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Current phototherapy practice on Java, Indonesia.

Mahendra T A Sampurna1, Kinanti A Ratnasari2, Darto Saharso2

  • 1Department of Pediatrics, Dr. Soetomo General Hospital, Faculty of Medicine Universitas Airlangga, Surabaya, Indonesia. mahendra.tri@fk.unair.ac.id.

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Summary
This summary is machine-generated.

Phototherapy (PT) device performance varies in Indonesian hospitals, with many showing insufficient or excessive irradiance levels. This impacts severe hyperbilirubinemia treatment effectiveness and patient safety.

Keywords:
CurtainDistanceHyperbilirubinemiaIrradiancePhototherapy

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Area of Science:

  • Neonatal care
  • Medical device performance evaluation
  • Public health

Background:

  • Severe hyperbilirubinemia presents a significant health burden in Indonesia.
  • The effectiveness of current phototherapy practices in managing this condition is uncertain.
  • This study addresses the performance of phototherapy devices in Indonesian hospitals.

Purpose of the Study:

  • To evaluate the performance of phototherapy devices used in hospitals on Java, Indonesia.
  • To determine if device performance aligns with recommended irradiance levels for treating severe hyperbilirubinemia.
  • To identify potential factors contributing to phototherapy ineffectiveness.

Main Methods:

  • Assessed 77 phototherapy devices across 17 hospitals in Java, Indonesia.
  • Measured irradiance levels using a standardized infant model and an Ohmeda BiliBlanket Meter II.
  • Compared measured irradiance and device-device distance to manufacturer specifications, with and without incubator curtains.

Main Results:

  • Nine hospitals had irradiance levels below standard phototherapy requirements (<10 μW/cm²/nm).
  • Eight hospitals failed to achieve intensive phototherapy levels (≥30 μW/cm²/nm).
  • Half of the device-to-model distances exceeded recommendations, inversely correlating with irradiance (R²=0.1838, P<0.05).

Conclusions:

  • Suboptimal irradiance levels (both low and high) were observed in half of the studied hospitals.
  • Inconsistent phototherapy device performance poses risks of insufficient treatment or adverse effects.
  • Recommendations include manufacturers providing radiometers for hospitals to ensure optimal phototherapy device function.