Neonatal jaundice resulting from immunological hemolysis is not uncommon. While it is possible to prevent a large number of Rh-isoimmune hemolytic diseases by administration of specific anti-D immunoglobulins to the mother, the prevention of incompatibility in the ABO groups is not feasible. In spite of advances made in the use of phototherapy, and in order to avoid kernicterus, the treatment of these jaundices can require one or several exchange transfusions ET , a therapy which is not devoid of risk. For some time now, the data concerning the efficiency of high-dose intravenous immunoglobulin therapy HDIIT in the treatment of these jaundices have been increasing.
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Certains indices cliniques voire biologiques ne trompent pas. Guidelines for detection, management and prevention of hyperbilirubinemia in term and late preterm newborn infants 35 or more weeks? Paediatr Child Health. Digestive system disorders: jaundice and hyperbilirubinemia in the newborn. New Delhi: Saunders; Neonatal exchange transfusion for hyperbilirubinemia in Guilan the north province of Iran : a 3-year experience.
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Sci Rep. Exchange transfusion in severe hyperbilirubinemia: an experience in northwest Iran. Turk J Pediatr. Rev Med Liege. Reserve albumin binding capacity, salicylate saturation index, and red cell binding of bilirubin in neonatal jaundice. Archives of Diseasein Childhood. Google Scholar.
Background: Clinical assessment of neonatal jaundice is inaccurate and results in a significant number of blood tests in otherwise well babies. The number of these blood tests could be reduced, with benefit to the neonates and potential cost savings by using a noninvasive transcutaneous bilirubinometer. Methods: The study included jaundiced neonates who were less than 14 days and consulted neonatology unit of University teaching hospital during the study period. All newborns were black skin. The Minolta JM device could be used as a screening instrument, leading to the avoidance of invasive blood samplings for term and preterm neonates. TcB measurements with the JM bilirubinometer should obviate the need for serum bilirubin levels in dark skin jaundiced newborns, although serum bilirubin measurements are still required when treatment with phototherapy or exchange transfusion is being considered.
Certains indices cliniques voire biologiques ne trompent pas. Guidelines for detection, management and prevention of hyperbilirubinemia in term and late preterm newborn infants 35 or more weeks? Paediatr Child Health. Digestive system disorders: jaundice and hyperbilirubinemia in the newborn. New Delhi: Saunders; Neonatal exchange transfusion for hyperbilirubinemia in Guilan the north province of Iran : a 3-year experience. Turkish Journal of Pediatrics.
In neonates, jaundice may be one of the initial symptoms related to urinary tract infection UTI. The routine testing of the urine in jaundiced neonates is controversial. This study aimed to evaluate the related factors of neonatal infants with the initial presentation of hyperbilirubinemia and the final diagnosis of UTI by evaluating data that help diagnose UTI early in apparently healthy newborns with jaundice. There was a significant difference between the two groups in male gender and maternal conditions prolonged rupture of membranes, maternal UTI. In the cases presented herein, none of the jaundiced infants with UTI presented conjugated hyperbilirubinemia. Therefore, urinary tests for UTI should not be absolutely excluded or neglected in neonates in the early stage with unconjugated hyperbilirubinemia.