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Evaluation of the Stability of Newborn Hospital Parenteral Nutrition Solutions
Luis Otero-Millán1,2, Brais Bea-Mascato3, Jose Luis Legido Soto4
1Pharmacy Department, University Hospital Complex of Vigo, 36312 Vigo, Spain.
Insights
Parenteral nutrition (PN) solutions for preterm infants demonstrated stability across various conditions. Compositional changes and storage temperatures did not significantly impact PN stability during the study period.
Area of Science:
- Neonatalogy
- Clinical Pharmacy
- Biochemistry
Background:
- Parenteral nutrition (PN) solutions are complex mixtures requiring careful stability assessment.
- Interactions between numerous chemical elements can affect PN safety and stability.
- Evaluating PN stability is crucial for safe and effective infant nutrition.
Purpose of the Study:
- To assess the stability of parenteral nutrition (PN) solutions specifically formulated for preterm infants.
- To determine the impact of compositional variations and storage conditions on PN stability.
Main Methods:
- Eight PN samples were prepared, including standard and high-electrolyte formulations.
- Samples were stored at room temperature and under refrigeration.
- Stability was monitored by measuring globule size, pH, density, and viscosity over time.
Main Results:
- Compositional changes did not negatively affect PN stability over the study period.
- Viscosity showed minor changes due to composition but was not affected by time or temperature.
- Density and pH remained stable, unaffected by storage conditions or sample composition.
Conclusions:
- All tested PN solutions remained stable throughout the study duration.
- Neither compositional modifications nor different storage conditions led to significant stability alterations.
Abstract:
(1) Background: parenteral nutrition (PN) solutions are an extremely complex mixture. It is composed of a multitude of chemical elements that can give rise to a large number of interactions that condition its stability and safety. The aim of this study was to evaluate the stability of PN solutions for preterm infants. (2) Methods: eight samples were prepared according to the protocol for prescribing PN in preterm infants. Samples PN1-PN7 had the normal progression of macronutrients and standard amounts of micronutrients for a 1 kg preterm infant. The PN8 sample had a high concentration of electrolytes, with the idea of forcing stability limits. Samples were stored both at room temperature and under refrigeration. Measurements of globule size, pH, density, and viscosity were performed in both storage protocols on different days after processing. (3) Results: the changes in the composition of the samples did not affect the evolution of the stability at the different measurement times and temperatures. Viscosity was affected by the compositional changes made in the PN samples, but no alterations due to time or temperature were observed. Density and pH remained stable, without significant changes due to time, storage temperature, or different composition. (4) Conclusion: all samples remained stable during the study period and did not undergo significant alterations due to compositional changes or different experimental conditions.
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