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paediatrics neonatology

Neonatal Jaundice Treatment Thresholds (NICE CG98)

Assesses risk of significant hyperbilirubinaemia in newborns using hour-specific total serum bilirubin (TSB) plotted on the Bhutani nomogram. Guides phototherapy and exchange transfusion decisions.

Score interpretation

Below the Phototherapy Threshold 0

Bilirubin below the NICE phototherapy threshold for gestation and age.

→ Repeat bilirubin per NICE CG98 if close to the threshold or rising.

At or Above the Phototherapy Threshold 1

Bilirubin at or above the NICE phototherapy threshold.

→ Start phototherapy; repeat bilirubin per NICE CG98.

At or Above the Exchange Transfusion Threshold 2

Bilirubin at or above the NICE exchange transfusion threshold.

→ Urgent neonatal review; multiple phototherapy and preparation for exchange transfusion per NICE CG98.

Interpretation bands for the Neonatal Jaundice. Apply clinical judgement and local guidance.

References

Related

Curated clinical cross-links plus same-class fallbacks.

Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.