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2015, Number 5

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Rev Mex Pediatr 2015; 82 (5)

Transcutaneous and serum bilirubin metering correlation in newborns at term and late preterm

López-Garrido E, Chávez-Gutiérrez CA, Rivera-Vázquez P, Berlanga-Bolado ÓM

Language: Spanish
References: 26
Page: 159-164
PDF size: 278.39 Kb.


ABSTRACT

Determination of serum bilirubin involves a painful puncture. Transcutaneous bilirrubinometry is a rapid, non-invasive procedure that may avoid unnecessary punctures for determining the level of bilirubin. Objective: To assess the correlation between the measurement of the transcutaneous bilirrubinometry and serum bilirubin in term newborns and late preterm infants at the onset time of jaundice. Material and methods: We prospectively enrolled 111 newborn of 34 or more weeks of gestational age, the transcutaneous bilirrubinometry in the sternal region (mg/dL) at the onset time of jaundice was measured with a JM 103 icterometer, as well as the serum bilirrum through dry chemistry with a VITROS® equipment 5.1, in a period no longer than thirty minutes. Results: A total of 111 neonates (range 34 to 41.1 gestation weeks, birth weight 1,480-4,460 g) were performed determination of the transcutaneous bilirrubinometry and serum bilirubin upon detection of jaundice. The correlation coefficient between serum bilirubin and the transcutaneous bilirubin was r = 0.715, with p ‹ 0.001 and a mean difference of 0.7 ± 3.5 mg/dL between the two determinations. Conclusions: There is good correlation between the serum bilirubin and transcutaneous bilirrubinometry in newborns of term and late preterm. This de vice can be used in clinical practice to reduce unnecessary taking blood samples.


REFERENCES

  1. Bhutani VK, Johnson L, Sivieri EM. Predictive ability of a predischarge hour-specific serum bilirubin for subsequent significant hyperbilirubinemia in healthy term and near-term newborns. Pediatrics. 1999; 103 (1): 6-14.

  2. Martínez JC. El real problema del recién nacido ictérico. Nuevas guías de la Academia Estadounidense de Pediatría. Arch Argent Pediatr. 2005; 103(6): 524-532.

  3. American Academy of Pediatrics Subcommittee on Hyperbilirubinemia. Management of hyperbilirubinemia in the newborn infant 35 or more weeks of gestation. Pediatrics. 2004; 114(1): 297-316.

  4. Lam TS, Tsui KL, Kam CW. Evaluation of a point-of-care transcutaneous bilirubinometer in Chinese neonates at an accident and emergency department. Hong Kong Med J. 2008; 14(5): 356-360.

  5. Nagar G, Vandermeer B, Campbell S, Kumar M. Reliability of transcutaneous bilirubin devices in preterm infants: a systematic review. Pediatrics. 2013; 132(5): 871-881.

  6. Maisels MJ, Ostrea EM Jr, Touch S, Clune SE, Cepeda E, Kring E et al. Evaluation of a new transcutaneous bilirubinometer. Pediatrics. 2004; 113(6): 1628-1635.

  7. Mazurier E, Badr M, Masson F et al. Dépistage de l’ictèrice neonatal et évaluation transcutanée de la bilirubinémie avec le bilirubinomètre transcutanée. Arch Pediatr. 2011; 18: 15-16.

  8. Mazzi E. Hiperbilirrubinemia neonatal. Rev Soc Bol Ped. 2005; 44(1): 26-35.

  9. Tiribelli C, Ostrow D. New concepts in bilirubin and jaundice: report of the Third International Bilirubin Workshop, April 6-8, 1995, Trieste, Italy. Hepatology. 1996; 24: 1296-1311.

  10. Karon BS, Teske A, Santrach PJ, Cook WJ. Evaluation of the BiliChek noninvasive bilirubin analyzer for prediction of serum bilirubin and risk of hyperbilirubinemia. Am J Clin Pathol. 2008; 130: 976-982.

  11. Varvarigou A, Fouzas S, Skylogianni E, Mantagou L, Bougioukou D, Mantagos S. Transcutaneous bilirubin nomogram for prediction of significant neonatal hyperbilirubinemia. Pediatrics. 2009; 124(4): 1052-1059.

  12. Karon BS, Wickremasinghe AC, Lo SF, Saenger AK, Cook WJ. BiliChek transcutaneous bilirubin meter overestimates serum bilirubin as measured by the Doumas reference method. Clin Biochem. 2010; 43: 1009-1012.

  13. Stoniene D, Buinauskiene J, Markūniene E. The value of transcutaneous method of bilirubin measurement in newborn population with the risk of ABO hemolytic disease. Medicina (Kaunas). 2009; 45(10): 792-797.

  14. De Luca D, Zecca E, de Turris P, Barbato G, Marras M, Romagnoli C. Using BiliCheck for preterm neonates in a sub-intensive unit: diagnostic usefulness and suitability. Early Hum Dev. 2007; 83: 313-317.

  15. Rodríguez-Capote K, Kim K, Paes B, Turner D, Grey V. Clinical implication of the difference between transcutaneous bilirubinometry and total serum bilirubin for the classification of the newborns at risk of hyperbilirubinemia. Clin Biochem. 2009; 42: 176-179.

  16. Capasso L, Parrella C, Borrelli AC, Maffucci R, Milite P, Sodano A et al. Is it worthwhile using a transcutaneous bilirubinometer in the nursery? Early Hum Dev. 2012; 88 Suppl 2: S25-S26.

  17. Romagnoli C, Tiberi E, Barone G, De Curtis M, Regoli D, Paolillo P et al Validation of transcutaneous bilirubin nomogram in identifying neonates not at risk of hyperbilirubinaemia: a prospective, observational, multicenter study. Early Hum Dev. 2012; 88: 51-55.

  18. Carceller-Blanchard A, Cousineau J, Delvin EE. Point of care testing: transcutaneous bilirubinometry in neonates. Clin Biochem. 2009; 42: 143-149.

  19. Zecca E, Barone G, De Luca D, Marra R, Tiberi E, Romagnoli C. Skin bilirubin measurement during phototherapy in preterm and term newborn infants. Early Hum Dev. 2009; 85: 537-540.

  20. Rocha I. Sensibilidad y especificidad de la determinación de bilirrubina transcutánea para detectar al neonato que se encuentra en zona de fototerapia en el hospital regional de rio blanco [Tesis]. México: Universidad Veracruzana; 2009.

  21. Manual del icterómetro JM-103 Dräeger. Disponible en: http://www.draeger.net/media/10/01/00/10010095/jm103_br_9050610_en.pdf

  22. Reglamento de la Ley General de Salud en Materia de Investigación para la Salud. Disponible en: http://www.salud.gob.mx/unidades/cdi/nom/compi/rlgsmis.html

  23. Watson RL. Hyperbilirubinemia. Crit Care Nurs Clin North Am. 2009; 21: 97-120.

  24. Bhat YR, Rao A. Transcutaneous bilirubin in predicting hyperbilirubinemia in term neonates. Indian J Pediatr. 2008; 75(2): 119-123.

  25. Boo NY, Ishak S. Prediction of severe hyperbilirubinaemia using the Bilicheck transcutaneous bilirubinometer. J Paediatr Child Health. 2007; 43(4): 297-302.

  26. Kitsommart R, Pornladnun P, Chomchai C, Urujchutchairut P, Paes B. Accuracy and precision of transcutaneous bilirubinometry in postdischarge Asian neonates. Eur J Pediatr. 2013; 172: 781-786.




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