Validity of neonatal jaundice evaluation by primary health-care workers and physicians in Karachi, Pakistan
- PMID:20357808
- DOI: 10.1038/jp.2010.13
Validity of neonatal jaundice evaluation by primary health-care workers and physicians in Karachi, Pakistan
Abstract
Objective: The purpose of this study was to validate primary health-care workers' and physicians' visual assessment of neonatal hyperbilirubinemia in Karachi, Pakistan.
Study design: We compared primary health-care workers' and physicians' clinical identification of jaundice in infants <60 days old.
Result: Primary health-care workers identified 1- to 20-day-old neonates with hyperbilirubinemia > or =15 mg per 100 ml (260 micromol l(-1)) with 83.3% sensitivity and 50.5% specificity; neonates aged 1 to 6 days were identified with 76.2% sensitivity and 60.7% specificity. Physicians identified neonates aged 1 to 20 days with hyperbilirubimemia > or =15 mg per 100 ml (260 micromol l(-1)) with 51.4% sensitivity and 90.7% specificity, and neonates aged 1 to 6 days with 50% sensitivity and 88.5 % specificity. The primary health-care workers' and physicians' assessments showed fair interobserver agreement (kappa statistic 0.29).
Conclusion: Primary health-care workers identified hyperbilirubinemic neonates with adequate sensitivity. With proper training and supervision, their assessment could improve the referral of hyperbilirubinemic neonates in low-resource settings in the developing world.
Similar articles
- Incidence of neonatal hyperbilirubinemia: a population-based prospective study in Pakistan.Tikmani SS, Warraich HJ, Abbasi F, Rizvi A, Darmstadt GL, Zaidi AK.Tikmani SS, et al.Trop Med Int Health. 2010 May;15(5):502-7. doi: 10.1111/j.1365-3156.2010.02496.x.Trop Med Int Health. 2010.PMID:20412075
- Correction.Riskin A, Tamir A, Kugelman A, Hemo M, Bader D.Riskin A, et al.J Pediatr. 2009 Mar;154(3):466-7. doi: 10.1016/j.jpeds.2008.12.002.J Pediatr. 2009.PMID:19874775No abstract available.
- Noninvasive determination of neonatal hyperbilirubinemia: standardization for variation in skin color.Linder N, Regev A, Gazit G, Carplus M, Mandelberg A, Tamir I, Reichman B.Linder N, et al.Am J Perinatol. 1994 May;11(3):223-5. doi: 10.1055/s-2008-1040751.Am J Perinatol. 1994.PMID:8048990
- Hyperbilirubinemia and neonatal jaundice.Blackburn S.Blackburn S.Neonatal Netw. 1995 Oct;14(7):15-25.Neonatal Netw. 1995.PMID:7565524Review.
- Point of care testing: transcutaneous bilirubinometry in neonates.Carceller-Blanchard A, Cousineau J, Delvin EE.Carceller-Blanchard A, et al.Clin Biochem. 2009 Feb;42(3):143-9. doi: 10.1016/j.clinbiochem.2008.09.106. Epub 2008 Oct 2.Clin Biochem. 2009.PMID:18929553Review.
Cited by
- The need for neonatal jaundice screening awareness in the Pakistani population: short communication.Naeem H, Ullah K, Ochani S, Naeem K, Ahmad HB, Hasibuzzaman MA.Naeem H, et al.Ann Med Surg (Lond). 2023 Jul 3;85(8):4187-4189. doi: 10.1097/MS9.0000000000000960. eCollection 2023 Aug.Ann Med Surg (Lond). 2023.PMID:37554868Free PMC article.
- Management of late-preterm and term infants with hyperbilirubinaemia in resource-constrained settings.Olusanya BO, Ogunlesi TA, Kumar P, Boo NY, Iskander IF, de Almeida MF, Vaucher YE, Slusher TM.Olusanya BO, et al.BMC Pediatr. 2015 Apr 12;15:39. doi: 10.1186/s12887-015-0358-z.BMC Pediatr. 2015.PMID:25884679Free PMC article.
- Acceptability and operational feasibility of community health worker-led home phototherapy treatment for neonatal hyperbilirubinemia in rural Bangladesh.Jahan F, Parvez SM, Rahman M, Billah SM, Yeasmin F, Jahir T, Hasan R, Darmstadt GL, Arifeen SE, Hoque MM, Shahidullah M, Islam MS, Ashrafee S, Foote EM.Jahan F, et al.BMC Pediatr. 2024 Feb 15;24(1):123. doi: 10.1186/s12887-024-04584-7.BMC Pediatr. 2024.PMID:38360716Free PMC article.
- Icterus Neonatorum in Near-Term and Term Infants: An overview.Ali R, Ahmed S, Qadir M, Ahmad K.Ali R, et al.Sultan Qaboos Univ Med J. 2012 May;12(2):153-60. doi: 10.12816/0003107. Epub 2012 Apr 9.Sultan Qaboos Univ Med J. 2012.PMID:22548133Free PMC article.
- Demystifying non-invasive approaches for screening jaundice in low resource settings: a review.Abiha U, Banerjee DS, Mandal S.Abiha U, et al.Front Pediatr. 2023 Nov 20;11:1292678. doi: 10.3389/fped.2023.1292678. eCollection 2023.Front Pediatr. 2023.PMID:38054187Free PMC article.Review.
Publication types
MeSH terms
Substances
Related information
LinkOut - more resources
Full Text Sources
Medical