title: Neonatal Jaundice in Low- and Middle-Income Countries: Lessons and Future Directions from the 2015 Don Ostrow Trieste Yellow Retreat.
abstract: Severe neonatal hyperbilirubinemia, defined as total serum bilirubin (TSB) ≥20 mg/dl, is associated with a higher risk of permanent neurological sequelae and death. Jaundice can and should be promptly diagnosed and treated. Reliable methods for TSB assay are not always readily available, particularly in low- and middle-income countries, making the true incidence of severe neonatal jaundice (NNJ) difficult to estimate. To gather a more comprehensive picture, a symposium addressing NNJ worldwide was organized during the 2015 Don Ostrow Trieste Yellow Retreat. Data collected by several researchers in different regions of the world were presented and differences/similarities discussed. This report points out the need for: (1) a coordinated worldwide effort to define the burden and the causes of severe NNJ and its consequences; (2) aggressive educational programs for families and health personnel to facilitate timely care-seeking, and (3) accurate diagnostics and effective phototherapy.
authors.affiliation: Bilimetrix, Trieste, Italy.
authors.forename: Chiara
authors.initials: C
authors.lastname: Greco
authors.forename: Gaston
authors.initials: G
authors.lastname: Arnolda
authors.forename: Nem-Yun
authors.initials: NY
authors.lastname: Boo
authors.forename: Iman F
authors.initials: IF
authors.lastname: Iskander
authors.forename: Angela A
authors.initials: AA
authors.lastname: Okolo
authors.forename: Rinawati
authors.initials: R
authors.lastname: Rohsiswatmo
authors.forename: Steven M
authors.initials: SM
authors.lastname: Shapiro
authors.forename: Jon
authors.initials: J
authors.lastname: Watchko
authors.forename: Richard P
authors.initials: RP
authors.lastname: Wennberg
authors.forename: Claudio
authors.initials: C
authors.lastname: Tiribelli
authors.forename: Carlos D
authors.initials: CD
authors.lastname: Coda Zabetta
mesh_terms: D001663:Bilirubin / Q000097:blood; D003226:Congresses as Topic; D003906:Developing Countries / Q000706:statistics & numerical data*; D006282:Health Personnel / Q000193:education; D006801:Humans; D015994:Incidence; D007231:Infant, Newborn; D007567:Jaundice, Neonatal / Q000175:diagnosis* / Q000453:epidemiology*; D010789:Phototherapy
chemical_list: D001663:Bilirubin