Comparison of TCB And Picterus Joundice Bilirubin Examination In Newborns at RSA UGM in 2025

Dewi Krismayanti; Nurul Aidayasari

doi:10.22146/ahj.v8i1.114234

Comparison of TCB And Picterus Joundice Bilirubin Examination In Newborns at RSA UGM in 2025

https://doi.org/10.22146/ahj.v8i1.114234

Dewi Krismayanti^(1*), Nurul Aidayasari⁽²⁾

(1) Universitas Gadjah Mada Academic Hospital
(2) Universitas Gadjah Mada Academic Hospital
(*) Corresponding Author

Abstract

Background: One of the health problems often experienced by infants is jaundice neonatorum, which is a condition where bilirubin levels are above 10 mg%. Based on a study performed in the infant room at RSA UGM in December 2024, the incidence of newborns who are treated with phototherapy is more than 50%. Transepidermal Bilirubinometry is a non-invasive bilirubin screening tool for infants with a gestational age of more than 36 weeks and born after 24 hours, born by working with optical spectroscopy, with bilirubin in the skin. The jaundice screening device is certified for clinical use. A photo was taken and analyzed to display bilirubin levels within a few seconds (Product licence by Ministry of Health Number 20101323603).

Objective: This study aims to determine whether there are differences in the results of bilirubin examination using Transcutaneous Bilirubinometry and Petechiae Jaundice.

Method: This research involved newborns who were full-term or more than 37 weeks of gestation, had a birth weight of more than 2500 grams, and were at least 24 hours old.

Result: This study was conducted at RSA UGM from April to July 2025. The sampling technique used was accidental sampling. Out of 42 participants, 23.8% had a gestational age of less than 38 weeks, 69% had a gestational age between 38 and 40 weeks, and 7.2 % had a gestational age of more than 40 weeks. From the data analysis of 42 newborns, the bilirubin levels using Transcutaneous Bilirubin had an average of 8.14 mg/dl. while the bilirubin levels using Picterus had an average of 7.90 mg/dl. Analysis using a paired sample T-test to compare the averages of two data groups showed a statistically significant difference. The results showed a significance value of 0.000 for the TCB Bilirubin and Picterus Jaundice test. The significance level for Picterus bilirubin is 0.000. A P value < 0.05 indicates that the results do not show a significant difference in measuring bilirubin using Picterus Jaundice and Transcutaneous Bilirubin.

Conclusion: Picterus Jaundice can be used as an alternative method in screening or examining bilirubin in newborns.

Keywords

bilirubin, transcutaneous bilirubinometry, petechiae jaundice, newborn

Full Text:

PDF

References

Anggraini, H. (2012). The Factors Related To The Occurrence Of Jaundice. Https://Aisyah.Journalpress.Id/Index.Php/Jika/Article/View/7.
Notoatmodjo, Soekidjo. 2012. Health Research Methodology. Jakarta: PT Rineka Cipta.
Sugiyono. 2018. Quantitative, Qualitative, and R & D Research Methods. Jakarta: PT Pustaka Baru,
_________2018. Statistics for Studies, Jakarta: PT PUSTAKA.
Maryunani, Anik. 2009. Emergency Care and Complications in Neonates. Jakarta: TIM Dara Kusuma. S., & Rusmariana, A. (2021). Proceedings of the National Health Seminar, Research and Community Service Institution: Overview of Breastfeeding and the Incidence of Hyperbilirubinemia in Newborns. National Health Seminar, 2021.
Grohmanna, K, Roser, M, Rolinski, B, et al. 2006. “Bilirubin Measurement for Neonates: Comparison of 9 Frequently Used Methods.” Journal of the American Academy of Pediatrics, Vol. 117, No. 4.
Kosim, M Sholeh, et al. 2009. Neonatology Textbook. 1st Edition, 1st Printing. Jakarta: IDAI Publishing Body. ,
_______2010. Textbook of Neonatology. 1st Edition, 3rd Printing. Jakarta: Publisher IDAI
Herawati, Y., & Indriati, M. (2017). The Effect of Early Breastfeeding on the Incidence of Jaundice in Newborns Aged 0-7 Days. Journal of Midwifery, 3(01), 67–72.
Purnamiati, N. P. (2020). Analysis of Serum Bilirubin Levels in Infants Experiencing Neonatal Jaundice. International Journal of Applied Chemistry Research, 1(2), 26. https://doi.org/10.23887/ijacr.v1i2.28720
Percival, Patricia, 2009, Jaundice and Infection, in: Fraser, M. Diane and Cooper, A.
Putri, S. F., Saraswati, D. A. S., & Suyati. (2022). THE RELATIONSHIP OF EXCLUSIVE BREASTFEEDING TO BILIRUBIN LEVELS IN INFANTS AGED 0–2 DAYS. Journal of Health STIKes IMC Bintaro, 5(1), 1–52. https://doi.org/10.21608/pshj.2022.250026
Rahmadani, E., & Sutrisna, M. (2022). Factors Associated with the Incidence of Jaundice in Newborns at RSU UMMI. SEHATRAKYAT (Journal of Public Health), 1(3), 179–188. https://doi.org/10.54259/sehatrakyat.v1i3.1059
Rompis, Y. R. Y., Manoppo, J. I. C., & Wilar, R. (2019). Overview of Hyperbilirubinemia in Term and Preterm Infants at RSUP Prof Dr. R. D. Kandou Manado. E-CliniC, 7(2), 103–107. https://doi.org/10.35790/ecl.v7i2.25558
Utami, T. (2013). Incidence of Hyperbilirubinemia in Neonates at Rsud Prof. Dr. Margono Soekardjo Purwokerto in 2012. Jurnal Viva Medika, 06(11), 26–31
Muliana, Cut (2024) The Relationship Between Transcutaneous Bilirubin Levels and Total Serum Bilirubin in Neonatal Jaundice at dr. Zainoel Abidin General Hospital Banda Aceh. Vol.9 No. 11 (2024) Syntax Literate: Indonesian Scientific Journal. https://jurnal.syntaxliterate.co.id/index.php/syntax-literate/article/view/52280
Hasanah, Kusnul (2023) Effectiveness of Smartphone-Based Jaundice Screening in Reducing Invasive Procedures in Neonates: Literature Review. JKEP. Vol.8 No.2 November 2023. https://acrobat.adobe.com/id/urn:aaid:sc:AP:302ef151-0d08-4b2d-9f39-73c371d46a45.