Document Detail


The relationship between feeding and necrotizing enterocolitis in very low birth weight infants.
MedLine Citation:
PMID:  19065969     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Necrotizing enterocolitis (NEC) is the most common gastrointestinal emergency in the NICU, with often devastating consequences. The etiology of NEC is probably multifactorial, with preterm infants at the highest risk. The relationship between feeding and NEC was identified in the 1970s, leading to delayed feeding becoming standard treatment in NICUs. More recent research suggests that early feedings not only are safe, but reduce other morbidities associated with prematurity. Standardized feeding guidelines seem to confer some benefits in decreasing NEC, despite a wide variability in feeding practices within the published guidelines. A standardized approach to the management of feeding problems may be the key. This article briefly reviews the pathogenesis of NEC and examines studies of various feeding practices for their relationship to the development of NEC. It also highlights the potential benefits of breast milk in NEC prevention.
Authors:
Patti Schurr; Esther M Perkins
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Neonatal network : NN     Volume:  27     ISSN:  0730-0832     ISO Abbreviation:  Neonatal Netw     Publication Date:    2008 Nov-Dec
Date Detail:
Created Date:  2008-12-10     Completed Date:  2009-02-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8503921     Medline TA:  Neonatal Netw     Country:  United States    
Other Details:
Languages:  eng     Pagination:  397-407     Citation Subset:  N    
Affiliation:
NICU, Sunnybrook Health Science Centre, Women College, Toronto, Ontario, Canada. patti.schurr@sunnybrook.ca
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MeSH Terms
Descriptor/Qualifier:
Early Diagnosis
Emergencies / nursing
Enteral Nutrition / adverse effects*,  methods,  nursing
Enterocolitis, Necrotizing / diagnosis,  epidemiology,  etiology*,  prevention & control*
Humans
Incidence
Infant Formula
Infant, Newborn
Infant, Very Low Birth Weight*
Intensive Care, Neonatal / methods*
Milk, Human
Neonatal Nursing / methods*
Nurse's Role
Nursing Assessment
Practice Guidelines as Topic
Risk Factors
Severity of Illness Index
Time Factors

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


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