Australasian neonatal intensive care enteral nutrition survey: Implications for practice

Cormack, B., Sinn, J., Lui, K. and Tudehope, D. (2013) Australasian neonatal intensive care enteral nutrition survey: Implications for practice. Journal of Paediatrics and Child Health, 49 4: E340-E347. doi:10.1111/jpc.12016

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Author Cormack, B.
Sinn, J.
Lui, K.
Tudehope, D.
Title Australasian neonatal intensive care enteral nutrition survey: Implications for practice
Journal name Journal of Paediatrics and Child Health   Check publisher's open access policy
ISSN 1034-4810
Publication date 2013-01-01
Year available 2013
Sub-type Article (original research)
DOI 10.1111/jpc.12016
Open Access Status Not yet assessed
Volume 49
Issue 4
Start page E340
End page E347
Total pages 8
Place of publication West Sussex, England, U.K.
Publisher Wiley-Blackwell Publishing Ltd.
Language eng
Subject 2735 Pediatrics, Perinatology, and Child Health
Abstract Aim This survey investigated standardised feeding guidelines and nutrition policy in Australasian neonatal intensive care units and compared these with previously published surveys and international consensus nutrition recommendations. Methods An electronic survey on enteral nutrition comprising a wide range of questions about clinical practice was e-mailed to all 25 Australasian neonatal intensive care unit directors of tertiary perinatal centres. Results Twenty-five surveys were distributed; 24 (96%) were completed. All respondents preferred breast milk as the first feed. For infants <1000 g, 58% started feeds at 1 mL every 4 hours and 83% started enteral feeds on day 0-2 in the absence of contraindications. The identification of bile-stained gastric aspirates significant enough to withhold feeds varied. Multicomponent breast milk fortifiers were added by 58% when enteral feeds reached 150 mL/kg day, while 21% added these earlier at 120 mL/kg day or less. Iron supplementation was started at 4 weeks by 63% and at 6 weeks by 27%. Only 42% of units had a neonatal dietitian. Of the 24 units who responded, 58% had no written enteral feeding guidelines. Conclusion Enteral nutrition was initiated earlier than in the past. Great variation remains in clinical practices. Nutritional implications are discussed. Standardisation of feeding guidelines and enteral nutrition policy based on current evidence and international consensus nutrition recommendations may be beneficial and should be encouraged. © 2012 The Authors. Journal of Paediatrics and Child Health
Keyword enteral
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Medicine Publications
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Created: Sun, 23 Feb 2014, 22:57:50 EST by Matthew Lamb on behalf of School of Medicine