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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.
May 19, 2010 · Consider intensified phototherapy (phototherapy that is given with an increased level of irradiance with an appropriate spectrum. Phototherapy can be intensified by adding another light source or increasing the irradiance of the initial light source used) to treat significant hyperbilirubinaemia in babies if any of the following apply [new 2016] :
NICE clinical guideline 98 – Treatment threshold graphs 3 Bilirubin thresholds for phototherapy and exchange transfusion in babies with hyperbilirubinaemia
phototherapy should be used in relation to time since birth. These changes can be seen in the short version of the guideline at: http://www.nice.org.uk/guidance/CG98
Phototherapy: use to treat hyperbilirubinaemia according to threshold graph. Consider intensified phototherapy if serum bilirubin level is rising rapidly (>8.5 μmol/L/hour), is not falling after 6 hours of phototherapy, or if within 50 μmol/L of exchange transfusion threshold after 72 hours of life.
In NICE CG98, multiple phototherapy is recommended for infants who do not respond to single phototherapy, and in those with very high or rapidly rising TSB. However, the number of light sources to use is not specified.
