2013, Number 2
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Rev Cub Med Int Emerg 2013; 12 (2)
Parenteral nutrition in infants less than 1 500 grams admitted to a neonatal intensive care unit
González LE, Rodríguez GN, Toledo SN
Language: Spanish
References: 10
Page: 45-56
PDF size: 299.54 Kb.
ABSTRACT
Introduction: Following existing nutritional recommendations it has been observed that little growth occurs initially in preterm neonates (PTN), expression of the expected weight loss after birth and malnutrition due to insufficient energy and nutrient intake in a patient frequently sick and mechanically ventilated, therefore being prone to postnatal malnutrition.
Objective: To determine the clinical and anthropometric evolution in newborns with weight inferior to 1 500 grams.
Method: A retrospective cohort study was conducted to analyze the clinical and anthropometric findings in infants weighing less than 1 500 grams who received (or not) parenteral nutrition in the neonatal intensive care unit of the Julio Alfonso Medina Hospital, in Matanzas city from January 2006 to December 2011.
Results: Regarding size, no anthropometric percentiles showed a significant relationship with parenteral nutrition administration, however regarding weight, infants receiving parenteral nutrition quickly reached an appropriate weight for their age gestational if parenteral nutrition were implemented.
Conclusions: The main metabolic consequence in connection with parenteral nutrition was hyperglycemia. The hospital length of stay was reduced with this method of feeding. These results allow establishing a set of actions to improve parenteral nutrition use in preterm infants with less than 1 500 grams admitted to the neonatal intensive care.
REFERENCES
Samper MP, Ventura MP, Gallego JA, Pérez JM. Nutrición del recién nacido de muy bajo peso. En: Bueno M, Sarria A, Pérez JM, editores. Nutrición en pediatría. 3a ed. Madrid: Ergón; 2007. p.131-42
Moya M, Domenech E, Sánchez M. Nutrición del recién nacido de bajo peso. En: Gil A, editor. Tratado de nutrición. 2a ed. Nutrición humana en el estado de salud. Madrid: Panamericana; 2010. p.179-206
Bustos G. Alimentación enteral del recién nacido pretérmino. En: Protocolos diagnostico-terapéuticos de la AEP: neonatología. Asociación Española de Pediatría y Sociedad Española de Neonatología. Madrid: AEP; 2008. p.58-67
Schanler RJ. Nutritional composition of human milk and preterm formula for the premature infant. [monografía en Internet]. UpToDate. [citado 17 Ene 2013]. Disponible en: http://www.uptodate.com/contents/nutritional-composition-of-human-milk-and-preterm-formula-for-the-premature-infant
Rodríguez G, Blanca JA, de la Mano A, Rivero MC, Cortés P, Lama RA. Consideraciones prácticas sobre la nutrición enteral en el recién nacido prematuro. Acta Pediatr Esp. 2011; 69 (7-8):333-8.
American Academy of Pediatrics Committee on Nutrition. Nutritional needs of low-birth-weight infants. Pediatrics. 2000; 75(5):976-86.
Ziegler EE, Thureen PJ, Carlson SJ: Alimentación intensiva del lactante con muy bajo peso al nacer. Clin Perinatol. 2006; 2:205-24.
Donovan R, Puppala B, Angst D, Coyle BW, Outcomes of Early Nutrition Support in Extremely Low-Birth-Weight Infants. Nutrition in Clinical Practice. 2006;21(4):395-400.
Embleton N, Pang N, Perring J. Systematic under feeding of pretermin fants on neonatal intensive care units. Pediatr Res. 2008; 45:1653.
Clark RH, Thomas P, Peabody J. Extra uterine growth restriction emains a serious problem in prematurely born neonates. Pediatrics. 2003; 111:986-90.