SIMeL, Società Italiana Medicina di Laboratorio

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Neonatal jaundice

05/06/2010

NICE giude, includes guidance on transcutaneous measurement of bilirubin.

How to measure the bilirubin level

 

– use a transcutaneous bilirubinometer in babies with a gestational age of 35 weeks or more

and postnatal age of more than 24 hours

– if a transcutaneous bilirubinometer is not available, measure the serum bilirubin

– if a transcutaneous bilirubinometer measurement indicates a bilirubin level greater than

250 micromol/litre check the result by measuring the serum bilirubin

– always use serum bilirubin measurement to determine the bilirubin level in babies with

jaundice in the first 24 hours of life

– always use serum bilirubin measurement to determine the bilirubin level in babies less than

35 weeks gestational age

– always use serum bilirubin measurement for babies at or above the relevant treatment

threshold for their postnatal age, and for all subsequent measurements

– do not use an icterometer.



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