Document Detail

Guidelines for management of the jaundiced term and near-term infant.
MedLine Citation:
PMID:  9779334     Owner:  NLM     Status:  MEDLINE    
Factors believed to have contributed to the reemergence of kernicterus in the United States during the 1990's are discussed: these include decreased concern about toxicity of bilirubin in term and near-term infants, increased prevalence of breastfeeding, and increasingly shortened postnatal hospital stays. The rationale for a universal predischarge bilirubin measurement at the time of the routine predischarge metabolic screen is presented: the hour-specific level of bilirubin at discharge, plotted on an Hour-Specific Bilirubin Nomogram, improves prediction of risk of excessive jaundice postdischarge and facilitates safe, cost-effective follow-up. This minimizes repeat bilirubin measurements and maximizes recognition of confounding variables and risk of hyperbilirubinemia so that timely, minimally invasive, preventive therapy can be instituted if needed.
L Johnson; V K Bhutani
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Clinics in perinatology     Volume:  25     ISSN:  0095-5108     ISO Abbreviation:  Clin Perinatol     Publication Date:  1998 Sep 
Date Detail:
Created Date:  1998-12-03     Completed Date:  1998-12-03     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  7501306     Medline TA:  Clin Perinatol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  555-74, viii     Citation Subset:  IM    
University of Pennsylvania School of Medicine, Philadelphia, USA.
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MeSH Terms
Aftercare / economics,  methods
Bilirubin / blood
Breast Feeding / statistics & numerical data
Cost-Benefit Analysis
Infant, Newborn
Jaundice, Neonatal / blood,  diagnosis*,  epidemiology,  etiology,  therapy*
Length of Stay / statistics & numerical data
Neonatal Screening
Risk Factors
United States / epidemiology
Reg. No./Substance:

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