Abstract
Dr. Gerald H. Holman's conclusions as presented in his article (Studies on physiologic hyperbilirubinemia of Negro and white premature infants. Pediatrics, 22: 1115, 1958) should not go unchallenged. I am referring specifically to his statement: "routine exchange transfusions for elevated concentrations of bilirubin (in premature infants) does not seem warranted." Failure to be strongly critical of such a notion in the light of current knowledge might well result in the loss of ground gained in our efforts to prevent kernicterus, with resultant death and cerebral palsy. It is unfortunate that through publication in Pediatrics this idea gains some measure of sanction and support.
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