What is it about?
Several audits of clinical practice have confirmed that there is insignificant yield from screening of prolonged jaundice babies with a wide range of tests including thyroid function test (TFT) and full blood count (FBC). This study analyzed our local practice based on a newly adopted rationalised protocol of selective screening with split bilirubin supplemented with other investigations tests based on clinical risk assessment.
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Why is it important?
The overall annual incidence of prolonged jaundice was 2.2% of all live births. 32 out of 50 patients (64%) had only split biliburin test according to the protocol.
Perspectives
After 2 years of implementation of the novel protocol of laboratory investigations based on clinical risk, it has been found to be cost-effective and safe. The designed electronic software provides a useful prompt in guiding the investigation of prolonged jaundice.
Dr Michael O Ogundele
Mid Cheshire Hospitals NHS Foundation Trust Postgraduate Medical Centre
Read the Original
This page is a summary of: Implementation of a prolonged neonatal jaundice protocol supported by electronic software, Clinical Governance An International Journal, August 2010, Emerald,
DOI: 10.1108/14777271011063814.
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