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CG98 Neonatal jaundice: treatment threshold graphs

These treatment threshold graphs are designed to help put the NICE neonatal jaundice guideline into practice. They aim to help healthcare professionals assess whether babies with jaundice should be given phototherapy or exchange transfusion.

Please access the graphs directly from the NICE website to ensure that you are using the correct version of them.

The graphs are presented in an Excel spreadsheet.  Use the tabs at the bottom of the spreadsheet to access the instructions, the treatment threshold graphs and other information.

Click on the 'Treatment threshold graphs' tab to access the graphs.  The sheet contains a treatment graph for each gestational age.  Before printing, use the drop-down menu that is marked in red to choose the graph for the correct gestational age for each baby with jaundice.

Print off the graph and keep it with the baby’s notes. Plot the baby’s bilirubin level on the graph each time it is measured, against the baby's age. Assess whether the threshold for either phototherapy or exchange transfusion has been reached. Refer to the NICE neonatal jaundice guideline for detailed recommendations about the treatment of neonatal jaundice.

Disclaimer

This resource is an implementation tool and should be used alongside the published guidance. The information does not supersede or replace the guidance itself.

What do you think?

Has this implementation tool met your requirements, and will it help you to put the NICE guidance into practice? We value your opinion and are looking for ways to improve our tools. Please complete this short evaluation form. If you are experiencing problems accessing or using this tool, please email implementation@nice.org.uk

Following a query to NICE about how the treatment threshold graphs for babies with jaundice should be used, please note: The graph that reflects the baby’s actual gestational age should continue to be used until the baby is 14 days old. The baby’s ‘corrected’ gestational age should not be taken into consideration, and you should not move up to the next graph when the baby is 7 days old. For example, for a baby of 35 weeks’ gestation, the 35-week gestation graph should be used until the baby is aged 14 days. Please note that the NICE guideline does not cover treatment with phototherapy and exchange transfusion for babies older than 14 days. Trusts should therefore agree their own policy about when to treat babies over 14 days with phototherapy and exchange transfusion.

Please also note – following feedback, we have increased the size of the number that shows the weeks’ gestation, to help prevent people from using the wrong graph.

This page was last updated: 12 August 2011

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Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.

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Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.