Australasian Society for Parenteral and Enteral Nutrition guidelines for supplementation of trace elements during parenteral nutrition

Osland, Emma J., Ali, Azmat, Isenring, Elizabeth, Ball, Patrick, Davis, Melvyn and Gillanders, Lyn (2014) Australasian Society for Parenteral and Enteral Nutrition guidelines for supplementation of trace elements during parenteral nutrition. Asia Pacific Journal of Clinical Nutrition, 23 4: 545-554. doi:10.6133/apjcn.2014.23.4.21

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Author Osland, Emma J.
Ali, Azmat
Isenring, Elizabeth
Ball, Patrick
Davis, Melvyn
Gillanders, Lyn
Title Australasian Society for Parenteral and Enteral Nutrition guidelines for supplementation of trace elements during parenteral nutrition
Journal name Asia Pacific Journal of Clinical Nutrition   Check publisher's open access policy
ISSN 0964-7058
1440-6047
Publication date 2014-01-01
Year available 2014
Sub-type Critical review of research, literature review, critical commentary
DOI 10.6133/apjcn.2014.23.4.21
Volume 23
Issue 4
Start page 545
End page 554
Total pages 10
Place of publication Monash University, Wellington, VIC Australia
Publisher H E C Press
Language eng
Formatted abstract
Background: This work represents the first part of a progressive review of AuSPEN’s 1999 Guidelines for Provision
of Micronutrient Supplementation in Adult Patients receiving Parenteral Nutrition, in recognition of the developments in the literature on this topic since that time.

Methods: A systematic literature review was undertaken and recommendations were made based on the available evidence and with consideration to specific elements of the Australian and New Zealand practice environment. The strength of evidence underpinning each recommendation was assessed. External reviewers provided feedback on the guidelines using the AGREE II tool.

Results:
Reduced doses of manganese, copper, chromium and molybdenum, and an increased dose of selenium are recommended when compared with the 1999 guidelines. Currently the composition of available multi-trace element formulations is recognised as an obstacle to aligning these guidelines with practice. A paucity of available literature and limitations with currently available methods of monitoring trace element status are acknowledged.  The currently unknown clinical impact of changes to trace element contamination of parenteral solutions with contemporary practices highlights need for research and clinical vigilance in this area of nutrition support practice.

Conclusions: Trace elements are essential and should be provided daily to patients receiving parenteral nutrition. Monitoring is generally only required in longer term parenteral nutrition, however should be determined on an individual basis. Industry is encouraged to modify existing multi-trace element solutions available in Australia and New Zealand to reflect changes in the literature outlined in these guidelines. Areas requiring research are highlighted.
Keyword Trace elements
Guidelines
Parenteral nutrition
Manganese
Selenium
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Official 2015 Collection
School of Human Movement and Nutrition Sciences Publications
 
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