Self help ambulatoriale
La valutazione della bilirubina transcutanea in un ambulatorio pediatrico: perché no?
TRANSCUTANEOUS BILIRUBIN MEASUREMENT IN A PAEDIATRIC AMBULATORY: WHY NOT?
Lamberto Reggiani
Pediatra di famiglia, Pediatria di Gruppo, Imola
Dicembre 2008 - pagg. 634 -638
Abstract
Many family Paediatricians are engaged in projects on the early discharge of apparently
healthy neonates and they must frequently estimate the bilirubin level in the newborns
with jaundice. But the estimation of the bilirubin level by visual inspection of the skin is not
reliable. The transcutaneous bilirubin measurement through the new devices is a non invasive,
painless and reliable method to determine the bilirubin level and its increment in
the first days after birth. The new transcutaneous bilirubin devices are different for costs, calibration needs and use possibilities in children of different races. Every paediatrician should evaluate the best device for his work during daily activity.
Classificazione MeSH
Bibliografia
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2. Marbella AM, Chetty VK, Layde PM. Neonatal Hospital Lengths of Stay, Readmissions, and Charges. Pediatrics 1998;101:32-6.
3. Bertini G, Dani C, Rubaltelli F. Transcutaneous bilirubinometry in clinical practice. Ital J Pediatr 2003;29:180-4.
4. Catz C, Hanson JW, Simpson L, Yaffe SJ. Summary of Workshop: Early Discharge and Neonatal Hyperbilirubinemia. Pediatrics 1995; 96:743-5.
5. Romagnoli C, Zuppa AA, Mercuri E, Colitto F, Parenti D. Kernicterus in a healthy full term newborn: the first Italian case in the last few years. Ital J Pediatr 2007;33:48-51.
6. Rubaltelli F, Gourley G R, Loskamp N, et al. Transcutaneous Bilirubin Measurement: A Multicenter Evaluation of a New Device. Pediatrics 2001;107:1264-71.
7. Barbosa A. Transcutaneous bilirubinometry: important method in the evaluation of newborns with hyperbilirubinemia (Letter to the editor). J Pediatr (Rio J) 2007;83:485.
8. Bertini G, Pratesi S, Cosenza E, Dani C. Transcutaneous Bilirubin Measurement: Evaluation of Bilitest. Neonatology 2007;93:101-5.
9. Ho E, Lee S, Chow CB, Chung JWY. Bili- Check transcutaneous bilirubinometer: a screening tool for neonatal jaundice in the Chinese population. Hong Kong Med J 2006; 12:99-102.
10. Maisels MJ, Kring E. Transcutaneous bilirubin Levels in the First 96 Hours in a Normal Newborn Population of > or = 35 Weeks’ Gestation. Pediatrics 2006;117:1169-73.
Corrispondenza: reggianilamberto@hotmail.com