Criterios de hospitalización en recién nacidos con ictericia

Abstract

INTRODUCTION: Neonatal jaundice is a frequent pathology in our environment, characterized by yellow pigmentation of the skin and mucous membranes, it is classified into physiological and non- physiological jaundice, with physiological jaundice being the most frequent, with an overall prevalence of 60 % to 80% of newborns, the criteria for hospitalization are identification of risk determinants, signs of acute encephalopathy, total bilirubin levels, to carry out early detection and designate the pertinent treatment, avoiding kernicterus. OBJECTIVE: To determine the hospitalization criteria related to neonatal jaundice through a systematic bibliographic search of high-impact scientific articles, to apply them in the first level of care according to the guidelines established by the Ministry of Public Health of Ecuador and thereby sensitize staff of health on the adequate management of this pathology. METHODOLOGY: Descriptive, retrospective study obtained in bibliographic sources in PubMed, Scielo, Google academic, Elsevier published in the last 5 years and that contribute to the proposed topic. RESULTS: In relation to 34 scientific articles investigated where the criteria for hospitalization in the newborn with jaundice and updates on the appropriate approach to neonatal jaundice are specified. CONCLUSIONS: Hospitalization criteria related to neonatal jaundice are risk determinants, family history, gestational age <38 weeks, visible jaundice on the first day, exclusive breastfeeding, total bilirubin values, signs of acute encephalopathy. The same ones that are classified as high, medium and low risk.