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2016, Number 1-2

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Rev Hosp Jua Mex 2016; 83 (1-2)

Evaluación de la adherencia a guías clínicas para la prescripción de nutrición parenteral en pacientes pediátricos

Pérez-Cruz E, González-Saucedo KP

Language: Spanish
References: 19
Page: 17-22
PDF size: 130.73 Kb.


ABSTRACT

Introduction. Clinical guidelines are a useful tool in actual medical practice. In recent years it shows a lack of adherence to the prescription of parenteral nutrition in pediatrics. Objective. Evaluate the percentage adherence of clinical guidelines on the use of parenteral nutrition in pediatric patients have not valued by Nutritional Support Unit. Material and methods. Cross-sectional study in the Hospital Juárez de México from January to December 2012 of pediatric patients requiring parenteral nutrition for more than 5 days and that were not evaluated by the Nutritional Support Unit. The parenteral nutrition prescriptions and the adherence of ASPEN and ESPGHAN clinical guidelines were reviewed. Results. During the study period, 108 prescriptions were analyzed, 67% (n = 72) were neonates and 33% (n = 36) included remaining pediatric patients. Results. Show different levels of adherence. Prescription the energy expenditure was adherent to clinical guidelines in 36.1%, whereas for the macronutrients, were in 22.9, 31.24 and 31.94% in lipids, carbohydrates and proteins respectively. Implementation of the questionnaire aimed at assessing the knowledge concerning the prescription of parenteral nutrition in adherence to clinical guidelines, 21% of doctors in training were able to prove. Conclusions. Adherence to clinical guidelines appears insufficient since less than half of patients received an appropriate prescription. Nutrition education strategies are necessary to improve the knowledge of doctors in training and incorporate them into the multidisciplinary team of nutrition for providing adequate and safe care for patients.


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