Current and emerging technologies for the timely screening and diagnosis of neonatal jaundice.

Neonatal jaundice is one of the most common clinical conditions affecting newborns. For most newborns, jaundice is harmless, however, a proportion of newborns develops severe neonatal jaundice requiring therapeutic interventions, accentuating the need to have reliable and accurate screening tools fo...

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Publicado en:Critical Reviews in Clinical Laboratory Sciences Vol. 59; no. 5; pp. 332 - 353
Autores principales: Thomas, Mercy, Greaves, Ronda F., Tingay, David G., Loh, Tze Ping, Ignjatovic, Vera, Newall, Fiona, Oeum, Michelle, Tran, Mai Thi Chi, Rajapaksa, Anushi E.
Formato: review tables/charts Journal Article
Publicado: Taylor & Francis Ltd Aug2022
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Taylor & Francis Ltd
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        10.1080/10408363.2022.2038074
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        atl: Current and emerging technologies for the timely screening and diagnosis of neonatal jaundice.
      aug:
        au:
          Thomas, Mercy
          Greaves, Ronda F.
          Tingay, David G.
          Loh, Tze Ping
          Ignjatovic, Vera
          Newall, Fiona
          Oeum, Michelle
          Tran, Mai Thi Chi
          Rajapaksa, Anushi E.
        affil: New Vaccines, Murdoch Children's Research Institute, Melbourne, Australia
      sug:
        subj:
          Technology, Medical
          Jaundice, Neonatal Diagnosis
          Diagnosis, Laboratory Methods
          Point-of-Care Testing
          Neonatal Assessment
          Health Screening
      ab: Neonatal jaundice is one of the most common clinical conditions affecting newborns. For most newborns, jaundice is harmless, however, a proportion of newborns develops severe neonatal jaundice requiring therapeutic interventions, accentuating the need to have reliable and accurate screening tools for timely recognition across different health settings. The gold standard method in diagnosing jaundice involves a blood test and requires specialized hospital-based laboratory instruments. Despite technological advancements in point-of-care laboratory medicine, there is limited accessibility of the specialized devices and sample stability in geographically remote areas. Lack of suitable testing options leads to delays in timely diagnosis and treatment of clinically significant jaundice in developed and developing countries alike. There has been an ever-increasing need for a low-cost, simple to use screening technology to improve timely diagnosis and management of neonatal jaundice. Consequently, several point-of-care (POC) devices have been developed to address this concern. This paper aims to review the literature, focusing on emerging technologies in the screening and diagnosing of neonatal jaundice. We report on the challenges associated with the existing screening tools, followed by an overview of emerging sensors currently in pre-clinical development and the emerging POC devices in clinical trials to advance the screening of neonatal jaundice. The benefits offered by emerging POC devices include their ease of use, low cost, and the accessibility of rapid response test results. However, further clinical trials are required to overcome the current limitations of the emerging POC's before their implementation in clinical settings. Hence, the need for a simple to use, low-cost POC jaundice detection technology for newborns remains an unsolved challenge globally.
      pubtype: Academic Journal
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        review
        tables/charts
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    language: English
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