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Management strategies of neonatal jaundice during the coronavirus disease 2019 outbreak

Xiao-Lu Ma1,2, Zheng Chen1,2, Jia-Jun Zhu3

  • 1Children's Hospital, Zhejiang University School of Medicine, Hangzhou, 310052, China.

World Journal of Pediatrics : WJP
|March 1, 2020
PubMed

Insights

Routine neonatal health surveillance is challenging during the COVID-19 pandemic. An online program monitors newborn bilirubin levels at home to prevent jaundice complications like kernicterus.

Area of Science:

  • Neonatal Health
  • Public Health
  • Epidemiology

Background:

  • The COVID-19 pandemic created significant challenges for routine neonatal health surveillance.
  • Quarantine measures disrupted essential follow-up care, increasing the risk of missed diagnoses for progressive newborn conditions.
  • Conditions like bilirubin encephalopathy (kernicterus) require timely monitoring to prevent severe outcomes.

Purpose of the Study:

  • To develop and implement an online follow-up program for monitoring newborn bilirubin levels.
  • To adapt neonatal jaundice management strategies for the COVID-19 epidemic context.
  • To ensure continued surveillance and prevent hyperbilirubinemia during public health emergencies.

Main Methods:

  • Development of a practical, online follow-up program for remote bilirubin monitoring.
  • Leveraging practical experience to create a user-friendly system for parents.
  • Tailoring management strategies to incorporate infection prevention and control measures.

Main Results:

  • The online program facilitates convenient home-based monitoring of neonatal bilirubin levels.
  • This approach provides an early alert system for potential hospital visits.
  • It aims to prevent the development of extreme hyperbilirubinemia and related complications.

Conclusions:

  • Online monitoring programs are effective for neonatal health surveillance during pandemics.
  • Home-based bilirubin monitoring can mitigate risks associated with disrupted healthcare access.
  • Adapting neonatal care strategies is crucial for managing jaundice during infectious disease outbreaks.

Keywords:
Follow-upHyperbilirubinemiaInternet hospitalNew coronavirus pneumoniaNewborn

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