Neonatal hyperbilirubinemia and kernicterus - not gone but sometimes forgotten.

Abstract:

:The introduction of exchange transfusion made it possible to prevent severe hyperbilirubinemia and kernicterus, but kernicterus has never completely disappeared and it is still occurring in North America and, more frequently in Western Europe and the developing world. I discuss the epidemiology and major causes of severe hyperbilirubinemia and the potential root causes and system failures associated with the development of extreme hyperbilirubinemia and, subsequently, kernicterus. In the Western world, kernicterus remains a rare cause of cerebral palsy but, in contrast to the other causes of cerebral palsy, kernicterus should almost always be preventable. The key elements in preventing kernicterus are risk assessment and appropriate follow-up for the newborn infant and these are presented in a recently developed algorithm. Implementation of this approach might contribute to the prevention of severe hyperbilirubinemia and bilirubin encephalopathy.

journal_name

Early Hum Dev

journal_title

Early human development

authors

Maisels MJ

doi

10.1016/j.earlhumdev.2009.09.003

subject

Has Abstract

pub_date

2009-11-01 00:00:00

pages

727-32

issue

11

eissn

0378-3782

issn

1872-6232

pii

S0378-3782(09)00191-1

journal_volume

85

pub_type

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