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   A decision-making tool for exchange transfusions in infants with severe hyperbilirubinemia in resource-limited settings  
   
نویسنده Olusanya B O ,Iskander I F ,Slusher T M ,Wennberg R P
منبع journal of perinatology - 2016 - دوره : 36 - شماره : 5 - صفحه:338 -341
چکیده    Late presentation and ineffective phototherapy account for excessive rates of avoidable exchange transfusions (ets) in many low- and middle-income countries. several system-based constraints sometimes limit the ability to provide timely ets for all infants at risk of kernicterus, thus necessitating a treatment triage to optimize available resources. this article proposes a practical priority-setting model for term and near-term infants requiring et after the first 48 h of life. the proposed model combines plasma/serum bilirubin estimation, clinical signs of acute bilirubin encephalopathy and neurotoxicity risk factors for predicting the risk of kernicterus based on available evidence in the literature.
آدرس Centre for Healthy Start Initiative, Nigeria, Cairo University, Department of Pediatrics, Egypt, University of Minnesota, Department of Pediatrics, USA, University of Washington, Department of Pediatrics, USA
 
     
   
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