Abstract
Intermittent phototherapy with “12 h on and then 12 h off” schedule in comparison with continuous phototherapy for neonatal hyperbilirubinemia may save costs and decrease anxiety of parents. In this non-inferiority-randomized controlled trial, healthy late preterm (>34 weeks) and term neonates with neonatal hyperbilirubinemia under phototherapy for 8 h and total serum bilirubin (TSB) < 18 mg/dL were randomized either into intermittent (IPT) or continuous (CPT) group. Infants in IPT group received 12 h on and 12 h off cycles of phototherapy. In both arms, phototherapy was continued until TSB < 13 mg/dL. Primary outcome was rate of fall of bilirubin. Seventy-five infants (IPT n = 36 vs. CPT n = 39) were enrolled in the study. The rate of fall of bilirubin was significantly higher with “IPT” phototherapy (p = 0.002). Conclusion: In term and late preterm infants with non-hemolytic moderate hyperbilirubinemia, intermittent phototherapy with 12 h on and 12 h off cycles is as efficacious as continuous phototherapy.
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Abbreviations
- CFL:
-
Compact fluorescent lamps
- CPT:
-
Continuous phototherapy
- IPT:
-
Intermittent phototherapy
- ITT:
-
Intention to treat analysis
- LED:
-
Light emission diode
- PT:
-
Phototherapy
- TSB:
-
Total serum bilirubin
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Communicated by Patrick Van Reempts
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Sachdeva, M., Murki, S., Oleti, T.P. et al. Intermittent versus continuous phototherapy for the treatment of neonatal non-hemolytic moderate hyperbilirubinemia in infants more than 34 weeks of gestational age: a randomized controlled trial. Eur J Pediatr 174, 177–181 (2015). https://doi.org/10.1007/s00431-014-2373-8
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DOI: https://doi.org/10.1007/s00431-014-2373-8