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2023, Number 3

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Arch Inv Mat Inf 2023; 14 (3)

Decibel levels inside and outside incubators in the NICU of a tertiary care hospital

Rodríguez-Balderrama I, Durán-Pérez IA, Sámano-Muciño C, Nieto-Sanjuanero A, Ochoa-Correa EC, De OM
Full text How to cite this article 10.35366/115250

DOI

DOI: 10.35366/115250
URL: https://dx.doi.org/10.35366/115250

Language: Spanish
References: 15
Page: 135-139
PDF size: 135.61 Kb.


Key words:

decibels, neonatal intensive care unit, incubator.

ABSTRACT

Introduction: pathogenic noises produced in the NICU are capable of causing early damage to the cochlea and hair cells. Premature patients are the most vulnerable due to immaturity. Reducing sound levels in the NICU remains a problem. Objective: to determine decibel levels inside vs outside the incubator, before and after touching with the fingers, in the NICU of a tertiary hospital. Material and methods: a cross-sectional prospective analytical experimental study was carried out. The study consisted of measuring the decibels inside and outside the incubator, before and after touching with the fingers, the decibel levels between the three shifts were also compared. Results: when comparing the total average decibels inside the incubator before playing, we found a total average of 61.9 ± 3.4 and after playing 66 ± 3.5, being statistically significant (p < 0.001). When comparing the total averages of decibels outside the incubator before playing, there was a total average of 63.9 ± 3.5 and after playing 67.9 ± 3.6, being statistically significant (p < 0.001). Conclusions: we found in our study that the decibels are above what is recommended. Hearing is essential not only for normal language development, it is also important for the development of attention and perception. Necessary measures must be used in our NICU to provide minimum noise to our patients.


REFERENCES

  1. Vargas CD, Martina LM, Braverman BA, Iglesias LJ, Bernárdez ZI. Medición y análisis de los niveles de ruido en una unidad de cuidados intensivos neonatales. An Med ABC (Mex). 2018; 63 (3): 165-168.

  2. Samano MCB, Nieto-Sanjuanero A, Ochoa-Correa EC, Rodríguez-Balderrama I. Variation of decibels when sounding the monitor alarm inside vs outside in the incubator in the NICU. Med Univ. 2022; 24 (1): 8-11.

  3. Vandenberg KA. Individualized developmental care for high risk newborns in the NICU: A practice guideline. Early Hum Dev. 2007; 83 (7): 433-442.

  4. Wachman EM, Lahav A. The effects of noise on preterm infants in the NICU. Arch Dis Child Fetal Neonatal Ed. 2011; 96 (4): F305-309.

  5. Martínez-Cruz CF, Fernández-Carrocera LA. Evaluación audiológica del niño con peso extremadamente bajo al nacer. Bol Med Hosp Infant Mex. 2001; 58: 843-853.

  6. Anagnostakis D, Petmezakis J, Messaritakis J, Matsaniotis N. Noise pollution in neonatal units: a potential health hazard. Acta Paediatr Scand. 1980; 69 (6): 771-773.

  7. American Academy of Pediatrics. Committee on environmental health. Noise: a hazard for the fetus a newborn. Pediatrics. 1997; 100 (4): 724-727.

  8. Nieto-Sanjuanero A, Quero-Jiménez J, Cantú-Moreno D, Rodríguez-Balderrama I, Montes-Tapia F, Rubio-Pérez N et al. Evaluación de las estrategias enfocadas a disminuir el nivel de ruido en las diferentes áreas de atención neonatal en un hospital de tercer nivel. Gac Med Mex. 2015; 151 (6): 741-748.

  9. NORMA Oficial Mexicana NOM-025-SSA3-2013, Para la organización y funcionamiento de las unidades de cuidados intensivos. DOF. 2013, Tomo DCCXX (No.11 Primera Sección): 5-17.

  10. Volpe J. Neurology of the newborn infant, 5th ed. Philadelphia: Saunders Elsevier; 2008; 15: 323-328.

  11. Lickliter R. The role of sensory stimulation in perinatal development: insights from comparative research for care of the high-risk infant. J Dev Behav Pediatr. 2000; 21 (6): 437-447.

  12. Graven SN, Bowen Jr FW, Brooten D, Eaton A, Graven MW, Hack M et al. The high-risk infant environment. Part 1. The role of the neonatal intensive care unit in the outcome of high-risk infants. J Perinatol. 1992; 12 (2): 164-172.

  13. Oliveira RMD, Silvan SCG, Moraes LM, Fuginaga CI, Zamberlan NE, Correa CT. O ruído gerado durante a manipulacao das incubadoras: Implicacoes para o cuidado de enfermagem. Rev Latino-Am Enfermagem. 2005; 13 (1): 79-85.

  14. Gallegos-Martínez J, Reyes-Hernández J, Fernández-Hernández VA, González-González LO. Índice de ruido en la unidad neonatal. Su impacto en recién nacidos. Acta Pediatr Mex. 2011; 32 (1):5-14.

  15. Morris BH, Philbin MK, Bose C. Physiological effects of sound on the newborn. J Perinatol. 2000: 20: S55-60.




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Arch Inv Mat Inf. 2023;14