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Transcutaneous bilirubin measurement in preterm infants]
Authors:I Mercanti  F Michel  L Thomachot  D-A Loundou  C Nicaise  R Vialet  J-N Di Marco  P Lagier  C Martin
Institution:1. Unité de réanimation pédiatrique, néonatale et centre de brûlés, DAR Nord, CHU de Nord, chemin des bourrelly, 13915 Marseille cedex 20, France;2. Unité d''aide méthodologique, laboratoire santé publique, Faculté de médecine Timone, 27 boulevard Jean Moulin, 13005 Marseille, France;1. Servicio de Farmacia Hospitalaria, Hospital Universitario de Tarragona Joan XXIII, Universitat Rovira i Virgili, Institut d’Investigaciò Sanitaria Pere Virgili, Tarragona, España;2. Servicio de Medicina Intensiva, Corporación Sanitaria Parc Taulí, CIBERES, Sabadell, España;3. Servicio de Medicina Intensiva, Hospital Universitario de Tarragona Joan XXIII, Universitat Rovira i Virgili, Institut d’Investigaciò Sanitaria Pere Virgili, Tarragona, España;4. Servicio de Farmacia Hospitalaria, Hospital del Mar, Universitat Autònoma de Barcelona, Barcelona, España;5. Servicio de Medicina Intensiva, Hospital Universitario de Mataró, Mataró, España;6. Servicio de Medicina Preventiva – Hospital Universitario de Tarragona Joan XXIII, Tarragona, España;7. Cátedra de Farmacología clínica – Universidad Rovira i Virgili, Tarragona, España;8. Servicio de Medicina Intensiva, Hospital Clínico, Valencia, España;9. Centros de Investigación Biomédica en Red Enfermedades Respiratorias , Tarragona, España;1. Hospices civils de Lyon, Pavillon H, hôpital E-Herriot, service d’oncologie médicale, place d’Arsonval, 69437 Lyon cedex 03, France;2. CHU Nantes, clinique d’endocrinologie, 44093 Nantes cedex 1, France;3. CHU de Dijon, hôpital du Bocage, service endocrinologie, diabétologie, 14, rue Paul-Gaffarel, 21000 Dijon, France;4. Hôpital Cochin, service de gastroentérologie, 27, rue du Faubourg-Saint-Jacques, 75014 Paris, France;5. CHRU, hôpital Jean Minjoz, service d’Oncologie, 2, boulevard Fleming, 25030 Besançon, France;6. Centre Antoine Lacassagne, 33, avenue Valombrose, 06189 Nice, France;7. Hôpital Beaujon, service de gastroentérologie-pancréatologie (PMAD), 100, boulevard du Général-Leclerc, 92118 Clichy, France;8. CHU de La Timone, 254, rue Saint-Pierre, 13385 Marseille cedex, France;1. Pôle d’anesthésie réanimation chirurgicale 2, université Rennes 1, hôpital Sud, 16, boulevard Bulgarie, 35203 Rennes cedex 2, France;2. Département d’information médicale, 35033 Rennes cedex 9, France;1. Clinique Saint-Luc-de-Bukavu, B.P 02, avenue des Martyrs, Bukavu, République démocratique du Congo;2. Observatoire des maladies non transmissibles, faculté de médecine, université Catholique de Bukavu, B.P 285, Bukavu, République démocratique du Congo;1. Service de gynécologie-obstétrique, hôpital de Bicêtre, Assistance Publique–Hôpitaux de Paris, 78, rue Général-Leclerc, 94275 Le Kremlin-Bicêtre, France;2. CESP-Inserm 1018, 78, rue Général-Leclerc, 94275 Le Kremlin-Bicêtre, France;3. Service de gynécologie-obstétrique, hôpital Antoine-Béclère, Assistance Publique–Hôpitaux de Paris, rue de la Porte-de-Trivaux, 92140 Clamart, France
Abstract:Transcutaneous bilirubinometry is an effective screening tool for neonatal jaundice in full-term babies. But its accuracy is not shown yet in preterm infants. METHODOLOGY: We carried out a prospective study in a neonatal intensive care unit. The study included 47 preterm infants. From birth, a transcutaneous bilirubin measurement (BTc) using the BiliCheck was made on the forehead of each newborn every 8 h. Blood sampling for determination of total serum bilirubin (BS) was combined with BTc: 1) if value of BTc was higher than limits values for phototherapy; 2) on the second day of life and 3) 4 hours after cessation of phototherapy. RESULTS: Mean gestational age was 30 week and mean birth weight was 1419 g. We studied 151 pairs of BTc and BS. Mean values obtained by BTc and BS were respectively 160.6+/-50 mumol/L and 190.6+/-61.4 mumol/L. A significant correlation between BTc and BS was found. But the limits of agreement were very wide. The negative predictive value (NPV) of BTc was above 90% in each group of gestational age. DISCUSSION: The need for phototherapy cannot be determined by BTc in preterm infants. But the BTc is reliable when its value is under the limits for phototherapy. CONCLUSION: With a very high incidence of neonatal jaundice (87%) in our cohort, a value of BTc under the limits for phototherapy has a good NPV in preterm infants.
Keywords:
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