[Reduction in necrotising enterocolitis after implementing an evidence-based enteral nutrition protocol in very low birth weight newborns]
| Autor: | María González López, Tomás Sánchez-Tamayo, María Concepción Moreno Algarra, María Gracia Espinosa Fernández, Laura Affumicato, Verónica Fernández Romero, Enrique Salguero García |
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| Rok vydání: | 2015 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Birth weight Perforation (oil well) Enteral administration RJ1-570 Sepsis 03 medical and health sciences 0302 clinical medicine Enteral Nutrition Prematuro Clinical Protocols Enterocolitis Necrotizing 030225 pediatrics Management of Technology and Innovation Recién nacido de muy bajo peso Medicine Humans Infant Very Low Birth Weight 030212 general & internal medicine Prospective Studies Enterocolitis necrosante Evidence-Based Medicine business.industry Alimentación enteral Mortality rate Incidence (epidemiology) Incidence Infant Newborn medicine.disease digestive system diseases Guía de práctica clínica Low birth weight Prevención Parenteral nutrition Practice Guidelines as Topic Female medicine.symptom business |
| Zdroj: | Anales de Pediatría (English Edition), Vol 85, Iss 6, Pp 291-299 (2016) |
| ISSN: | 1695-9531 |
| Popis: | Introduction: An unexpected increase in the incidence of necrotising enterocolitis (NEC) cases was observed in our hospital. Just in case, our feeding policy could be responsible, it was decided to conduct a systematic review and develop a clinical guideline regarding enteral nutrition of very low birth weight infants (VLBW). Objective: To assess the impact of the new feeding protocol in the incidence of NEC. Method: A “before” (2011) and “after” (May 2012–April 2013) study was performed on the new feeding protocol. This included initiation of enteral feeding in the absence of haemodynamic problems, a trophic feeding period of 5–7 days, and subsequent increments of 20–30 mL/kg/day, of breast milk/donor human milk from the beginning. Probiotics were not administered. Primary outcome: incidence of NEC II 2 Bell's stage. Secondary outcomes: focal intestinal perforation, overall mortality and mortality due to NEC, nosocomial sepsis; weight at 28 days and 36 weeks; % of infants with weight p |
| Databáze: | OpenAIRE |
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