Document Detail

How reliably can paediatric professionals identify pale stool from cholestatic newborns?
MedLine Citation:
PMID:  22933100     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The success of surgery in infants with hepatobiliary disease is inversely proportional to the age when surgery was performed. Pale stool colour is a major indicator of biliary obstruction. However, simple recognition has been inadequate, resulting in late diagnosis and referral. Objective To assess the skills of healthcare professionals in recognising pale stools.
METHOD: Photographs of normal, acholic and indeterminate infant stools were shown to paediatric professionals who have regular contact with jaundiced babies at three London teaching hospitals. Each stool was classified as 'healthy' or 'suspect'.
RESULTS: One-third of the stools were not correctly identified by physicians and nurses.
CONCLUSION: Experienced professionals often do not recognise stool colour associated with biliary obstruction. The authors propose that stool colour cards similar to those used in Japan and Taiwan may improve early detection of hepatobiliary disease at a minimal cost.
B Bakshi; A Sutcliffe; M Akindolie; B Vadamalayan; S John; C Arkley; L D Griffin; A Baker
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of disease in childhood. Fetal and neonatal edition     Volume:  97     ISSN:  1468-2052     ISO Abbreviation:  Arch. Dis. Child. Fetal Neonatal Ed.     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-08-30     Completed Date:  2012-11-20     Revised Date:  2013-03-29    
Medline Journal Info:
Nlm Unique ID:  9501297     Medline TA:  Arch Dis Child Fetal Neonatal Ed     Country:  England    
Other Details:
Languages:  eng     Pagination:  F385-7     Citation Subset:  AIM; IM    
King’s College Hospital, London, UK.
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MeSH Terms
Biliary Atresia / diagnosis
Cholestasis / diagnosis*
Clinical Competence
Infant, Newborn
Reproducibility of Results
Erratum In:
Arch Dis Child Fetal Neonatal Ed. 2013 Mar;98(2):F180

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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