Abnormal hemorrhage, hyperbilirubinemia and oliguria are late findings. |
Despite these recommendations, infants continue to present with severe hyperbilirubinemia during or after their initial hospitalization. |
Hemoglobinemia, hemoglobinuria and subsequent hyperbilirubinemia are usually detectable. |
Critical hyperbilirubinemia is uncommon but has the potential for causing long-term neurological impairment. |
Furthermore, clinical assessment of jaundice is inadequate for diagnosing hyperbilirubinemia. |
An infant who presents with severe hyperbilirubinemia or who progresses to severe hyperbilirubinemia despite initial treatment should receive immediate intensive phototherapy. |