How reliably can paediatric professionals identify pale stool from cholestatic newborns?. Issue 5 (29th August 2012)

• Record Type: Journal Article
• Authors: Bakshi, B; Sutcliffe, A; Akindolie, M; Vadamalayan, B; John, S; Arkley, C; Griffin, L D; Baker, A
• Is Part Of: Archives of disease in childhood. Volume 97:Issue 5(2012)
• Page Start: F385
• Page End: F387
• Publication Date: 2012-08-29
• Subjects: Infants -- Diseases -- Periodicals; Newborn infants -- Diseases -- Periodicals; Fetus -- Diseases -- Periodicals; 618.920105
• DOI: 10.1136/fetalneonatal-2010-209700
• Languages: English
• ISSNs: 1359-2998

Abstract

Abstract : Background: The success of surgery in infants with hepatobiliary disease is inversely proportional to the age when surgery was performed. Pale stool colour is a major indicator of biliary obstruction. However, simple recognition has been inadequate, resulting in late diagnosis and referral. Objective To assess the skills of healthcare professionals in recognising pale stools. Method: Photographs of normal, acholic and indeterminate infant stools were shown to paediatric professionals who have regular contact with jaundiced babies at three London teaching hospitals. Each stool was classified as 'healthy' or 'suspect'. Results: One-third of the stools were not correctly identified by physicians and nurses. Conclusion: Experienced professionals often do not recognise stool colour associated with biliary obstruction. The authors propose that stool colour cards similar to those used in Japan and Taiwan may improve early detection of hepatobiliary disease at a minimal cost.