Stool color along with transcutaneous bilirubinometer may help predict neonatal jaundice accurately:Study
Neonatal jaundice is the most frequent problem encountered in the newborn. Timely intervention can prevent bilirubin toxicity leading to kernicterus with long term morbidity . Though serum bilirubin, an invasive test is the gold standard for determining bilirubin levels, various non-invasive methods such as transcutaneous bilirubinometer and Kramer grading are being widely used.
Researchers from JSS Hospital,Mysuru conducted a study to compare the predictive value of STrIP(Kramer and stool color) and TcB(transcutaneous bilirubin) against serum bilirubin levels for early detection of neonatal jaundice.
In this study babies born more than 35 weeks gestation on exclusive breast feeding with clinical jaundice were included. Serum bilirubin estimation was done on day 3. Stool sample was collected within 3 hours of detection of clinical jaundice, and the color of the stool was compared with the stool color card (stool strip). STrIP score was then calculated by adding the stool color weightage to clinical assessment by Kramer scale. average of three bilirubin readings was taken at the forehead by transcutaneous bilirubinometer in a quiet child soon after assessing the STrIP score.
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