Maggio 2000 - Volume XIX - numero 5

Medico e Bambino


Focus

MALNUTRIZIONE OSPEDALIERA Nutrizione del bambino ospedalizzato: principi e pratica

MANILA CANDUSSO

U.O. di Pediatria, P.O. Annunziata, Cosenza

MALNUTRITION IN HOSPITALISED CHILDREN

Key words: Malnutrition, Hospital care, Enteral feeding, Parenteral nutrition

In spite of the evidence on the influence of nutritional status on the prognosis of many chronic diseases, not enough attention is paid to ensure adequate nutrition in patients affected by chronic diseases, particularly when they are admitted to hospital. Simple tools such as growth charts and Z-score should always be used to assess the nutritional status of these patients. Special attention should be given to periods of enhanced growth, such as infancy and puberty, when malnutrition is more likely to occur. Artificial nutrition (parenteral, or enteral through nasogastric feeding) is indicated also in patients admitted for acute diseases when oral feeding is still inadequate after the first 48 hours of illness.

Vuoi citare questo contributo?

M. Candusso MALNUTRIZIONE OSPEDALIERA Nutrizione del bambino ospedalizzato: principi e pratica. Medico e Bambino 2000;19(5):289-299 https://www.medicoebambino.com/?id=0005_289.pdf

Focus

Malnutrizione ospedaliera: il caso della diarrea acuta

MASSIMO FONTANA

Divisione di Pediatria, Ospedale dei Bambini “Vittore Buzzi”, Milano

MALNUTRITION IN ACUTE DIARRHEA

Key words: Malnutrition, Acute diarrhea, Refeeding

Acute diarrhea is still a frequent cause of admission. In about 50% of cases, in spite of adequate rehydration, these patients are discharged after 3-5 days with a lower weight than at admission. This occurs because refeeding in infants and small children with acute diarrhea is all too often hypocaloric and, given the existing evidence on the advantages of early refeeding with a normal diet, should be viewed as iatrogenic malnutrition.

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M. Fontana Malnutrizione ospedaliera: il caso della diarrea acuta. Medico e Bambino 2000;19(5):294-299 https://www.medicoebambino.com/?id=0005_289.pdf

Focus

Tempi e modalità di prevenzione della malnutrizione ospedaliera: il bambino cerebroleso

ANTONINO TEDESCHI

Divisione di Pediatria, Ospedali Riuniti, Reggio Calabria

MALNUTRITION IN CHILDREN WITH SNC DISORDERS

Key words: Malnutrition, SNC disorders, Percutaneous enteric gastrostomy (PEG)

The prevalence of deglutition problems in patients with SNC disorders is high, yet often underestimated. About 50% of these patients develop severe malnutrition and suffer from acute respiratory problems. Enteral feeding, through nasogastric tube or percutaneous enteric gastrostomy (PEG), is successful in most cases in ensuring adequate nutrition. However, the efficacy of compensatory techniques such as appropriate posturing during meals should be first assessed before starting artificial feeding.

Vuoi citare questo contributo?

A. Tedeschi Tempi e modalità di prevenzione della malnutrizione ospedaliera: il bambino cerebroleso. Medico e Bambino 2000;19(5):296-299 https://www.medicoebambino.com/?id=0005_289.pdf


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