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Chronic renal failure in infancy. Two dietetic case reports
1Nutrition and Dietetic Department, Nottingham City Hospital NHS Trust.
EDTNA/ERCA Journal (English Ed.)
|July 7, 1999
Summary
Infants with end-stage renal disease (ESRD) need intensive nutritional support and frequent dietetic care for optimal growth. Early dialysis and tube feeding, combined with regular consultations, are crucial for managing ESRD in infants.
Area of Science:
- Pediatric Nephrology
- Clinical Nutrition
- Growth Monitoring
Background:
- End-stage renal disease (ESRD) in infants presents unique challenges for growth and nutrition.
- Quantifying the impact of intensive dietetic care in infants with ESRD is essential.
Observation:
- Two male infants with ESRD due to renal dysplasia were managed with continuous cyclic peritoneal dialysis (CCPD) and gastrostomy tube feeding.
- Nutritional intakes exceeded recommendations for healthy infants.
- Significant improvements in height and weight standard deviation scores (SDS) were observed over two years without growth hormone therapy.
Findings:
- Intensive nutritional support and frequent dietetic interventions were associated with optimized growth in infants with ESRD.
- Higher energy and protein intakes were required to meet nutritional goals.
- Dietetic contact frequency decreased over time while maintaining positive growth outcomes.
Implications:
- Early initiation of dialysis and tube feeding, alongside frequent dietetic support, is vital for achieving nutritional targets and promoting growth in infants with ESRD.
- Dietetic guidance plays a critical role in supporting families managing infants with ESRD.
- This approach may serve as a model for managing pediatric ESRD patients.