Severe Hyperbilirubinemia in Term and Late Preterm Newborns: An Evidence-Based Clinical Practice Guideline Adapted for The Use in Egypt Based on The ‘Adapted ADAPTE’ Methodology - Egyptian Knowledge Bank

249406

Severe Hyperbilirubinemia in Term and Late Preterm Newborns: An Evidence-Based Clinical Practice Guideline Adapted for The Use in Egypt Based on The ‘Adapted ADAPTE’ Methodology

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Last updated: 22 Jan 2023

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Abstract

Background: The presented evidence-based clinical practice guideline (CPG) is proposed as a National CPG using an evidence-based and formal CPG adaptation methodology. The purpose of this study was to adapt the international CPGs' recommendations for term and late preterm neonates with severe hyperbilirubinemia to suit the healthcare system in the Egyptian context. This CPG provides a framework for prediction, prevention and management of severe hyperbilirubinemia in newborn infants of 35 or more weeks of gestation. The quality of evidence and strength of recommendations are indicated. The guideline adaptation group was chosen from various Egyptian Universities. There was an active involvement of a Multidisciplinary Review Committee following a standardized process. The Neonatology Guideline Adaptation Group (NGAG) was assigned individual health questions to cover the different sections of the required CPG. A literature search for source CPGs was carried out. The NGAG studied several guidelines. Critical appraisal was done by AGREE II (Appraisal of Guidelines for Research and Evaluation) Instrument to rate and select the appropriate guidelines. Results: The NGAG decided to adapt mainly the American Academy of Pediatrics Guideline (2004, 2009 & 2011) and for the questions which were not answered; the best and most relevant evidence available was used. Implementation tools were sought for to facilitate the application of the adapted CPG. Conclusion: The finalized CPG offers healthcare providers with applicable evidence-based guidance for severe neonatal hyperbilirubinemia in the Egyptian context. The Adapted ADAPTE method emphasized the value of collaborative clinical and methodological expert groups' efforts for adaptation of national guidelines.

DOI

10.21608/anj.2022.121921.1055

Keywords

Key wards: Guidelines, Bilirubin, Hyperbilirubinemia, kernicterus, newborn

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First Name

Afaf

Last Name

Korraa

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Affiliation

Pediatric Department, Faculty of medicine for girls, Al-Azhar University, Egypt

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afafkorraa59@gmail.com

City

Cairo

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First Name

Mossallam

Last Name

Nasser

MiddleName

Affiliation

Pediatric Department, Faculty of medicine for boys, Al-Azhar University, Egypt

Email

mossalamnasser@gmail.com

City

Cairo

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First Name

Ahmed

Last Name

Youssef

MiddleName

Affiliation

Pediatric Department, Armed Forced College of Medicine, Egypt

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ahmedyousef@gmail.com

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Orcid

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First Name

Hesham

Last Name

Awad

MiddleName

Affiliation

Pediatric Department, Ain Shams University, Egypt

Email

hawad2007@yahoo.com

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Cairo

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First Name

Safaa

Last Name

Emam

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Affiliation

Pediatric Department, Ain Shams University, Egypt

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safaashadik66@gmail.com

City

Cairo

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First Name

Ghada

Last Name

Gad

MiddleName

Affiliation

Pediatric Department, Ain Shams University, Egypt

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ghadawael2006@yahoo.com

City

Cairo

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First Name

Dina

Last Name

Rabie

MiddleName

Affiliation

Pediatric Department, Ain Shams University, Egypt

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d_essam_rabie@outlook.com

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Orcid

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First Name

Effat

Last Name

Assar

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Affiliation

Pediatric Department, Benha University, Egypt

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effat_hussein@yahoo.com

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Orcid

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First Name

Eman

Last Name

Almorsy

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Affiliation

Pediatric Department, Faculty of medicine for girls, Al-Azhar University, Egypt

Email

e.elmorsy@gmail.com

City

Cairo

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First Name

Suzan

Last Name

Gad

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Affiliation

Pediatric Department, Suez Canal University, Egypt

Email

suzangad@yahoo.com

City

Cairo

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First Name

Sameh

Last Name

Tawfik

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Affiliation

Pediatric Department, Military Medical Academy, Egypt

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stawfikamer@yahoo.com

City

Cairo

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First Name

Nefeisa

Last Name

Refat

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Affiliation

Pediatric Department, Assuit University, Egypt

Email

nrefat@aun.edu.eg

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Cairo

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First Name

Hala

Last Name

Fouad

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Affiliation

Pediatric Department, Misr University for Science and Technology, Egypt

Email

drhalafouad@gmail.com

City

Cairo

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First Name

Mohamed

Last Name

Abdelkader

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Affiliation

Pediatric Department, Misr University for Science and Technology, Egypt

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kader48@hotmail.com

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Cairo

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First Name

Osama

Last Name

El Fikey

MiddleName

Affiliation

Pediatric Department, Benha University, Egypt

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osamafotoh00@gmail.com

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Cairo

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First Name

Walaa

Last Name

Abuelhamd

MiddleName

Affiliation

Pediatric Department, Cairo University, Egypt

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walaa_alsharany@cu.edu.eg

City

Cairo

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First Name

Zahraa

Last Name

Ez El Din

MiddleName

Affiliation

Pediatric Department, Cairo University, Egypt

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zahraezzeldin@yahoo.com

City

Cairo

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First Name

Mohammed

Last Name

Abdelshafy

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Affiliation

Pediatric Department, Benha Children's Hospital, Egypt

Email

mezzat80@gmail.com

City

Cairo

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First Name

Nouran

Last Name

AbdAlla

MiddleName

Affiliation

Pediatric Department, Suez Canal University, Egypt

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nouranboym2@hotmail.com

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First Name

Nesreen

Last Name

Kamal

MiddleName

Affiliation

Public health Department, Cairo University, Egypt

Email

drn_kamal@kasralainy.edu.eg

City

Cairo

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First Name

Eman

Last Name

Iskander

MiddleName

Affiliation

Pediatric Department, Cairo University, Egypt

Email

iman.iskander@kasralainy.edu.eg

City

Cairo

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First Name

Ashraf

Last Name

Abdelbaky

MiddleName

Affiliation

Pediatric Department, Allergy, Immunology & Rheumatology unit, Ain Shams University, Egypt, Chair of EPG.

Email

ashrafabdelbaky1@hotmail.com

City

Cairo

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First Name

Tarek

Last Name

Omar

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Affiliation

Pediatric Department, Pediatric Neurology, Alexandria University, Egypt.

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tarek.omar@alexmed.edu.eg

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Orcid

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First Name

Yasser

Last Name

Amer

MiddleName

Affiliation

Pediatrics Department and Clinical Practice Guidelines and Quality Research Unit-Quality. Management Department, King Saud University Medical City, Riyadh, Saudi Arabia.

Email

yassersamiamer@gmail.com

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Orcid

Volume

Article Issue

Related Issue

35900

Issue Date

2022-07-01

Receive Date

2022-04-24

Publish Date

2022-07-01

Page Start

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Online ISSN

2636-3569

Article File

ANJ_Volume 4_Issue 2_Pages 67-97.pdf

PDF . 995.3kB

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https://anj.journals.ekb.eg/article_249406.html

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https://anj.journals.ekb.eg/service?article_code=249406

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Type

Original Article

Type Code

959

Publication Type

Journal

Publication Title

Annals of Neonatology Journal

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https://anj.journals.ekb.eg/

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Details

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Article

Created At

22 Jan 2023

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