Home parenteral nutrition in children : The Polish experience.
Home parenteral nutrition has become routine for management of intestinal failure in patients.
In Poland the main obstacle to widespread use of home parenteral nutrition is the lack of interest of commercial companies in delivering feedings and ancillaries to patients.
Twenty-five home parenteral nutrition patients aged from 4 months to more than 13 years were reviewed.
The mother or both parents were trained in home parenteral nutrition techniques for 4 to 6 weeks and compounded the nutrients themselves at home.
The mean duration of home parenteral nutrition was 10,117 patient days.
Hospital stays of patients receiving parenteral feedings were significantly shorter than the duration of administration of home parenteral nutrition (p<0.001), Eleven children are continuing the home parenteral nutrition program.
Eighty-three catheters were used in these patients.
The rate of catheter occlusion decreased within the observation period, and in 1997 not one case of occlusion was observed.
In 1997 only three catheters were removed during 7.8 patient years, and the overall incidence of catheter-related complications was 0.38 per patient year.
The overall occurrence of septicemia was one case in 516 days and of catheter infection was one in 459 days.
In 1997 a catheter was infected on average of once every 1419 days.
There was significant improvement in the z score for weight during therapy. (...)
Mots-clés Pascal : Trouble fonctionnel, Intestin, Traitement, Alimentation, Voie parentérale, A domicile, Difficulté tâche, Implémentation, Technique, Efficacité traitement, Article synthèse, Enfant, Homme, Pologne, Europe, Appareil digestif pathologie, Intestin pathologie, Nutrition, Réanimation
Mots-clés Pascal anglais : Dysfunction, Gut, Treatment, Feeding, Parenteral administration, At home, Task difficulty, Implementation, Technique, Treatment efficiency, Review, Child, Human, Poland, Europe, Digestive diseases, Intestinal disease, Nutrition, Resuscitation
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0108963
Code Inist : 002B27B07. Création : 16/11/1999.