الفهرس | Only 14 pages are availabe for public view |
Abstract Background: Noninvasive, painless and bloodless screening using transcutaneous bilirubinometry is the standard of care for term and near term neonates but there is still debate about its use with preterm neonates. objective:The aims of this study were to determine how transcutaneous bilirubin (TCB) level measured from different site related to total serum bilirubin (TSB) level and to compare performance of TCB from the forehead, sternum and interscapular sites in identifying preterm and full term neounates in need of phototherapy. Subjects and methods: This was sectional study conducted on 330 neonates with neonatal jaundice admitted in the neonatal intensive care unit (NICU) of Cairo University children hospital (CUCH) over aperiod of 12 months from June 2016 and June 2017. Result: This study included 330 newborn (207preterm and123fullterm) with mean of age 3.70±2.40 days, with Neonatal Jaundice before starting phototherapy. Difference between serum bilirubin and transcutaneous bilirubin forehead before phototherapy ranged between -1.5 and 14.6 with mean of 2.34±2.77. Difference between serum bilirubin and transcutaneous bilirubin sternum before phototherapy ranged between-1.5 and 14.6 with mean of 2.324±2.78. Difference between serum bilirubin and transcutaneous bilirubin inerscapular before phototherapy ranged between -1.5 and 14.6 with mean of 2.11±2.90 |