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[Infectious complications of parenteral nutrition in infants (author's transl)]
Insights
Parenteral nutrition in infants with gastrointestinal issues can lead to infectious complications. Careful monitoring and specific protocols are crucial to prevent these risks, especially with catheter use.
Area of Science:
- Pediatrics
- Infectious Diseases
- Nutritional Support
Background:
- Parenteral nutrition (PN) is essential for infants with gastrointestinal problems.
- Infectious complications are a significant concern in infants receiving PN.
Purpose of the Study:
- To present infectious complications in infants receiving PN due to gastrointestinal issues.
- To identify risk factors and propose preventive measures for PN-related infections.
Main Methods:
- Retrospective analysis of 25 infants receiving PN.
- Clinical, analytic, and bacteriologic monitoring during PN.
- Evaluation of infections related to central and peripheral venous access.
Main Results:
- Infections occurred in 3 out of 25 infants, with 2 linked to central catheters and 1 to peripheral lines.
- Positive blood cultures and nutrient cultures were observed.
- Mean age was 3.5 months, with a mean treatment duration of 39 days.
Conclusions:
- Infectious complications are a serious risk in pediatric PN.
- Strict adherence to aseptic techniques and catheter care is vital.
- Further research into standardized protocols for preventing PN-related sepsis is recommended.
Abstract:
Infectious complications found in twenty five infants with parenteral nutrition secondary to gastrointestinal problems are presented. The mean age was of 3.5 months, being mean duration of treatment 39 days/infant and mean weight increment of 19.3 g./day. In two infants a central catheter was used and peripheric veins in the rest using the three elemental nutrients. Clinical, analytic and bacteriologic studies were made during parenteral nutrition. Hemocultives, five of nutrients rests and in four catheters were positive. Three of septicemias were in direct relation with parenteral nutrition, two via central catheter and one by peripheric vein. Finally some rules to avoid infectious complications are pointed out.