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Early feeding after necrotizing enterocolitis in preterm infants
- Source :
- The Journal of pediatrics. 143(4)
- Publication Year :
- 2003
-
Abstract
- To report our experience with an early initiation of enteral feedings after necrotizing enterocolitis (NEC).Over a 4-year period, all inborn infants with NEC Bell stage II or greater received enteral feedings, increased by 20 mL/kg/d, once no portal vein gas had been detected on ultrasound for 3 consecutive days (group 1). Infants were compared with a historic comparison group (group 2).Necrotizing enterocolitis rates were 5% (26/523) in the early feeding group and 4% (18/436) in the comparison group. One early feeding infant and two comparison group infants died of NEC, whereas two and one, respectively, had recurrent NEC. Enteral feedings were restarted at a median of 4 days (range, 3-14) versus 10 days (range, 8-22) after onset of NEC. Early feeding was associated with shorter time to reach full enteral feedings (10 days [range, 7-31] vs 19 days [range, 9-76], P.001), a reduced duration of central venous access (13.5 days [range, 8-24] vs 26.0 days [range, 8-39], P.01), less catheter-related septicemia (18% vs 29%, P.01), and a shorter duration of hospital stay (63 days [range, 28-133] vs 69 days [range, 36-150], P.05).Early enteral feeding after NEC was associated with significant benefits and no apparent adverse effects. This study was underpowered, however, to exclude a higher NEC recurrence risk potentially associated with this change in practice.
- Subjects :
- Enterocolitis
Pediatrics
medicine.medical_specialty
Neonatal intensive care unit
Time Factors
business.industry
Infant, Newborn
Early feeding
medicine.disease
Early initiation
Enteral administration
digestive system diseases
Parenteral nutrition
Enteral Nutrition
Treatment Outcome
Enterocolitis, Necrotizing
Pediatrics, Perinatology and Child Health
Necrotizing enterocolitis
medicine
Humans
medicine.symptom
business
Adverse effect
Subjects
Details
- ISSN :
- 00223476
- Volume :
- 143
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- The Journal of pediatrics
- Accession number :
- edsair.doi.dedup.....2ab6f9fe3705be437d605310cf5cbb07