Document Detail


Minimal enteral feeding reduces the risk of sepsis in feed-intolerant very low birth weight newborns.
MedLine Citation:
PMID:  18727685     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: To evaluate the efficacy and safety of minimal enteral feeding (MEF) nutritional practice in feed-intolerant very low birth weight (VLBW) infants. METHODS: A retrospective design using data reported in the clinical charts of VLBW newborns consecutively observed in neonatal intensive care units (NICU) that presents feed intolerance. During the study period, two feeding strategies were adopted: total parenteral nutrition (PN) (group 1) or PN plus MEF (group 2), for at least 24 h. Primary outcome was the time to reach full enteral feeding; secondary outcomes were the occurrence of sepsis, the time to regain birth weight, the length of hospitalization, the occurrence of necrotizing enterocolitis (NEC) Bell stage >II and death. RESULTS: In total, 102 newborns were evaluated: 51 in group 1, and 51 in group 2. Neonates in group 2 achieved full enteral nutrition earlier (8 days, interquartile range [IQR] 5) compared with subjects receiving total PN (11 days, IQR 5, p < 0.001). A reduction of sepsis episodes was observed in group 2 (15.7%) compared with group 1 (33.3%, p = 0.038). Additionally, subjects in group 2 regained their birth weight and were discharged earlier. The occurrence of NEC and death were similar in the two groups. CONCLUSION: Minimal enteral feeding in very low birth weight infants presenting feed intolerance reduces the time to reach full enteral feeding and the risk of sepsis. This feeding practice does not increase the risk of necrotizing enterocolitis and death.
Authors:
Gianluca Terrin; Annalisa Passariello; Roberto Berni Canani; Francesco Manguso; Roberto Paludetto; Concetta Cascioli
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Publication Detail:
Type:  Journal Article     Date:  2008-08-22
Journal Detail:
Title:  Acta paediatrica (Oslo, Norway : 1992)     Volume:  98     ISSN:  1651-2227     ISO Abbreviation:  Acta Paediatr.     Publication Date:  2009 Jan 
Date Detail:
Created Date:  2008-12-17     Completed Date:  2009-04-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9205968     Medline TA:  Acta Paediatr     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  31-5     Citation Subset:  IM    
Affiliation:
Department of Paediatrics, University of Naples Federico II, Naples, Italy. terrin@libero.it
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MeSH Terms
Descriptor/Qualifier:
Enteral Nutrition*
Female
Humans
Infant Food*
Infant Nutrition Disorders / prevention & control*,  therapy
Infant, Newborn
Infant, Very Low Birth Weight*
Length of Stay
Male
Retrospective Studies
Risk Factors
Sepsis / prevention & control*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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