Transcutaneous bilirubin--comparing the accuracy of BiliChek(R) and JM 103(R) in a regional postnatal unit.
Affiliation
Department of Midwifery, Galway University Hospital, Newcastle Road, Galway,, Ireland. y139q@hotmail.comIssue Date
2012-01-31T16:35:30ZMeSH
Bilirubin/*analysis/metabolismFemale
Gestational Age
Humans
Infant, Newborn
Jaundice, Neonatal/*diagnosis/metabolism
Male
Neonatal Screening/*instrumentation
Nurseries, Hospital
Sensitivity and Specificity
Skin/*chemistry/metabolism
Metadata
Show full item recordCitation
J Matern Fetal Neonatal Med. 2011 Feb;24(2):267-70. Epub 2010 May 19.Journal
The journal of maternal-fetal & neonatal medicine : the official journal of the, European Association of Perinatal Medicine, the Federation of Asia and Oceania, Perinatal Societies, the International Society of Perinatal ObstetriciansDOI
10.3109/14767058.2010.484471PubMed ID
20482289Abstract
OBJECTIVE: Transcutaneous bilirubin (TcB) has the potential to reduce serum bilirubin sampling. During a recent survey on the use of TcB in postnatal units in the Republic of Ireland, we identified that only 58% of the 19 units were using TcB and that only two devices were in use, the BiliChek(R) and JM 103(R). We aimed to evaluate and compare these two devices in a regional postnatal unit. METHODS: To evaluate and compare the accuracy of the BiliChek(R) and JM 103(R), we studied simultaneous TcB and total serum bilirubin (TSB) measurements from a population of jaundiced term and near term infants. We evaluated each device with regard to correlation with TSB and potential to safely reduce serum bilirubin testing. RESULTS: Both TcB devices strongly correlated with TSB (r = 0.88 for BiliChek(R) and r = 0.70 for JM 103(R). The BiliChek(R) and JM 103(R) were accurate up to cut-off values of 200 mumol/L and 180 mumol/L, respectively. Using Bhutani's nomogram, 100% sensitivity was achieved using the 75th percentile for BiliChek(R) and the 40th percentile for JM 103(R). CONCLUSION: Both TcB devices correlated closely with moderately increased TSB levels and are suitable screening tools to identify jaundiced infants that require a serum bilirubin, with upper limit cut-off values. Both devices reduced the need for TSB levels. We found the BiliChek(R) slightly more accurate than the JM 103(R) for our study population. TcB however, is not in widespread use.Language
engISSN
1476-4954 (Electronic)1476-4954 (Linking)
ae974a485f413a2113503eed53cd6c53
10.3109/14767058.2010.484471