Outcome of exchange blood transfusions done for neonatal jaundice in Abakaliki, South Eastern Nigeria
Open Access
- 1 January 2012
- journal article
- research article
- Published by Medknow in Journal of Clinical Neonatology
- Vol. 1 (1), 34-37
- https://doi.org/10.4103/2249-4847.92239
Abstract
Background: Neonatal jaundice (NNJ) is a major cause of morbidity and mortality among neonates in Nigeria and exchange blood transfusion (EBT) is a common modality of its treatment in Ebonyi State University Teaching Hospital (EBSUTH), Abakaliki. This communication aims to audit this service. Materials and Methods: A 3-year retrospective review of the case files of all neonates that had EBT for NNJ at the new born special care unit of EBSUTH. Result: Two hundred and thirty seven (17.25%) out of 1374 neonatal admissions had NNJ. EBT was performed for 40 (16.9%) of them. The commonest indications for EBT were low birth weight/prematurity, ABO blood group incompatibility, sepsis and glucose 6 phosphate deficiencies. The mean serum bilirubin at which EBT was done was 28.3 mg/dl. The EBT was uneventful in 36 cases while in four (10%) cases there were reported adverse events. Seven neonates (17.5%) died after the procedure and documented causes of death include bilirubin encephalopathy, respiratory failure, and septic shock and disseminated intravascular coagulopathy. Conclusion: There is high rate of EBT use in the management of severe neonatal hyperbilirubinemia with significant morbidity and mortality in this study site. There is need to review the contribution of factors such as late presentation in the hospital to this and proffer solutions to it.Keywords
This publication has 13 references indexed in Scilit:
- Predicting neonatal hyperbilirubinemia using first day serum bilirubin levelsIndian Journal of Pediatrics, 2010
- Why we are still doing so many exchange blood transfusion for neonatal jaundice in NigeriaWorld Journal of Pediatrics, 2009
- Adverse events associated with neonatal exchange transfusion for hyperbilirubinemiaIndian Journal of Pediatrics, 2009
- Acute management of extreme neonatal jaundice---the potential benefits of intensified phototherapy and interruption of enterohepatic bilirubin circulationActa Paediatrica, 2008
- A Decline in the Frequency of Neonatal Exchange Transfusions and Its Effect on Exchange-Related Morbidity and MortalityPEDIATRICS, 2007
- Incidence and causes of severe neonatal hyperbilirubinemia in CanadaCMAJ : Canadian Medical Association Journal, 2006
- Vigintiphobia RevisitedPediatrics, 2005
- Management of Hyperbilirubinemia in the Newborn Infant 35 or More Weeks of GestationPediatrics, 2004
- Fibreoptic phototherapy for neonatal jaundiceCochrane Database of Systematic Reviews, 2001
- Inhibition of β-Glucuronidase by Casein Hydrolysate FormulaJournal of Pediatric Gastroenterology and Nutrition, 1997