New clinical practice guideline on enteral feeding in very low birth weight infants; second part.

Autor:	Espinosa Fernandez MG; Hospital Regional Universitario de Málaga. 'Grupo multidisciplinar de investigación pediátrica'. Unidad de Gestión Clínica de Neonatología. Málaga. España.. mgespinosaf@gmail.com., Sánchez-Tamayo T; Hospital Regional Universitario de Málaga. 'Grupo multidisciplinar de investigación pediátrica'. Unidad de Gestión Clínica de Neonatología. Málaga. España. Universidad de Málaga, Facultad de Medicina. Campus de Teatinos. Málaga. España.. tomas.sanchez.tamayo@gmail.com., Moreno Algarra MC; Hospital Regional Universitario de Málaga. 'Grupo multidisciplinar de investigación pediátrica'. Unidad de Gestión Clínica de Neonatología. Málaga. España.. ma.moreno.al@gmail.com., Fernández Romero V; Hospital Regional Universitario de Málaga. 'Grupo multidisciplinar de investigación pediátrica'. Unidad de Gestión Clínica de Neonatología. Málaga. España.. veronicafernandez565@hotmail.com., Vallejo Triano J; Hospital Regional Universitario de Málaga. 'Grupo multidisciplinar de investigación pediátrica'. Unidad de Gestión Clínica de Neonatología. Málaga. España.. jose.vallejo.sspa@juntadeandalucia.es., Tapia Moreno E; Hospital Regional Universitario de Málaga. 'Grupo multidisciplinar de investigación pediátrica'. Unidad de Gestión Clínica de Neonatología. Málaga. España.. eliastamo@hotmail.com., Salguero García E; Hospital Regional Universitario de Málaga. 'Grupo multidisciplinar de investigación pediátrica'. Unidad de Gestión Clínica de Neonatología. Málaga. España.. ensalgar@yahoo.es.
Jazyk:	angličtina
Zdroj:	Nutricion hospitalaria [Nutr Hosp] 2014 Aug 01; Vol. 30 (2), pp. 329-37. Date of Electronic Publication: 2014 Aug 01.
DOI:	10.3305/nh.2014.30.2.7590
Abstrakt:	Introduction: The nutrition of very low birth weight (VLBW) infants is aimed at promoting a similar growth to that occurring in the uterus. However, in practice this is difficult to achieve and extrauterine growth restriction is frequent. The current tendency is to avoid this restriction by means of early parenteral and enteral nutrition. Nonetheless, uncertainty about many of the practices related with nutrition has resulted in a great variation in the way it is undertaken. In 2009 and 2011 in our hospital there was an unexpected increase in necrotizing enterocolitis. To check to see wether our nutrition policy was involved, we underlook a systematic review and drewup clinical practice guidelines (CPG) about enteral feeding in VLBW infants. New considerations about the duration of the fortification and the use of probiotics have led to an update of these CPG. Methods: A total of 21 clinical questions were designed dealing with the type of milk, starting age, mode of administration, rate and volume of the increments, fortification, use of probiotics and protocol. Afete conducting a systematic search of the available evidence, the information was contrasted and summarized in order to draw up the recommendations. The quality of the evidence and the strength of the recommendations were determined from the SIGN scale. Comment: These CPG aim to help physicians in their decision making. The protocolized application of well-proven measurements reduces the variation in clinical practice and improves results. (Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu Plný text ve formátu PDF