Skip to main content
SpringerLink
Log in

Clinical usefulness of high intensity green light phototherapy in the treatment of neonatal jaundice

  • Neonatology
  • Published:
European Journal of Pediatrics Aims and scope Submit manuscript

Abstract

Two matched groups of term newborn infants with idiopathic jaundice were subjected to intensive double direction green or blue light phototherapy (PT). The efficacy of treatment was expressed as rate of decline of serum bilirubin concentration after 6, 12 and 24 h of light exposure. More rapid response was obtained using conventional blue lamps (Philips TL/20W/52) than green lamps (Sylvania F20T12/G). Whole duration of PT was significantly shorter using blue lamps (P<0.05). However, less postphototherapy rebound was observed in babies treated with green light PT. It can be concluded that green light PT is useful but not preferable to blue light PT for clinical use in the treatment of neonatal jaundice.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

Abbreviations

PT:

phototheraphy

References

  1. Amato M, Carasso A, Von Muralt G (1983) Photothérapie intensive avec une double lampe bleue dans le traitement de l'hyperbilirubinémie néonatale. Helv Paediatr Acta 38:467–473

    PubMed  Google Scholar 

  2. Amato M, Von Muralt G, Auf der Maur P (1985) Double direction phototherapy and light-induced genetic abnormalities in human lymphocytes. Helv Paediatr Acta 40:285–291

    PubMed  Google Scholar 

  3. Ayyash H, Hadjigeorgiou E, Sofatzis J, Chatziioannou A, Nicolopoulos D, Sideris E (1987) Green light phototherapy in newborn infants with ABO hemolytic disease. J Pediatr 111: 882–887

    PubMed  Google Scholar 

  4. Ayyash H, Hadjigeorgiou E, Sofatzis J, Dellagramaticas H, Sideris E (1987) Green versus blue light phototherapy for neonates with hyperbilirubinemia: a controlled study. Arch Dis Child 62:843–845

    PubMed  Google Scholar 

  5. Ballard J, Kazmaier K, Driver M (1977) Simplified assessment of gestational age. Pediatr Res 11:374

    Google Scholar 

  6. Brown A, Mc Donagh A (1980) Phototherapy for neonatal hyperbilirubinemia: efficacy, mechanism and toxicity. Adv Pediatr 3:341–389

    Google Scholar 

  7. Ebbesen F (1979) Superiority of intensive phototherapy-blue double light — in Rhesus haemolytic disease. Eur J Pediatr 130:279–284

    PubMed  Google Scholar 

  8. Ennever J, Mc Donagh A, Speck W (1983) Phototherapy for neonatal jaundice: optimal wavelengths of light. J Pediatr 103:295–299

    PubMed  Google Scholar 

  9. Ennever J, Knox I, Denne S, Speck W (1985) Phototherapy for neonatal jaundice: in vivo clearance of bilirubin photoproducts. Pediatr Res 19:205–209

    PubMed  Google Scholar 

  10. Ennever J, Knox I, Speck W (1986) Differences in bilirubin isomer composition in infants treated with green and white light phototherapy. J Pediatr 109:119–121

    PubMed  Google Scholar 

  11. Hegyi T, Graff M, Zapanta V, Hiatt M, Sisson T (1986) Transcutaneous bilirubinometry. Dermal bilirubin kinetics under green and blue light phototherapy. Am J Dis Child 140:994–997

    PubMed  Google Scholar 

  12. McGinty L, Flower R (1982) Visible light mutagenesis in Escherichia Coli. Mutat Res 95:171–181

    PubMed  Google Scholar 

  13. Romagnoli C, Marrocco G, De Carolis M, Zecca E, Tortorolo G (1988) Phototherapy for hyperbilirubinemia in preterm infants: green versus blue or white light. J Pediatr 112:476–478

    PubMed  Google Scholar 

  14. Sbrana G, Donzelli G, Vecchi C (1987) Phototherapy in the management of neonatal hyperbilirubinemia: efficacy with light sources emitting more than 500 nanometer. Pediatrics 80:395–398

    PubMed  Google Scholar 

  15. Sisson T, Kendall N, Davies R, Berger D (1970) Factors influencing the effectiveness of phototherapy in neonatal hyperbilirubinemia. Birth Defects 6:100–104

    PubMed  Google Scholar 

  16. Speck W, Chen C, Rosenkranz H (1975) In vitro studies of effects of light and Riboflavin on DNA and HeLa cells. Pediatr Res 9:150–153

    PubMed  Google Scholar 

  17. Tan KL (1975) Comparison of the effectiveness of single direction and double direction phototherapy for neonatal jaundice. Pediatrics 56:550–553

    PubMed  Google Scholar 

  18. Tan KL (1977) The nature of the dose-response relationship of phototherapy for neonatal hyperbilirubinemia. J Pediatr 90: 448–452

    PubMed  Google Scholar 

  19. Tan KL (1989) Efficacy of fluorescent daylight, blue and green lamps in the management of nonhemolytic hyperbilirubinemia. J Pediatr 114:132–137

    PubMed  Google Scholar 

  20. Vecchi C, Donzelli GP, Migliorini MG, Sbrana G (1983) Green light in phototherapy. Pediatr Res 17:461–463

    PubMed  Google Scholar 

  21. Vecchi C, Donzelli GP, Sbrana G, Pratesi R (1986) Phototherapy for neonatal jaundice: clinical equivalence of fluorescent green and “special” blue lamps. J Pediatr 108:452–456

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of Neonatology, Department of Obstetrics and Gynaecology, University of Berne and Children's Hospital, CH-5001, Aarau, Switzerland

    M. Amato & D. Inaebnit

Authors
  1. M. Amato
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. D. Inaebnit
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Amato, M., Inaebnit, D. Clinical usefulness of high intensity green light phototherapy in the treatment of neonatal jaundice. Eur J Pediatr 150, 274–276 (1991). https://doi.org/10.1007/BF01955530

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01955530

Key words

Search

Navigation