Newborn jaundice technologies: unbound bilirubin and bilirubin binding capacity in neonates.
Newborn jaundice technologies: unbound bilirubin and bilirubin binding capacity in neonates.
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DOI:
10.1053/j.semperi.2011.02.007
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发表时间:
2011-06
影响因子:
3.4
通讯作者:
Lamola AA
中科院分区:
文献类型:
--
作者:
Amin SB;Lamola AA
Neonatal jaundice (hyperbilirubinemia), extremely common in neonates, can be associated with neurotoxicity. A safe level of bilirubin has not been defined in either premature or term infants. Emerging evidence suggest that the level of unbound (or “free”) bilirubin has a better sensitivity and specificity than total serum bilirubin for bilirubin-induced neurotoxicity. Although recent studies suggest the usefulness of free bilirubin measurements in managing high-risk neonates including premature infants, there currently exists no widely available method to assay the serum free bilirubin concentration. To keep pace with the growing demand, in addition to reevaluation of old methods, several promising new methods are being developed for sensitive, accurate, and rapid measurement of free bilirubin and bilirubin binding capacity. These innovative methods need to be validated before adopting for clinical use. We provide an overview of some promising methods for free bilirubin and binding capacity measurements with the goal to enhance research in this area of active interest and apparent need.
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