Hyperbilirubinemia

Being adopted by OCH & MFSH. Diagnostic test for G6PD to be done if they:

-          Present with hemolytic anemia / Present with hemolytic jaundice- When requiring phototherapy , obtain retic count. If retic >6, then send G6PD testing

-          Present with early onset increasing neonatal jaundice persisting beyond the first week of life (bilirubin level greater than the 40th percentile for age in hours)- For 35 weeks and up when bili is 13 or above when 7 days or older

-          Are admitted to the hospital for jaundice following discharge- all babies readmitted for jaundice

-          Have a familial, racial, or ethnic risk of G6PD deficiency (African, Asian, Mediterranean, or Middle Eastern ancestry) - Ask for family h/o G6PD based on above identified risk factors. Deferring questions re. race/ethnic risk at this point based on multidisciplinary team discussion and DEI team input    

How to send G6PD?

Lavender top tube; 2ml; venous stick; G6PD quant order in powerchart