A review of existing neonatal hyperbilirubinemia guidelines in Indonesia
Background: Neonatal hyperbilirubinemia is one of the most common conditions for neonate inpatients. Indonesia faces a major challenge in which different guidelines regarding the management of this condition were present. This study aimed to compare the existing guidelines regarding prevention, diag...
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Taylor & Francis
2022
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Online Access: | https://repository.unair.ac.id/126978/1/Artikel%201.pdf https://repository.unair.ac.id/126978/2/FORM%20KARIL%201.pdf https://repository.unair.ac.id/126978/3/Similarity%201.pdf https://repository.unair.ac.id/126978/ https://f1000research.com/articles/11-1534 https://doi.org/10.12688/f1000research.110550.1 |
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id-langga.1269782023-06-06T05:13:50Z https://repository.unair.ac.id/126978/ A review of existing neonatal hyperbilirubinemia guidelines in Indonesia Mahendra Tri Arif Sampurna, - Kian Djien Liem, - Danny Chandra Pratama, - Novita Oktaviana, - Achmad Januar Er Putra, - Rahmi Zakiyah, - Visuddho, - Risa Etika, - Kartika Dharma Handayani, - Martono Tri Utomo, - Dina Angelica, - Wurry Ayuningtyas, - Toto Wisnu Hendrarto, - Rinawati Rohsiswatmo, - Setya Wandita, - Risma Karina Kaban, - Jordy Maulana Ahmad, - R Medicine (General) RJ Pediatrics Background: Neonatal hyperbilirubinemia is one of the most common conditions for neonate inpatients. Indonesia faces a major challenge in which different guidelines regarding the management of this condition were present. This study aimed to compare the existing guidelines regarding prevention, diagnosis, treatment and monitoring in order to create the best recommendation for a new hyperbilirubinemia guideline in Indonesia. Methods: Through an earlier survey regarding adherence to the neonatal hyperbilirubinemia guideline, we identified that three main guidelines are being used in Indonesia. These were developed by the Indonesian Pediatric Society (IPS), the Ministry of Health (MoH), and World Health Organization (WHO). In this study, we compared factors such as prevention, monitoring, methods for identifying, risk factors in the development of neonatal jaundice, risk factors that increase brain damage, and intervention treatment threshold in the existing guidelines to determine the best recommendations for a new guideline. Results: The MoH and WHO guidelines allow screening and treatment of hyperbilirubinemia based on visual examination (VE) only. Compared with the MoH and WHO guidelines, risk assessment is comprehensively discussed in the IPS guideline. The MoH guideline recommends further examination of an icteric baby to ensure that the mother has enough milk without measuring the bilirubin level. The MoH guideline recommends referring the baby when it looks yellow on the soles and palms. The WHO and IPS guidelines recommend combining VE with an objective measurement of transcutaneous or serum bilirubin. The threshold to begin phototherapy in the WHO guideline is lower than the IPS guideline while the exchange transfusion threshold in both guidelines are comparably equal. Conclusions: The MoH guideline is outdated. MoH and IPS guidelines are causing differences in approaches to the management hyperbilirubinemia. A new, uniform guideline is required. Taylor & Francis 2022 Article PeerReviewed text en https://repository.unair.ac.id/126978/1/Artikel%201.pdf text en https://repository.unair.ac.id/126978/2/FORM%20KARIL%201.pdf text en https://repository.unair.ac.id/126978/3/Similarity%201.pdf Mahendra Tri Arif Sampurna, - and Kian Djien Liem, - and Danny Chandra Pratama, - and Novita Oktaviana, - and Achmad Januar Er Putra, - and Rahmi Zakiyah, - and Visuddho, - and Risa Etika, - and Kartika Dharma Handayani, - and Martono Tri Utomo, - and Dina Angelica, - and Wurry Ayuningtyas, - and Toto Wisnu Hendrarto, - and Rinawati Rohsiswatmo, - and Setya Wandita, - and Risma Karina Kaban, - and Jordy Maulana Ahmad, - (2022) A review of existing neonatal hyperbilirubinemia guidelines in Indonesia. F1000Research, 11 (1534). pp. 1-14. ISSN 2046-1402 https://f1000research.com/articles/11-1534 https://doi.org/10.12688/f1000research.110550.1 |
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R Medicine (General) RJ Pediatrics Mahendra Tri Arif Sampurna, - Kian Djien Liem, - Danny Chandra Pratama, - Novita Oktaviana, - Achmad Januar Er Putra, - Rahmi Zakiyah, - Visuddho, - Risa Etika, - Kartika Dharma Handayani, - Martono Tri Utomo, - Dina Angelica, - Wurry Ayuningtyas, - Toto Wisnu Hendrarto, - Rinawati Rohsiswatmo, - Setya Wandita, - Risma Karina Kaban, - Jordy Maulana Ahmad, - A review of existing neonatal hyperbilirubinemia guidelines in Indonesia |
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Background: Neonatal hyperbilirubinemia is one of the most common conditions for neonate inpatients. Indonesia faces a major challenge in which different guidelines regarding the management of this condition were present. This study aimed to compare the existing guidelines regarding prevention, diagnosis, treatment and monitoring in order to create the best recommendation for a new hyperbilirubinemia guideline in Indonesia. Methods: Through an earlier survey regarding adherence to the neonatal hyperbilirubinemia guideline, we identified that three main guidelines are being used in Indonesia. These were developed by the Indonesian Pediatric Society (IPS), the Ministry of Health (MoH), and World Health Organization (WHO). In this study, we compared factors such as prevention, monitoring, methods for identifying, risk factors in the development of neonatal jaundice, risk factors that increase brain damage, and intervention treatment threshold in the existing guidelines to determine the best recommendations for a new guideline. Results: The MoH and WHO guidelines allow screening and treatment of hyperbilirubinemia based on visual examination (VE) only. Compared with the MoH and WHO guidelines, risk assessment is comprehensively discussed in the IPS guideline. The MoH guideline recommends further examination of an icteric baby to ensure that the mother has enough milk without measuring the bilirubin level. The MoH guideline recommends referring the baby when it looks yellow on the soles and palms. The WHO and IPS guidelines recommend combining VE with an objective measurement of transcutaneous or serum bilirubin. The threshold to begin phototherapy in the WHO guideline is lower than the IPS guideline while the exchange transfusion threshold in both guidelines are comparably equal. Conclusions: The MoH guideline is outdated. MoH and IPS guidelines are causing differences in approaches to the management hyperbilirubinemia. A new, uniform guideline is required. |
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Article PeerReviewed |
author |
Mahendra Tri Arif Sampurna, - Kian Djien Liem, - Danny Chandra Pratama, - Novita Oktaviana, - Achmad Januar Er Putra, - Rahmi Zakiyah, - Visuddho, - Risa Etika, - Kartika Dharma Handayani, - Martono Tri Utomo, - Dina Angelica, - Wurry Ayuningtyas, - Toto Wisnu Hendrarto, - Rinawati Rohsiswatmo, - Setya Wandita, - Risma Karina Kaban, - Jordy Maulana Ahmad, - |
author_facet |
Mahendra Tri Arif Sampurna, - Kian Djien Liem, - Danny Chandra Pratama, - Novita Oktaviana, - Achmad Januar Er Putra, - Rahmi Zakiyah, - Visuddho, - Risa Etika, - Kartika Dharma Handayani, - Martono Tri Utomo, - Dina Angelica, - Wurry Ayuningtyas, - Toto Wisnu Hendrarto, - Rinawati Rohsiswatmo, - Setya Wandita, - Risma Karina Kaban, - Jordy Maulana Ahmad, - |
author_sort |
Mahendra Tri Arif Sampurna, - |
title |
A review of existing neonatal hyperbilirubinemia guidelines in Indonesia |
title_short |
A review of existing neonatal hyperbilirubinemia guidelines in Indonesia |
title_full |
A review of existing neonatal hyperbilirubinemia guidelines in Indonesia |
title_fullStr |
A review of existing neonatal hyperbilirubinemia guidelines in Indonesia |
title_full_unstemmed |
A review of existing neonatal hyperbilirubinemia guidelines in Indonesia |
title_sort |
review of existing neonatal hyperbilirubinemia guidelines in indonesia |
publisher |
Taylor & Francis |
publishDate |
2022 |
url |
https://repository.unair.ac.id/126978/1/Artikel%201.pdf https://repository.unair.ac.id/126978/2/FORM%20KARIL%201.pdf https://repository.unair.ac.id/126978/3/Similarity%201.pdf https://repository.unair.ac.id/126978/ https://f1000research.com/articles/11-1534 https://doi.org/10.12688/f1000research.110550.1 |
_version_ |
1768017665843003392 |