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Age
Indicaciones de fototerapia
30
25
20
15
10
Birth 24 h 48 h 72 h 96 h 5 days 6 days 7 days
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428
342
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Age
Factores de riesgo: Enfermedad hemoltica isoinmune, dficit G6PD, asfixia, sepsis,
acidosis, inestabilidad trmica, letargia.
Indicaciones de exanguinotransfusin
Infants at lower risk ( 38 wk and well)
Infants at medium risk ( 38 wk + risk factors or 35-37 6/7 wk and well)
Infants at higher risk (35-37 6/7 wk + risk factors)
FIGURA1. Tratamiento con fototerapia/exanguinotransfusin.
122 Protocolos diagnstico-teraputicos de Urgencias Peditricas SEUP-AEP
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2. DAgata ID, Balistreri WF. Evaluation of liver disea-
se in the pediatric patient. Pediatr Rev 1999; 20: 376-
89.
3. Gartner LM. Neonatal jaundice. Pediatr Rev 1994; 15:
422-32.
4. Moyer V, Freese DK, Whitington PF, Olson AD, Bre-
wer F, Colletti RB, et al; North American Society for
Pediatric Gastroenterology, Hepatology and Nutrition.
Guideline for the evaluation of cholestatic jaundice
in infants: recommendations of the North American So
ciety for Pediatric Gastroenterology, Hepatology and
Nutrition. J Pediatr Gastroenterol Nutr 2004; 39: 115-
28.
5. Mandl KD. Jaundice-Unconjugated hyperbilirubine-
mia. En: Fleihser GR, Ludwig S, Henretig FM, edito-
res. Textbook of Pediatric Emergency Medicine. Phi-
ladelphia: Lippincott Williams & Wilkins; 2006. p. 399-
407.
6. Mews C, Sinatra FR. Colestasis en lactantes. Pediatr
Rev (edicin en espaol) 1994;15:233-40.
7. Neonatal jaundice. Clin Evid 2006; 15: 1-2.
8. Newman TB, Maisels MJ. Less aggressive treatment
of neonatal jaundice and reports of kernicterus: lessons
about practice guidelines. Pediatrics 2000; 105(1 Pt 3):
242-5.
9. Pashnkar D, Schreiber RA. Jaundice in older children
and adolescents. Pediatr Rev 2001; 22: 219-25.
10. Singer JI. Jaundice Conjugated hyperbilirubinemia. En:
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123 Ictericia