You are here

Article Text

Article menu

Download PDFPDF

Section 4: Clinical pharmacy services
4CPS-136 Standard first day of life central parenteral nutrition, experience in real clinical practice
Free
  1. M Bosch Peligero1,
  2. G Ginovart Galiana2,
  3. A Arias Martinez1,
  4. A Siles Baena1,
  5. M Ocaña Rico2,
  6. R Porta Ribera2,
  7. A Martín Val1,
  8. L Laguna Marmol1,
  9. E Terricabras Mas1,
  10. C Codina Jiménez1,
  11. C Quiñones Ribas1
  1. 1Hospital Germans Trias I Pujol, Pharmacy Department, Badalona, Spain
  2. 2Hospital Germans Trias I Pujol, Neonatal Unit – Paediatric Department, Badalona, Spain

Abstract

Background and Importance Standard parenteral nutrition (PN) solutions should generally be used over individualised PN solutions in the majority of paediatric and newborn patients, including very-low-birth-weight premature infants,1 starting as soon as possible and within 8h at the latest.2 In 2021 our Paediatric and Pharmacy Departments designed a standard central PN (CPN) to have ready to use, in order to meet the nutritional needs of most newborn patients in their first day of life.

Aim and Objectives Evaluate the use of the standard first day of life CPN and describe clinical data of patients and the time frame for its start.

Material and Methods Observational, retrospective and longitudinal study conducted between March 2022 and September 2022 in a tertiary hospital. A database was designed to record all prepared CPN, their use and data of patients who received them.

Results 55 CPN were prepared and 32 (58.2%) were administered. 31 newborn required PN and 100% received the standard first day of life CPN, 18 (58.1%) patients were female, the mean gestational age was 28.5 weeks, the mean weight was 1138.2g and 12 (38.7%) were multiple pregnancies. The indication of PN was: 23 (74.2%) preterm infants born <32.0 weeks with birth weight <1500g, 4 (12.9%) preterm babies born >32.0 weeks with <1500g and 4 (12.9%) patients born <32.0 weeks with birth weight >1500g. The mean time to start CPN was 6:01h (range 1:13-22:54h), 26 (83.9%) babies initiated within 8h at the latest and 5 (16.1%) patients after 8h of life (3 due to a lack of central line, 1 lack of 2 ready to use CPN for twins and 1 delayed prescription). 30 patients (96.8%) started trophic feeding with breast milk (maternal or bank) within the first 24h of life.

Conclusion and Relevance Standard first day of life CPN ready to use has considerably reduced the time to start PN in newborn patients. However, CPN was initiated after 8h of life in 5 patients (mostly due to a lack of central line). Standard first day of life CPN met the nutritional requirements of all newborn requiring PN, not needing to produce individually tailored CPN in any case.

References and/or Acknowledgements 1. 2018 ESPGHAN/ESPEN/ESPR/CSPEN guidelines

2. Neonatal parenteral nutrition. NICE guideline 2020

Conflict of Interest No conflict of interest

https://doi.org/10.1136/ejhpharm-2023-eahp.141

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.