Study of Stool Color Chart
Stool Colour Chart – A Qualitative Study Page 6
infant, it does not offer any other visual reference on normal stool colour or the range of acholic stool colours.
[24]
From March 2014 to June 2014, “jaundice babies,” was the 20
th
most searched term on the Kidshealth
Website, with over 10,000 hits to the Jaundice section, while “Biliary Atresia,” was the 51
st
most searched term
with over 2000 hits to the BA section. [25] Although this is a rough estimate of online information demand,
there does seem to be a desire for more information on both jaundice and BA, above what is provided in the
WCTO Programme.
Screening for Biliary Atresia
BA is a relatively rare condition, but the ability for corrective intervention and potential savings with timely
diagnosis makes this condition an attractive candidate for screening. There is also possibility of diagnosis of
other neonatal liver diseases such as Alpha-1 Antitrypsin Deficiency, Hypothyroidism, Urinary Tract Infections,
or other cholestatic disorders. [26]
Previous attempts at screening for BA have been modest in their success. Dried blood spots on universal
Guthrie Card screening have been trialled with tandem mass spectrometry of bile salts, but lacked sensitivity
and specificity. [27] Although it is known that serum levels of conjugated bilirubin are elevated in BA from the
first 6-10 days of life, a practical universal screening biochemical test has not been found due to its reliance on
liquid blood testing. [28]
Universal in-home monitoring for acholic stools in new-borns has been piloted in several countries including
Taiwan, Japan, Argentina, Brazil, France, Switzerland, Canada and the United States. There have been long
running programmes in Japan since 1992 and in Taiwan since 2004. [29, 30] Both programmes involve a
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