Document Detail

Parenteral nutrition objectives for very low birth weight infants: results of a national survey.
MedLine Citation:
PMID:  19367179     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: The aim of the study was to evaluate parenteral nutrition objectives for very low birth weight (VLBW) infants in neonatal intensive care units (NICUs), and to compare nutritional protocol differences according to levels of care. MATERIALS AND METHODS: A national survey was conducted in France through a questionnaire sent to 296 French neonatal departments to determine each team leader's nutritional objectives for parenteral nutrition of VLBW infants. RESULTS: A total of 172 of the 296 French neonatal departments responded to the questionnaire. Protein administration was not started during the first day of life in half of the responding units. Furthermore, half of the units initiated protein administration with less than 1 g x kg(-1) x day(-1). The day of introduction of lipid emulsions varied considerably from one unit to another, but more than half of the units started the lipid emulsions after the third day of life. Twenty percent of the units reported a target energy intake of 100 kcal x kg(-1) x day(-1), whereas 14% reported a target intake above or equal to 130 kcal x kg(-1) x day(-1). CONCLUSIONS: In comparison with recent guidelines for parenteral nutrition for VLBW infants, the results indicate that the majority of the departments are familiar with target macronutrient and energy intakes, but the time of introduction and the rate of progression of macronutrients, particularly proteins and lipids, are frequently lower than those defined by the guidelines. The large-scale publication of new nutritional guidelines for the parenteral nutrition of neonates and preterm infants as well as regular, specific training in the parenteral nutrition of preterm infants are needed.
Alexandre Lapillonne; Laure Fellous; M Mokthari; Elsa Kermorvant-Duchemin
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pediatric gastroenterology and nutrition     Volume:  48     ISSN:  1536-4801     ISO Abbreviation:  J. Pediatr. Gastroenterol. Nutr.     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-05-06     Completed Date:  2009-07-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8211545     Medline TA:  J Pediatr Gastroenterol Nutr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  618-26     Citation Subset:  IM    
APHP, Department of Neonatology and Nutrition, Saint Vincent de Paul Hospital, 82 avenue Denfert Rochereau, Paris 75014, France.
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MeSH Terms
Child Nutrition Sciences
Dietary Proteins / administration & dosage
Energy Intake
Fat Emulsions, Intravenous / administration & dosage
Guideline Adherence
Health Care Surveys
Infant, Newborn
Infant, Premature* / physiology
Infant, Very Low Birth Weight* / physiology
Intensive Care, Neonatal
Parenteral Nutrition / methods*
Physician's Practice Patterns / statistics & numerical data*
Practice Guidelines as Topic
Reg. No./Substance:
0/Dietary Proteins; 0/Fat Emulsions, Intravenous

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