Neonatal Transcutaneous Bilirubin Measurements: An Opportunity to Enhance Laboratory Utilization and Improve Patient Care

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Neonatal transcutaneous bilirubin measurements: an opportunity to enhance laboratory utilization and improve patient care.

By far the most common clinical problem addressed by family practitioners and pediatricians in the first weeks of an infant’s life is hyperbilirubinemia. With the exception of the standard metabolic screen, the measurement of a total serum bilirubin (TSB) concentration is the most common laboratory test ordered for a newborn infant. That is not surprising because the clinical sign, jaundice, is...

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A Comparison between Transcutaneous Bilirubin (TcB) and Total Serum Bilirubin (TSB) Measurements in Term Neonates

Background: Transcutaneous bilirubinometry (TCB) is a simple method for estimating bilirubin levels in neonates. This method is noninvasive, quick, and painless. We aimed to compare serum and cutaneous bilirubin measurements in term neonates.Method: In this descriptive cross-sectional study, 200 neonates with icter with birth weights of at least 2500 grams were studied. TCB was measured using a...

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Discrepancies between transcutaneous and serum bilirubin measurements.

OBJECTIVE To characterize discrepancies between transcutaneous bilirubin (TcB) measurements and total serum bilirubin (TSB) levels among newborns receiving care at multiple nursery sites across the United States. METHODS Medical records were reviewed to obtain data on all TcB measurements collected during two 2-week periods on neonates admitted to participating newborn nurseries. Data on TSB ...

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Transcutaneous bilirubin measurements in the assessment and management of neonatal jaundice

Pathophysiology of jaundice Jaundice is defined as the yellowish discoloration of the skin, mucous membranes and conjunctival membranes caused by hyperbilirubinemia, which is an excess of bilirubin in the blood. Discoloration is most noticeable in the face and descends cephalocaudally; with clearance of the yellowish hue occurring in the opposite direction. Most adults are visibly jaundiced whe...

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ژورنال

عنوان ژورنال: Clinical Chemistry

سال: 2012

ISSN: 0009-9147,1530-8561

DOI: 10.1373/clinchem.2012.183616