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Practical steps to improving the quality of care and services using NICE guidance. This guideline covers diagnosing and treating jaundice, which is caused by increased levels of bilirubin in the blood, in newborn babies (neonates).
Developed by the National Collaborating Centre for Women’s and Children’s Health. 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)
Near-term 35 to 36 weeks gestational age Preterm Less than 37 weeks gestational age Prolonged jaundice Jaundice lasting more than more than 14 days in term babies
May 19, 2010 · In babies with a gestational age of 37 weeks or more with jaundice lasting more than 14 days, and in babies with a gestational age of less than 37 weeks and jaundice lasting more than 21 days: look for pale chalky stools and/or dark urine that stains the nappy. measure the conjugated bilirubin.
specific charts such as AAP or NICE charts to evaluate need for treatment). • Look for lactation problems (excess weight loss and delayed transition of stool to yellow color), infrequent stool, and urine. • Exclude early signs of encephalopathy (poor feeding and lethargy)
For babies born at 35 weeks or more, who are over 24 hours of age and less than 14 days old, the transcutaneous jaundice meter (bilirubinometer) is the method recommended by NICE. If this is unavailable, or the baby is less than 24 hours old or born at a gestation below 35 weeks, blood should be taken to measure the serum bilirubin.
NICE clinical guideline 98 Neonatal jaundice. Ordering information. You can download the following documents from www.nice.org.uk/guidance/CG98 The NICE guideline (this document) – all the recommendations. A quick reference guide – a summary of the recommendations for healthcare professionals.
Baby 35+0 to 37+6 weeks gestation 1. In the presence of risk factors (sepsis, haemolysis, acidosis or asphyxia) use the lower line. If baby is greater than 12 hours old with total serum bilirubin (TSB) 1 –50 micromol/L below the line, repeat the TSB within 624 hours. 3. Babies under phototherapy: a.
The NICE guideline Jaundice in newborn babies under 28 days recommends using a transcutaneous bilirubinometer to measure the bilirubin level in babies with a gestational age of 35 weeks or more, but states that serum bilirubin measurement should be used in babies less than 35 weeks gestational age.
Dec 1, 2014 · This document presents treatment threshold graphs from the National Institute for Health and Clinical Excellence (NICE) clinical guideline 98 on neonatal jaundice. The graphs show bilirubin thresholds for phototherapy and exchange transfusion in babies with hyperbilirubinemia.
