorded the distance between device and model and compared these to manufacturers specifications. Results In nine hospitals the irradiance levels were less than required for standard PT 10 qW cm2 nm and in eight hospitals irradiance failed to reach the levels for intensive phototherapy 30 qW cm2 nm. Three hospitals provided very high irradiance levels 50 qW cm2 nm. Half of the distances between device and model were greater than recommended. Distance was inversely correlated with irradiance levels R2 P . The effect of curtains on irradiance levels was highly variable ranging from - to uW cm2 nm with a mean difference SD of uW cm2 nm P . Conclusions In half of the hospitals that we studied on Java the levels of irradiance are too low and in some cases too high. Given the risks of insufficient phototherapy or adverse effects we recommend that manufacturers provide radiometers so hospitals can optimize the performance of their phototherapy devices. Keywords Curtain Distance Hyperbilirubinemia Irradiance Phototherapy .

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