Neonatal parenteral nutrition prescription practices in Portugal

• Type: Article in International Scientific Journal
• Date: 2014

Authors

Neves, A (Author) Other; Pereira da Silva, L (Author) Other; Fernandez Llimos, F (Author) Other

Journal

The Journal is awaiting validation by the Administrative Services.

Title: ANALES DE PEDIATRIA

Vol. 80

Pages: 98-105

ISSN: 1695-4033

Indexing

ISI Web of Knowledge - 6 Citations

Scopus - 7 Citations

Other information

Authenticus ID: P-009-75C

DOI: 10.1016/j.anpedi.2013.05.026

Abstract (EN): Introduction: The use of guidelines for neonatal parenteral nutrition (PN) improves its clinical efficiency and the safety of prescription. Objective: To evaluate the practices of neonatal parenteral nutrition prescription in Portugal, and the adherence to the National Consensus on neonatal PN (2008). Methods: A questionnaire based on a multiple choice response on parenteral nutrition prescription was conducted, and sent to the coordinators of the 50 public and private Portuguese neonatal special care units, 25 being level vi and 25 level II. Results: Parenteral nutrition was prescribed in 32 neonatal units; 23 of which (71.9%) responded to the questionnaire. Of the respondents, 19 (82.6%) refer to follow the National Consensus, the remaining following local guidelines; 17 (73.9%) of units referred to using an electronic based system for prescription. In preterm neonates, most mentioned: administering judiciously the fluid intake during the first post-natal week; starting amino acids from the first post-natal day with 1.5-3 g/kg/d, increasing up to 3-4 g/kg/d; starting lipids from the first three post-natal days with 1 g/kg/d, increasing up to 3 g/kg/d; administering 40-70 mg/kg/d of calcium and of phosphorus with the fixed calcium:phosphorus ratio of 1.7: 1 (mg:mg); and estimating the osmolality of the solutions, and weekly monitoring of serum triglycerides, blood urea, serum phosphorus and liver function. Conclusions: The high response rate is probably representative of the practice of PN prescription in Portugal. Most of the units used the National Consensus on neonatal PN as a reference, thus contributing to better nutritional support for neonates.

Language: Spanish

Type (Professor's evaluation): Scientific

No. of pages: 8