Management of neonatal jaundice in primary care

Wan, Angeline Seng Lian and Mat Daud, Suzaini and Teh, Siao Hean and Choo, Yao Mun and Kutty, Fazila Mohamed (2017) Management of neonatal jaundice in primary care. Malaysian Family Physician, 11 (2-3). pp. 16-19. ISSN 1985-207X,

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The Clinical Practice Guidelines on Management of Neonatal Jaundice 2003 was updated by a multidisciplinary development group and approved by the Ministry of Health Malaysia in 2014. A systematic review of 13 clinical questions was conducted using evidence retrieved mainly from Medline and Cochrane databases. Critical appraisal was done using the Critical Appraisal Skills Programme checklist. Recommendations were formulated based on the accepted 103 evidences and tailored to local setting as stated below. Neonatal jaundice (NNJ) is a common condition seen in primary care. Multiple risk factors contribute to severe NNJ, which if untreated can lead to adverse neurological outcomes. Visual assessment, transcutaneous bilirubinometer (TcB) and total serum bilirubin (TSB) are the methods used for the detection of NNJ. Phototherapy remains the mainstay of the treatment. Babies with severe NNJ should be followed-up to detect and manage sequelae. Strategies to prevent severe NNJ include health education, identification of risk factors, proper assessment and early referral.

Item Type: Article
Uncontrolled Keywords: Neonatal jaundice; Phototherapy; Prevention; Primary care; Risk factors
Subjects: R Medicine
Divisions: Faculty of Medicine
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 24 Oct 2019 04:20
Last Modified: 24 Oct 2019 04:20

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