CPD Articles

Innovative approaches to neonatal jaundice diagnosis and management in low-resourced settings

Haroon Saloojee
South African Family Practice | Vol 66, No 1 : Part 1| a5833 | DOI: https://doi.org/10.4102/safp.v66i1.5833 | © 2024 Haroon Saloojee | This work is licensed under CC Attribution 4.0
Submitted: 15 September 2023 | Published: 29 February 2024

About the author(s)

Haroon Saloojee, Department of Paediatrics and Child Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa

Abstract

Persistent challenges in addressing severe neonatal hyperbilirubinaemia in resource-constrained settings have led to ongoing and often unacceptable rates of morbidity, disability and mortality. These challenges stem from limitations such as inadequate, inefficient or financially inaccessible diagnostic and therapeutic options. However, over the past decade, noteworthy innovations have emerged to address some of these hurdles, and these innovations are increasingly poised for broader implementation. This review provides a concise summary of these novel, economically viable diagnostic solutions, encompassing point-of-care assays and smartphone applications, as well as treatment modalities, notably more effective phototherapy and filtered sunlight. These advancements hold promise and have the potential to meaningfully reduce the burden of neonatal hyperbilirubinaemia, signifying a promising shift in the landscape of neonatal healthcare.

Keywords

neonatal jaundice; hyperbilirubinaemia; bilirubin; phototherapy; resource-constrained

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