کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3161657 1198609 2011 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Incidence of thrombocytopenia following phototherapy in hyperbilirubinemic neonates
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی دندانپزشکی، جراحی دهان و پزشکی
پیش نمایش صفحه اول مقاله
Incidence of thrombocytopenia following phototherapy in hyperbilirubinemic neonates
چکیده انگلیسی

ABSTRACTBACKGROUNDThrombocytopenia has not been conclusively reported as a complication of phototherapy in any of the standard paediatric textbooks.MATERIALS AND METHODA prospective study in consecutively enrolled cohort of apparently healthy neonates, who developed indirect hyperbilirubinaemia and required phototherapy. Neonates having a base line platelet count of more than 150,000/mm3 were included. Neonates having features suggestive of haemolysis, direct hyperbilirubinaemia, sepsis, anti-platelet drugs given to baby or mother, haemangioma, and other congenital anomalies were excluded. Platelet counts were performed at admission, 24 hours, 48 hours, and before discontinuing phototherapy.RESULTSOut of 100 neonates included in study 35 (35%) had thrombocytopenia and a majority of neonates had mild thrombocytopenia (74%). The thrombocytopenia was seen in 26 (74%) cases during the first 24 hours of phototherapy and usually was not associated with clinical bleed.CONCLUSIONThis study establishes an association of phototherapy as a cause of thrombocytopenia in hyperbilirubinaemic neonates. Though the incidence of thrombocytopenia is substantial yet it is clinically insignificant. This study helps the practitioner to be aware of this association and avoid unnecessary investigations, as thrombocytopenia was transient.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Medical Journal Armed Forces India - Volume 67, Issue 4, October 2011, Pages 329–332
نویسندگان
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