PERSPECTIVES
Hyperbilirubinaemia in the newborn
Preventing kernicterus: a wake-up call
Correspondence to:
Dr N Kevin Ives, Neonatal Unit, John Radcliffe Hospital, Oxford OX3 9DU, UK; Kevin.Ives@orh.nhs.uk
Perspective on the paper by Manning et al (see page 342)
Keywords: bilirubin encephalopathy; hyperbilirubinaemia; kernicterus; neonate
| The first 150 words of the full text of this article appear below. |
Despite advances in neonatal care there has been a recent resurgence of bilirubin encephalopathy and clinical kernicterus in several parts of the world. In this issue Manning and colleagues provide worrying evidence to suggest that the UK and Republic of Ireland may be participants in this trend.1 While the aim of their study was to determine the incidence of severe hyperbilirubinaemia, and to identify clinical and demographic variables and short-term outcomes, the authors have extended discussion to some important risk management lessons. The results of this important surveillance study should be made known to all paediatricians and related health professionals responsible for the newborn.
The British Paediatric Surveillance Unit (BPSU) reporting system has been used for this prospective survey. The BPSU has a good reputation of providing a high response rate. The investigators sought to capture all cases of "severe" neonatal hyperbilirubinaemia, defined by them as
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