medigraphic.com

2015, Number S3

<< Back Next >>

Rev Med Inst Mex Seguro Soc 2015; 53 (S3)

Parenteral nutrition in pediatric patients: indications and complications in third level

Ríos-González R, Anaya-Florez MS, Gutiérrez-Hernández JI, Morán-Villota S

Language: Spanish
References: 25
Page: 262-269
PDF size: 318.60 Kb.


ABSTRACT

Background: Parenteral nutrition (PN) is a mixture that covers the nutritional needs when enteral nutrition is not an option; however, PN is not free of complications. The aim of our study was to determine the indication and frequency of NP complications in pediatric patients treated at a tertiary center.
Methods: Children receiving PN at the Hospital de Pediatría del Centro Médico Nacional Siglo XXI were included. Demographic and anthropometric characteristics were recorded, as well as the reason of indicating PN, the time of administration, and the complications associated to this type of nutrition.
Results: Sixty-nine pediatric patients with PN were included: 33 neonates, 18 infants (between one and 11 months of age), nine preschoolers (from 1 to 5 years of age), and nine children over five years of age. Instructions for initiating the PN were given for the treatment of 71 % of the patients with diseases of the digestive tract who were treated surgically. Complications of PN occurred in 87 % of the children and 76.7 % had more than one complication. Metabolic complications occurred in 98 % of the children while mechanical and infectious complications only in 1 %, respectively.
Conclusions: Parenteral nutrition was indicated more frequently in pediatric patients with digestive diseases treated surgically. Metabolic complications were the main concern in pediatric patients with PN.


REFERENCES

  1. Schwartz LK, Cusson G, Semrad C. Parenteral nutrition 102: Complications, monitoring, and home use. Gastrointest Endos. 2009;70(1):142-4.

  2. Grupo de estandarización de la SENPE. Documento de consenso nutrición parenteral pediátrica. Nutr hosp. Disponible en http:// www.senpe.com/GRUPOS/estandarizacion/ GEP_SENPE_ConsensoNPP_VL.pdf

  3. Gomis-Muñoz P, Gómez-López L, Martínez-Costa C, Moreno-Villares JM, Pedrón-Giner C, Pérez-Portabella- Maristany C et al. Documento de consenso SENPE/SEGHNP/SEFH sobre nutrición parenteral pediátrica. Nutr Hosp. 2007;22(6):710-9.

  4. Moreno-Villares J, Gutiérrez-Junquera C. Nutrición parenteral. Protocolos diagnóstico-terapéuticos de Gastroenterología, Hepatología y Nutrición Pediátrica SEGHNP-AEP. 2010. Disponible en http://www.aeped. es/sites/default/files/documentos/parenteral.pdf

  5. Perdomo-Hernández M, Flores-McClellan A. Complicaciones de la nutrición parenteral total en el recién nacido. Rev Med Post UNAH. 2002;7(1):68-73.

  6. Moreno JM. Enteral and parenteral nutrition in pediatrics. Endocrinol Nutr. 2004;51(4):183-96.

  7. Koletzko B, Goulet O, Hunt J, Krohn K, Shamir R. Guidelines on paediatric parenteral nutrition of the European Society of Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) and the European Society for Clinical Nutrition and Metabolism (ESPEN), supported by the European Society of Paediatric Research (ESPR). J Pediatr Gastroenterol Nutr. 2005;41 (Suppl2):S76-84.

  8. de Jonge RC, Polderman KH, Gemke RJ. Central venous catheter use in the pediatric patient: mechanical and infectious complications. Pediatr Crit Care Med. 2005;6(3):329-39.

  9. DiBaise JK, Scolapio JS. Home parenteral and enteral nutrition. Gastroenterol Clin North Am. 2007;36:123-44.

  10. Anderson AD, Palmer D, MacFie J. Peripheral parenteral nutrition. Br J Surg. 2003;90(9)1048-54.

  11. Opilla M. Epidemiology of bloodstream infection associated with parenteral nutrition. Am J Infect Control. 2008;36(10):S173.e5-S173.e8.

  12. Goede MR, Coopersmith CM. Catheter-related bloodstream infection. Surg Clin North Am. 2009;89(2):463-74.

  13. Miller DL, O’Grady NP. Guidelines for the prevention of intravascular catheter-related infections: Recommendations relevant to interventional radiology. J Vasc Interv Radiol. 2003;14(9 Pt 2):S355-8.

  14. Velaphi S. Nutritional requirements and parenteral nutrition in preterm infants. S Afr J Clin Nutr. 2011;24(3):S27-31.

  15. Cano MV, Perz JF, Craig AS, Liu M, Lyon GM, Brandt ME, et al. Candidemia in pediatric outpatients receiving home total parenteral nutrition. Med Mycol. 2005;43(3):219-25.

  16. uglielmi FW, Regano N, Mazzuoli S, Fregnan S, Leogrande G, Guglielmi A, et al. Cholestasis induced by total parenteral nutrition. Clin Liver Dis. 2008;12(1):97-110.

  17. Kwan V, George J. Liver disease due to parenteral and enteral nutrition. Clin Liver Dis. 2004;8(4):893-913.

  18. Moreno-Villares JM. Complicaciones hepáticas asociadas al uso de nutrición parenteral. Nutr Hosp. 2008;23(Supl 2):25-33.

  19. Robinson DT, Ehrenkranz RA. Parenteral nutritionassociated cholestasis in small for gestational age infants. J Pediatr. 2008;152(1):59-62.

  20. Barie PS, Eachempati SR. Acute acalculous cholecystitis. Gastroenterol Clin North Am. 2010;39(2):343-57.

  21. Izquierdo-García E, Fernández-Ferreiro A, Gomis- Muñoz P, Herreros-de Tejada A, Moreno-Villares JM. ¿Es útil conocer las características de la nutrición parenteral en un hospital terciario pediátrico?. An Pediatr (Barc). 2010;72(2):116-20.

  22. Torres-Lira S, Neri-Moreno M, Retana-Ugalde R. Complicaciones de la nutrición parenteral total en neonatos. Rev Mex Pediatr. 2000;67(3):107-10.

  23. Llop J, Vuelta M, Sabin P. Triglicéridos y nutrición parenteral. Endocrinol Nutr. 2005;52(6):290-6.

  24. Btaiche IF, Khalidi N. Metabolic complications of parenteral nutrition in adults, part 2. Am J Health- Syst Pharm. 2004;61(19):2050-9.

  25. Ukleja A, Romano MM. Complications of parenteral nutrition. Gastroenterol Clin North Am. 2007;36(1):23-46.




2020     |     www.medigraphic.com