Phototherapy device effectiveness in nigeria: Irradiance assessment and potential for improvement

Benjamin K. Cline; Hendrik J. Vreman; Kelly Faber; Hannah Lou; Krista M. Donaldson; Emmanuel Amuabunosi; Gabriel Ofovwe; Vinod K. Bhutani; Bolajoko O. Olusanya; Tina M. Slusher

doi:10.1093/tropej/fmt027

Phototherapy device effectiveness in nigeria: Irradiance assessment and potential for improvement

Benjamin K. Cline, Hendrik J. Vreman, Kelly Faber, Hannah Lou, Krista M. Donaldson, Emmanuel Amuabunosi, Gabriel Ofovwe, Vinod K. Bhutani, Bolajoko O. Olusanya, Tina M. Slusher

Pediatric Critical Care Medicine

Research output: Contribution to journal › Article › peer-review

37 Scopus citations

Abstract

This study investigated the effectiveness of simple-to-implement adjustments of phototherapy devices on irradiance levels in a cross-section of Nigerian hospitals. A total of 76 phototherapy devices were evaluated in 16 hospitals while adjustments were implemented for a subset of 25 devices for which consent was obtained. The mean irradiance level was 7.6±5.9 μW/cm²/nm for all devices prior to adjustments. The average irradiance level improved from 9.0 μW/cm2/nm to 27.3 μW/cm²/nm for the adjusted group (n=25) compared with 6.8±5.4 μW/cm2/nm for the unadjusted group (n=51). Simple, inexpensive adjustments to phototherapy devices with sub-optimal irradiance levels can significantly improve their effectiveness to acceptable international standards and should be widely promoted in resource-constrained settings.

Original language	English (US)
Pages (from-to)	321-325
Number of pages	5
Journal	Journal of tropical pediatrics
Volume	59
Issue number	4
DOIs	https://doi.org/10.1093/tropej/fmt027
State	Published - Aug 2013

Bibliographical note

Funding Information:
This work was supported and funded in part by the National Collegiate Inventors and Innovators Alliance Grant 6885-09 (B.K.C.) and the Christopher Hess Research Fund (H.J.V.).

Keywords

Developing countries
Hyperbilirubinemia
Irradiance
Newborn jaundice
Phototherapy

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10.1093/tropej/fmt027

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title = "Phototherapy device effectiveness in nigeria: Irradiance assessment and potential for improvement",

abstract = "This study investigated the effectiveness of simple-to-implement adjustments of phototherapy devices on irradiance levels in a cross-section of Nigerian hospitals. A total of 76 phototherapy devices were evaluated in 16 hospitals while adjustments were implemented for a subset of 25 devices for which consent was obtained. The mean irradiance level was 7.6±5.9 μW/cm2/nm for all devices prior to adjustments. The average irradiance level improved from 9.0 μW/cm2/nm to 27.3 μW/cm2/nm for the adjusted group (n=25) compared with 6.8±5.4 μW/cm2/nm for the unadjusted group (n=51). Simple, inexpensive adjustments to phototherapy devices with sub-optimal irradiance levels can significantly improve their effectiveness to acceptable international standards and should be widely promoted in resource-constrained settings.",

keywords = "Developing countries, Hyperbilirubinemia, Irradiance, Newborn jaundice, Phototherapy",

author = "Cline, {Benjamin K.} and Vreman, {Hendrik J.} and Kelly Faber and Hannah Lou and Donaldson, {Krista M.} and Emmanuel Amuabunosi and Gabriel Ofovwe and Bhutani, {Vinod K.} and Olusanya, {Bolajoko O.} and Slusher, {Tina M.}",

note = "Funding Information: This work was supported and funded in part by the National Collegiate Inventors and Innovators Alliance Grant 6885-09 (B.K.C.) and the Christopher Hess Research Fund (H.J.V.).",

year = "2013",

month = aug,

doi = "10.1093/tropej/fmt027",

language = "English (US)",

volume = "59",

pages = "321--325",

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T2 - Irradiance assessment and potential for improvement

AU - Cline, Benjamin K.

AU - Vreman, Hendrik J.

AU - Faber, Kelly

AU - Lou, Hannah

AU - Donaldson, Krista M.

AU - Amuabunosi, Emmanuel

AU - Ofovwe, Gabriel

AU - Bhutani, Vinod K.

AU - Olusanya, Bolajoko O.

AU - Slusher, Tina M.

N1 - Funding Information: This work was supported and funded in part by the National Collegiate Inventors and Innovators Alliance Grant 6885-09 (B.K.C.) and the Christopher Hess Research Fund (H.J.V.).

PY - 2013/8

Y1 - 2013/8

N2 - This study investigated the effectiveness of simple-to-implement adjustments of phototherapy devices on irradiance levels in a cross-section of Nigerian hospitals. A total of 76 phototherapy devices were evaluated in 16 hospitals while adjustments were implemented for a subset of 25 devices for which consent was obtained. The mean irradiance level was 7.6±5.9 μW/cm2/nm for all devices prior to adjustments. The average irradiance level improved from 9.0 μW/cm2/nm to 27.3 μW/cm2/nm for the adjusted group (n=25) compared with 6.8±5.4 μW/cm2/nm for the unadjusted group (n=51). Simple, inexpensive adjustments to phototherapy devices with sub-optimal irradiance levels can significantly improve their effectiveness to acceptable international standards and should be widely promoted in resource-constrained settings.

AB - This study investigated the effectiveness of simple-to-implement adjustments of phototherapy devices on irradiance levels in a cross-section of Nigerian hospitals. A total of 76 phototherapy devices were evaluated in 16 hospitals while adjustments were implemented for a subset of 25 devices for which consent was obtained. The mean irradiance level was 7.6±5.9 μW/cm2/nm for all devices prior to adjustments. The average irradiance level improved from 9.0 μW/cm2/nm to 27.3 μW/cm2/nm for the adjusted group (n=25) compared with 6.8±5.4 μW/cm2/nm for the unadjusted group (n=51). Simple, inexpensive adjustments to phototherapy devices with sub-optimal irradiance levels can significantly improve their effectiveness to acceptable international standards and should be widely promoted in resource-constrained settings.

KW - Developing countries

KW - Hyperbilirubinemia

KW - Irradiance

KW - Newborn jaundice

KW - Phototherapy

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Phototherapy device effectiveness in nigeria: Irradiance assessment and potential for improvement

Abstract

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