Comparative study serum and cutaneous total bilirubin among newborns with hyperbilirubinemia in Khartoum estate
Isam ahmed sadik, Mashaer Abidlqader, Nazra sayed osman, Nagah Abd elwahab Mohammed, mohmed abid alhmeed, Nahla Mohammed Elzaki
The standard methods used in measuring serum bilirubin require blood specimen taken by heel pricks or intravenous blood sampling but transcutanse bilirubin is new method for measuring bilirubin in neonate. So this study was conducted to compare the estimates of serum bilirubin using a recently introduced device called (MBJ20), which is transcutaneous bilirubinometer (TCB) index with the standard direct spectrophotometric measurement of Total serum bilirubin (TSB). This is cross-sectional study was conducted in neonatal intensive care unit at Soba University Hospital, one hundred and fifty three, newborns with hyperbilibrubina were enrolled, Both TSB and, TCB reading were evaluated.rnAccording to the date of jaundice onset 91.9% developed jaundice during period of 2-7 days, 5.9% in the first day and 2.6% after a week. TSB level among jaundiced neonates Less than 12 mg/dL was found in (29.4%), 12 – 2 mg/dL were detected in (67.9%), and More than 20 mg/dL was recorded in (2.6%). While, TCB level less that 12 mg/dL found in (20.9%), 12 – 2 mg/dL detected in (77.1%) and More than 20 mg/dL cited for (1.9%). At P≤0.05 there were no significant differences in TSB and TCB before phototherapy with Mean (13.40±2.83, 13.49±3.00) mg/dL for TSB and TCB respectively (P value .539). And after photo therapy Mean of TSB and TCB index were (13.00 ±4.40, 13.06±2.57) mg/dL respectively (P value0.769). Neonatal birth weight showed extremely low birth (2.6%), low birth weight in (54.9%), normal weight (37.3%) and Macrosomic (5.2%). The Gestational age of jaundiced neonates showed pre term (48.4%), Term (49%) and Post-term (2.6%). The study revealed that TCB was accurate method, as TSB before and after phototherapy. No difference when TCB was used for measuring TSB in term or preterm babies. So TCB device could be used in every Nursery as reliable.