Transcutaneous bilirubinometry versus total serum bilirubin measurement for newborns

Okwundu, Charles I; Olowoyeye, Abiola; Uthman, Olalekan A.; Smith, Johan; Wiysonge, Charles Shey; Bhutani, Vinod K.; Fiander, Michelle; Gautham, Kanekal Suresh

doi:10.1002/14651858.cd012660.pub2

Cited by 8 publications

(3 citation statements)

References 190 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“… 8 The sensitivity of various TcB cutoff values to detect significant hyperbilirubinaemia ranges from 74% to 100% and specificity from 18% to 89%. 9 These instruments may overestimate TSB at low values and underestimate TSB at high values. The maximum TSB measurement threshold is limited – no readings above 20 mg/dL (342 µmol/L) are possible.…”

Section: Diagnosismentioning

confidence: 99%

See 1 more Smart Citation

Innovative approaches to neonatal jaundice diagnosis and management in low-resourced settings

Saloojee

2024

South African Family Practice

View full text Add to dashboard Cite

Persistent challenges in addressing severe neonatal hyperbilirubinaemia in resource-constrained settings have led to ongoing and often unacceptable rates of morbidity, disability and mortality. These challenges stem from limitations such as inadequate, inefficient or financially inaccessible diagnostic and therapeutic options. However, over the past decade, noteworthy innovations have emerged to address some of these hurdles, and these innovations are increasingly poised for broader implementation. This review provides a concise summary of these novel, economically viable diagnostic solutions, encompassing point-of-care assays and smartphone applications, as well as treatment modalities, notably more effective phototherapy and filtered sunlight. These advancements hold promise and have the potential to meaningfully reduce the burden of neonatal hyperbilirubinaemia, signifying a promising shift in the landscape of neonatal healthcare.

show abstract

Section: Diagnosismentioning

confidence: 99%

“…8 The sensitivity of various TcB cutoff values to detect significant hyperbilirubinaemia ranges from 74% to 100% and specificity from 18% to 89%. 9…”

Section: Transcutaneous Bilirubinometrymentioning

confidence: 99%

Innovative approaches to neonatal jaundice diagnosis and management in low-resourced settings

Saloojee

2024

South African Family Practice

View full text Add to dashboard Cite

show abstract

“…Identifikasi awal pada jaundice sangat efektif untuk mengurangi resiko terjadinya komplikasi. Identifikasi jaundice secara visual hasilnya tidak objektif (Sarici, Ozcan, Akpinar, Altun, Yasartekin, Koklu, Serdar, & Sarici, 2021;Okwundu, Olowoyeye, Uthman, Smith, Wiysonge, Bhutani, & Gautham, 2023). Pengambilan total serum bilirubin (TSB) lebih objektif bila dibandingkan dengan visual, akan tetapi prosedur pengambilan menyakitkan bagi bayi dan dapat menjadi penyebab infeksi lokal.…”

Section: Pendahuluanunclassified

Transcutaneous bilirubinometry in preterm infants: A literature review

Wahyuni

2024

J.HolHealth

View full text Add to dashboard Cite

Background: Hyperbilirubinemia is a problem that often occurs in premature babies. Measuring the correct bilirubin levels from the start will reduce the risk of complications of hyperbilirubinemia. Transcutaneous bilirubin (TcB) is a measurement that is still accurate today in screening for jaundice in premature babies.Purpose: To provide an overview of measuring TcB (Transcutaneous Bilirubin) in premature babies.Method: Literature review research by searching for academic articles through online databases, searching through online databases including Science Direct, Scopus, ProQuest, and Google Scholar from 2013-2023 and obtained 10 suitable articles.Results: In a review of selected journals, it was found that TcB measurements are still recommended in screening for hyperbilirubinemia or jaundice, especially in premature babies. TcB also has results close to TSB in cases of premature babies receiving phototherapy and after phototherapy. Taking TcB from the forehead or sternum area is still an alternative option when taking measurements. TcB reduces the percentage of invasive procedures for taking TSB (Total Serum Bilirubin) in babies. However, consuming TSB also pays attention to medical indications.Conclusion: The use of TcB as a screen for hyperbilirubinemia in premature babies is a non-invasive treatment option for treating premature babies. TcB results are still accurate compared to TSB results. However, you still have to be careful, especially in premature babies <33 weeks and after the baby has received phototherapy. Keywords: Neonatal Jaundice; Preterm Infants; Transcutaneous Bilirubin.Pendahuluan: Hyperbilirubinemia adalah masalah yang kerap terjadi pada bayi prematur. Pengukuran kadar bilirubin yang tepat sedari awal akan mengurangi resiko komplikasi hyperbilirubinemia. Transkutaneous bilirubin (TcB) adalah pengukuran yang masih akurat sampai sekarang dalam skrining jaundice pada bayi prematur.Tujuan: Untuk memberi suatu gambaran mengenai pengukuran TcB (Transkutaneous Bilirubin) pada bayi prematur. Metode: Penelitian literature review dengan penelusuran artikel akademik melalui online database antara lain Science Direct, Scopus, ProQuest, dan Google Scholar dari tahun 2013-2023 dan didapatkan 10 artikel yang sesuai.Hasil: Dalam telaah review jurnal yang dipilih, didapatkan pengukuran TcB masih direkomendasikan dalam skrining hyperbilirubinemia atau jaundice, terutama pada bayi prematur. TcB juga mempunyai hasil yang mendekati TSB pada kasus bayi prematur yang mendapat fototerapi dan sesudah fototerapi. Pengambilan TcB pada daerah dahi atau tulang dada masih menjadi alternatif pilihan saat pengukuran. TcB mengurangi persentase tindakan invasif pengambilan TSB (Total Serum Bilirubin) pada bayi. Akan tetapi pengambilan TSB juga dipertimbangkan sesuai indikasi medis. Simpulan: Penggunaan TcB sebagai skrining hyperbilirubinemia pada bayi prematur merupakan pilihan tindakan non invasif pada perawatan bayi prematur. Hasil TcB masih akurat dibandingkan dengan hasil TSB. Akan tetapi tetap harus hati-hati terutama pada bayi prematur usia kehamilan <33 minggu dan setelah bayi mendapat tindakan foto terapi. Kata Kunci: Neonatal Jaundice; Preterm Infants; Transcutaneous Bilirubin.

show abstract

Transcutaneous bilirubinometry for detecting jaundice in term or late preterm neonates

Okwundu,

Bhutani,

Uthman

et al. 2024

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

Transcutaneous bilirubinometry versus total serum bilirubin measurement for newborns

Abstract: Transcutaneous bilirubinometry versus total serum bilirubin measurement for newborns.

Cited by 8 publications

References 190 publications

Innovative approaches to neonatal jaundice diagnosis and management in low-resourced settings

Innovative approaches to neonatal jaundice diagnosis and management in low-resourced settings

Transcutaneous bilirubinometry in preterm infants: A literature review

Transcutaneous bilirubinometry for detecting jaundice in term or late preterm neonates

Contact Info

Product

Resources

About