A critical analysis of the routine testing of newborn stools for occult blood and reducing substances

Advances in Neonatal Care

Volumn 3, Issue 3, 2003, Pages 133-138

  Pinheiro, Joaquim M B ^a,b   Clark, David A ^a   Benjamin, Kathleen G ^a  

^a ALBANY MEDICAL COLLEGE   (United States)

^b ALBANY MEDICAL CENTER   (United States)

Author keywords

Clinitest; Diagnosis; Effectiveness; Evidence; Guaiac; Hematochezia; Hemoccult; Infant neonate; Necrotizing enterocolitis; Nursing; Occult blood; Screening; Technology assessment

Indexed keywords

REDUCING AGENT;

BIOACCUMULATION; DIAGNOSTIC PROCEDURE; DIETARY INTAKE; DISEASE SEVERITY; FECES ANALYSIS; HEALTH CARE COST; HEMATOCHEZIA; HUMAN; INCIDENCE; LOGISTIC REGRESSION ANALYSIS; MECONIUM; MOLECULAR RECOGNITION; NECROTIZING ENTEROCOLITIS; NEWBORN INTENSIVE CARE; NEWBORN SCREENING; OCCULT BLOOD TEST; PREVALENCE; REDUCTION; REVIEW; RISK FACTOR; SCREENING; ARTICLE; CHEMISTRY; ECONOMICS; ENTERIC FEEDING; EVALUATION; FECES; GASTROINTESTINAL HEMORRHAGE; MASS SCREENING; METHODOLOGY; NEWBORN; NEWBORN NURSING; NURSING; OCCULT BLOOD; PREDICTION AND FORECASTING; SENSITIVITY AND SPECIFICITY;

ENTERAL NUTRITION; ENTEROCOLITIS, NECROTIZING; FECES; GASTROINTESTINAL HEMORRHAGE; HUMANS; INFANT, NEWBORN; MASS SCREENING; NEONATAL NURSING; OCCULT BLOOD; PREDICTIVE VALUE OF TESTS; SENSITIVITY AND SPECIFICITY;

EID: 0042968978     PISSN: 15360903     EISSN: None     Source Type: Journal    
DOI: 10.1016/S1536-0903(03)00073-0     Document Type: Review

References (31)

1. Yossuck P, Dhanireddy R. Frequency of occult blood in stool and the bowel habits of extremely low birth weight (ELBW) infants [abstract]. Pediatr Res. 1999;45:292A.
2. Fanaroff AA, Korones SB, Wright LL, Verter J, Poland RL, et al. Incidence, presenting features, risk factors and significance of late onset septicemia in very low birth weight infants. The National Institute of Child Health and Human Development Neonatal Research Network. Pediatr Inject Dis J. 1998;17:593-598.
3. Kliegman RM, Fanaroff AA. Neonatal necrotizing enterocolitis: a nine-year experience. Am J Dis Child. 1981;135:603-607.
4. Schullinger JN, Mollitt DL, Vinocur CD, Santulli TV, Driscoll JM. Neonatal necrotizing enterocolitis. Survival, management, and complications: a 25-year study. Am J Dis Child. 1981;135: 612-614.
5. Altimier L, Brown B, Tedeschi L. TriHealth's Manual of Neonatal Nursing Policies, Procedures, Competencies & Clinical Pathways. Des Plaines, IL: National Association of Neonatal Nurses; 1999.
6. Lund CH, Epstein B. Neonatal nursing: the organization of care and quality assurance in the NICU. In: Avery GB, Fletcher MA, MacDonald MG, eds. Neonatology - Pathophysiology and Management of the Newborn. 5th ed. Philadelphia, PA: Lippincott; 1999:61-72.
7. Estrada EA, Brennan-Behm M. Neonatal nutrition. In: Beachy P, Deacon J, eds. Core Curriculum for Neonatal Intensive Care Nursing. 1st ed. Philadelphia, PA: Saunders; 1993:276.
8. La Gamma EF, Browne LE. Feeding practices for infants weighing less than 1500 g at birth and the pathogenesis of necrotizing enterocolitis. Clin Perinatol 1994;21:271-306.
9. Duncan R, Taguma C, Ordonez P. Teaching files: feeding the premature infant. Neonatology on the Web [Electronic Citation] 2001. Available at www.neonatology.org/syllabus/feeding. premature.html. Accessed May 15, 2001.
10. Towler BP, Irwig L, Glasziou P, Weller D, Kewenter J. Screening for colorectal cancer using the faecal occult blood test, hemoccult. Cochrane Database Syst Rev. 2000;CD001216. Available at http://gateway2.ovid.com:80/ ovidweb.cgi. Accessed May 14, 2001.
11. Sharma VK, Komanduri S, Nayyar S, Headly A, Modlinger P, et al. An audit of the utility of in-patient fecal occult blood testing. Am J Gastroenterol. 2001;96:1256-1260.
12. Ostrow JD, Mulvansy CA, Hansell JR. Sensitivity and reproducibility of guaiac, Hematest, and Hemoccult test for fecal occult blood. Ann Int Med. 1972;76:860-861.
13. Walsh MC, Kliegman RM. Necrotizing enterocolitis: treatment based on staging criteria. Pediatr Clin North Am. 1986;33:179-201.
14. Davidson AGF, Mullinger M. Reducing substances in neonatal stools detected by Clinitest. Pediatrics. 1970;46:632-635.
15. Clark DA, Snapp BC. Analysis of meconium for heme [abstract]. Pediatr Res. 1996;39:201A.
16. Abramo TJ, Evans JS, Kokomoor FW, Kantak AD. Occult blood in stools and necrotizing enterocolitis. Is there a relationship? Am J Dis Child. 1988;142:451-452.
17. Stiles AD, Simpson B, Vaughn R, Thullen JT. Incidence of heme positive stools in a neonatal intensive care unit [abstract]. Pediatr Res. 1984;18:350A.
18. Noland JL, Stahl GE, Andav EK. Effect of maternal cocaine on neonatal gastrointestinal (GI) tract [abstract]. Pediatr Res. 1991; 29:301A.
19. Echevarria Ybarguengoitia JL, Ruelas Orozco GJ, Jasso Gutierrez L. Blood in the feces as an aid to the diagnosis of necrotizing enterocolitis. Bol Med Hosp Infant Mex. 1981;38:771-776
20. Wallach J. Interpretation of Pediatric Tests. Boston, MA: Little, Brown; 1983.
21. Bhatia J, Prihoda AR, Richardson CJ. Parenteral antibiotics and carbohydrate intolerance in term neonates. Am J Dis Child. 1986;140:111-113.
22. Book LS, Herbst JJ, Jung AL. Carbohydrate malabsorption in necrotizing enterocolitis. Pediatrics. 1976;57:201-204.
23. The Investigators of the Vermont-Oxford Trials Network Database Project. The Vermont-Oxford Trials Network: very low birth weight outcomes for 1990. Pediatrics. 1993;91:540-545.
24. Krom FA, Frank CG. Clinitesting neonatal stools. Neonatal Network. 1989;8(2):37-40.
25. Karp WB, Kanto WP Jr, Robertson AF. Quality control of laboratory tests run in a neonatal intensive care unit. Am J Dis Child. 1986;140:114-116.
26. Crissinger KD. Necrotizing enterocolitis. In: Fanaroff AA, Martin RJ, eds. Neonatal-Perinatal Medicine - Diseases of the Fetus and Infant. 6th ed. St. Louis, MO: Mosby; 1997:1333-1344.
27. Andrews JD, Krowchuk HV. Stool patterns of infants diagnosed with necrotizing enterocolitis. Neonatal Network. 1997;16(6):51-57.
28. Clark DA, Snapp BC. Clinical markers of necrotizing enterocolitis (NEC-Neonatal Inflammatory Bowel Disease) [abstract]. Pediatr Res. 1996;39:202A.
29. Ehrenkranz RA, Younes N, Lemons JA, Fanaroff AA, Donovan EF, et al. Longitudinal growth of hospitalized very low birth weight infants. Pediatrics. 1999;104:280-289.
30. Rehan VK, Seshia MM, Johnston B, Reed M, Wilmot D, et al. Observer variability in interpretation of abdominal radiographs of infants with suspected necrotizing enterocolitis. Clin Pediatr. 1999;38:637-643.
31. Richardson DK, Zupancic JAF, Escobar GJ, Ogino M, Pursley DM, et al. A critical review of cost reduction in neonatal intensive care II. Strategies for reduction. J Perinatol. 2001;21:121-127.