Effect of publication of the “Practice Parameter for the Management of Hyperbilirubinemia” on treatment of neonatal jaundice

Abstract

A significant decrease in the use of phototherapy and exchange transfusion occurred after the publication of the new practice parameters. This trend was observed for both term and preterm newborns, although the new guidelines were not intended for infants born before term.

Screening and Follow-Up for Neonatal Hyperbilirubinemia

“…24 Although population-based data on the frequency of exchange transfusion are not available, there has been a significant decline in use of exchange transfusions. [25][26][27] Surveys of pediatricians indicate significant variability in the bilirubin levels at which exchange transfusion and phototherapy are recommended. [28][29][30][31] This article reviews current evidence and recommendations for screening and follow-up for neonatal hyperbilirubinemia.…”