Comparison between Bilistick System and transcutaneous bilirubin in assessing total bilirubin serum concentration in jaundiced newborns (original) (raw)
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Introduction: Hyperbilirubinemia is one of the common problem in Neonates. An estimation of the bilirubin value is essential for decision making in jaundiced babies. Transcutaneous bilirubin screening is a quick, noninvasive technique to measure bilirubin level in neonates. The objective of this study was to evaluate the Transcutaneous bilirubin and analyse the correlation with serum bilirubin values and find out whether Transcutaneous bilirubin measurement could avoid invasive serum bilirubin measurement. Materials and Methods: Retrospective study was conducted in the neonatal unit of Kilpauk Medical college. All newborns with history of Jaundice and neonates in nursery who were clinically diagnosed to have jaundice during the period November 2015 to January 2016 were included in the study. 267 babies who met the inclusion criteria were enrolled in the study. Transcutaneous bilirubin measurement was done using the Transcutaneous Jaundice Meter and simultaneously a serum sample serum bilirubin estimation done. Babies who had received prior phototherapy, exchange transfusion and unstable babies in shock were excluded from the study. Results: There seems to be a close correlation between Transcutaneous bilirubin measurement and Total serum bilirubin measurement. The overall mean difference between the two values was only 1.35mg/dl. The mean difference seems to correlate very closely when the bilirubin values are low. Conclusion: The study demonstrates clearly that there is good correlation between the Transcutaneous bilirubin measurement and Total serum bilirubin measurement. The Transcutaneous bilirubin values were higher than the Total serum bilirubin values.
Comparison of transcutaneous and total serum bilirubin measurement in Turkish newborns
The Turkish journal of pediatrics
Severe neonatal hyperbilirubinemia can be prevented by screening for neonatal jaundice. Transcutaneous bilirubin (TcB) measurement is a noninvasive method for screening neonates. The aim of this study was to examine the correlation between TcB measurement (using the JM-103 bilirubinometer) and total serum bilirubin (TSB) measurement. To our knowledge, this is the first study evaluating the usefulness of the JM-103 bilirubinometer in Turkish neonates. Two hundred and fifty healthy infants in our well-baby nurseries and follow-up clinic with a gestational age of ≥36 weeks who were ≤15 days old were enrolled in this study. TcB measurements were taken usinng the JM-103; almost simultaneously, TSB was checked using a spectrophotometric method. The mean±SD TSB level was 11.2±4.6 mg/dl (range, 0.9-27.0 mg/dl); 17.2% of cases had TSB>15 mg/dl. There was good correlation between transcutaneous bilirubin and total serum bilirubin measurements (Pearson's correlation coefficient 0.87 for...
International Journal of Contemporary Pediatrics
Background: Neonatal jaundice is generally a benign condition seen during the postnatal period. The non-invasive methods including transcutaneous bilirubinometry have been developed for assessment of neonatal jaundice, transcutaneous bilirubin TcB) meters noninvasively estimate the bilirubin levels by measuring light transmission through the skin of neonates this value is then to be plotted against a chart in order to look for hyperbilirubinemia. Aim was to determine the efficacy of measuring the transcutaneous bilirubin as a screening tool for clinically significant hyperbilirubinemia. Methods: Study was a cross sectional study conducted under pediatric department of SMBT IMS and RC at tertiary care center after taking the approval from the ethical committee. Total of 110 neonates that appear to be clinically suffering from neonatal jaundice were considered for study after consent from respective parent/ guardian. Neonatal TCB levels and serum bilirubin levels were done. If bilirub...