Document Detail


Necrotizing enterocolitis in the premature infant: neonatal nursing assessment, disease pathogenesis, and clinical presentation.
MedLine Citation:
PMID:  21730907     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Necrotizing enterocolitis (NEC) remains one of the most catastrophic comorbidities associated with prematurity. In spite of extensive research, the disease remains unsolved. The aims of this article are to present the current state of the science on the pathogenesis of NEC, summarize the clinical presentation and severity staging of the disease, and highlight the nursing assessments required for early identification of NEC and ongoing care for infants diagnosed with this gastrointestinal disease. The distributions of systemic and intestinal clinical signs that are most sensitive to nursing assessment and associated with Bell Staging Criteria are presented. These descriptive data are representative of 117 cases of NEC diagnosed in low-gestational-age infants (<29 weeks' gestation). The data highlight the clinical signs most commonly observed in infants with NEC and thus provide NICU nurses an evidence-based guide for assessment and care of infants with NEC.
Authors:
Katherine E Gregory; Christine E Deforge; Kristan M Natale; Michele Phillips; Linda J Van Marter
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Advances in neonatal care : official journal of the National Association of Neonatal Nurses     Volume:  11     ISSN:  1536-0911     ISO Abbreviation:  Adv Neonatal Care     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-07-06     Completed Date:  2011-12-27     Revised Date:  2013-09-05    
Medline Journal Info:
Nlm Unique ID:  101125644     Medline TA:  Adv Neonatal Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  155-64; quiz 165-6     Citation Subset:  IM    
Affiliation:
Boston College, William F. Connell School of Nursing, Chestnut Hill, Massachusetts 02467, USA. katherine.gregory.2@bc.edu
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MeSH Terms
Descriptor/Qualifier:
Enteral Nutrition
Enterocolitis, Necrotizing* / complications,  diagnosis,  etiology,  therapy
Humans
Infant, Newborn
Infant, Premature
Infant, Premature, Diseases* / diagnosis,  etiology,  therapy
Nursing Assessment
Risk Factors
Severity of Illness Index
Treatment Outcome
Grant Support
ID/Acronym/Agency:
HL 72931/HL/NHLBI NIH HHS; K23 NR011320/NR/NINR NIH HHS
Comments/Corrections

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