Neonatal Jaundice

  • Introduction
  • Bhutani Nomogram
  • Prolonged jaundice
  • Conjugated hyperbilirubinaemia
  • References
  • Phototherapy charts (Excel)
  • Algorithms:
  • Transcutaneous Bilirubinometry (TcB)
  • Spun Serum Bilirubin (SBR)
  • Conjugated hyperbilirubinaemia
  • Jaundice management

References

  • Manning D et al. Prospective surveillance study of severe hyperbilirubinaemia in the newborn in the UK and Ireland. Arch Dis Child Fetal Neonatal Ed 2007;92:342-346
  • Ives NK. Neonatal Jaundice. In: Rennie JM (Ed). Roberton's Textbook of Neonatology 4th Edition 2005 Elsevier Limited pp661-78.
  • Bhutani VK et al. Noninvasive management of total serum bilirubin in a multiracial predischarge newborn population to assess the risk of severe hyperbilirubinemia. Pediatrics 2000;106:1-9
  • Bhutani VK et al. Predictive ability of a predischarge hour-specific serum bilirubin for subsequent significant hyperbilirubinemia in healthy term and near-term newborns. Pediatrics 1999;103:6-14
  • Sarici SU et al. Incidence, course and prediction of hyperbilirubinemia in near term and term newborns. Pediatrics 2004;113:775-80
  • Rennie JM et al. Range of UK practice regarding the management of neonatal hyperbilirubinaemia (submitted for publication)
  • Thomson J, Sinha A, Culley V, Monfrinoli A. Audit of 3 months of transcutaneously screening all babies on the RLH postnatal ward for jaundice. (as yet unpublished)
  • Rubaltelli FF et al. Transcutaneous bilirubin measurement: a multicenter evaluation of a new device. Paediatrics 2001;107:1264-71
  • Maisels M et al. Evaluation of a new transcutaneous bilirubinometer. Pediatrics 2004;113(6):1628-35
  • Thayyil S, Marriott L. Can transcutaneous bilirubinometry reduce the need for serum bilirubin estimations in term and near term infants? Arch Dis Child 2005;90:1311-2
  • Schumacher RE. Transcutaneous bilirubinometry and diagnostic tests: "the right job for the tool". Pediatrics 2002;110:407-8
  • Petersen J et al. Association of transcutaneous bilirubin testing in hospital with decreased readmission rate for hyperbilirubinemia. Clinical Chemistry 2005;51(3):540-544
  • Engle WD et al. Assessment of a transcutaneous device in the evaluation of neonatal hyperbilirubinemia in a primarily Hispanic population. Pediatrics 2002;110:61-67
  • Tan KL, Dong F. Transcutaneous bilirubinometry during and after phototherapy. Acta paediatrica 2003;92(3):327-31
  • Bertini G et al. Bronze baby syndrome and the risk of kernicterus. Acta paediatrica 2005;94:968-71
Protocol written by Dr Julia Thomson. Reviewed in Royal London Hospital neonatal guidelines meetings November 2007 and February 2008. Phototheraphy charts devised by Dr Janet Rennie, modified in Excel by Dr Giles Kendall. IT support by Sebastian Palmer and Palmer and Parker Villa Holidays.