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May 19, 2010 · This guideline covers diagnosing and treating jaundice, which is caused by increased levels of bilirubin in the blood, in newborn babies (neonates). It aims to help detect or prevent very high levels of bilirubin, which can be harmful if not treated.
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May 19, 2010 · This guideline includes recommendations on: providing information to parents or carers. managing and treating hyperbilirubinaemia. measuring and monitoring bilirubin thresholds before and during phototherapy. assessing babies for underlying disease. caring of babies with prolonged jaundice.
These treatment threshold graphs accompany the clinical guideline: ‘Neonatal jaundice’. They are also available as an implementation tool. (Both are available online at www.nice.org.uk/guidance/CG98) Issue date: May 2010
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In May 2016, the National Institute for Health and Care Excellence (NICE) published updated guidelines entitled ‘Jaundice in newborn babies under 28 days’ (box 1). 1 The guideline covers diagnosis and treatment of neonates with jaundice, aiming ‘to help detect and prevent very high levels of bilirubin’.
- Rachel C Amos, Hannah Jacob, Wynne Leith
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Babies with suspected jaundice who are more than 24 hours old have their bilirubin level measured within 6 hours of a healthcare professional suspecting jaundice or a parent or carer reporting possible jaundice. Babies with hyperbilirubinaemia are started on treatment in accordance with standardized threshold tables or charts.
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Consensus-based bilirubin thresholds for management of babies 38 weeks or more gestational age with hyperbilirubinaemia. Check for rebound of significant hyperbilirubinaemia with a repeat serum bilirubin measurement 12–18 hours after stopping phototherapy.