Efficacy of Newer Modalities in the Management of Indirect Hyperbilirubinaemia at a Secondary Care Hospital: A Prospective Study from 2015-2018.

OBJECTIVE:To evaluate the efficacy of current practices and new modalities for the management of neonatal indirect hyperbilirubinaemia.METHODS:The prospective study was conducted at King Khalid Hospital, Al Majmaah, Saudi Arabia, from September 2015 to September 2018, and copmprised neonates with hyperbilirubinaemia who were managed using the National Institute for Health and Clinical Excellence 2010 guidelines. The outcomes were measured in terms of decrease in total serum bilirubin and clinical improvement. Data was analysed using SPSS 25.RESULTS:Of the 233 subjects, there were 119(51%) girls and 114(49%) boys. Phototherapy was used in 162(69.5%) cases, intensive phototherapy in 36(15.5%) and intravenous immunoglobulin in 35(15%). Exchange transfusion was done in 2(0.85%) patients. All the 233(100%) patients improved with the management and total serum bilirubin significantly reduced (p<0.05).CONCLUSIONS:Newer techniques were found to have a vital role in the management of neonatal hyperbilirubinaemia.