Reading in Infectious Diseases in Children 14(7)p.18. July 2001 The original of the info on Bilirubin Sentinnel event (JCAHO) can be found in MMWR. 2001;50[23]:491-494. Kernicterus in Full Term Infants - US 1994-1999. I was unable to access it via website [log in to unmask] this title is also different from what I originally heard - 80 babies since 1984. If it is 80 babies since 1994-1999 (5 years) that is a different story. >From IDC article: "The guidelines and recommendations for hospitals include evaluating all cases of jaundice appearing in the first 24 hours, creating detailed treatment strategies for specific levels of bilirubin, providing medical follow-up for newborns 24-48 hours after discharge, educating parents about jaundice and its potential risk and providing proper equipment to detect and treat the condition." Risk factors listed include: "jaundice appearing in first 24 hours after birth, premature birth (born 3-5 weeks early); inadequate nutrition and hydration RESULTING FROM INSUFFICIENT BREAST-FEEDING; bruising, which increases the production of bilirubin; ethnicity (Asian-American, African-American and those of Mediterrean descent) and siblings who experienced significant jaundice." I just hope (ha) that everyone manages to hold on to their commonsense and realize that IDing risk factors and ensuring ADEQUATE BREASTFFEDING and TIMELY follow-up post discahrge is appropriate. Not going overboard on this! But I'm an optimist and a dreamer!!!!! Sincerely, Pat in SNJ *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html