دورية أكاديمية

Estimating Neonatal Necrotizing Enterocolitis Based on Feeding Practices.

التفاصيل البيبلوغرافية
العنوان: Estimating Neonatal Necrotizing Enterocolitis Based on Feeding Practices.
المؤلفون: Baños-Peláez M; Department of Physiology and Cellular Development, National Institute of Perinatology 'Isidro Espinosa de los Reyes', Mexico City 11000, Mexico., Avila-Sosa V; Department of Physiology and Cellular Development, National Institute of Perinatology 'Isidro Espinosa de los Reyes', Mexico City 11000, Mexico., Fernández-Carrocera LA; Neonatal Intensive Care Unit, National Institute of Perinatology 'Isidro Espinosa de los Reyes', Mexico City 11000, Mexico., González-Pérez G; Department of Physiology and Cellular Development, National Institute of Perinatology 'Isidro Espinosa de los Reyes', Mexico City 11000, Mexico., Carrera-Muiños S; Neonatal Intensive Care Unit, National Institute of Perinatology 'Isidro Espinosa de los Reyes', Mexico City 11000, Mexico., Rivera-Rueda MA; Neonatal Intensive Care Unit, National Institute of Perinatology 'Isidro Espinosa de los Reyes', Mexico City 11000, Mexico., Cordero-González G; Neonatal Intensive Care Unit, National Institute of Perinatology 'Isidro Espinosa de los Reyes', Mexico City 11000, Mexico., Romero S; Neonatal Intermediate Care Unit, National Institute of Perinatology 'Isidro Espinosa de los Reyes', Mexico City 11000, Mexico., Coronado-Zarco A; Division of Neonatology, National Institute of Perinatology 'Isidro Espinosa de los Reyes', Mexico City 11000, Mexico., Laresgoiti-Servitje E; Clinical Sciences, TECSalud, School of Medicine, Tecnológico de Monterrey; Mexico City Campus, Mexico City 14380, Mexico., Irles C; Department of Physiology and Cellular Development, National Institute of Perinatology 'Isidro Espinosa de los Reyes', Mexico City 11000, Mexico.
المصدر: Children (Basel, Switzerland) [Children (Basel)] 2021 Mar 24; Vol. 8 (4). Date of Electronic Publication: 2021 Mar 24.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: MDPI AG Country of Publication: Switzerland NLM ID: 101648936 Publication Model: Electronic Cited Medium: Print ISSN: 2227-9067 (Print) Linking ISSN: 22279067 NLM ISO Abbreviation: Children (Basel) Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Basel, Switzerland : MDPI AG, [2014]-
مستخلص: (1) Background: The relationship between enteral nutrition and neonatal necrotizing enterocolitis (NEC) among premature neonates is still unclear. The present work was designed to assess the relationship between NEC and feeding strategies compared to control infants. (2) Methods: A retrospective case-control study of premature infants (<35 weeks' gestation) with or without NEC that examined feeding practices and clinical characteristics at birth and 3, 7, and 14-day hospitalization, with a longitudinal and cross-sectional analysis. (3) Results: A total of 100 newborns with NEC diagnosis and 92 neonates without the disease with similar demographic and clinical characteristics were included. The median day of NEC diagnosis was 15 days (Interquartile Range (IQR) 5-25 days). A significantly higher number of neonates that were fasting on days 7 and 14 developed NEC ( p < 0.05). In the longitudinal analysis, generalized linear and mixed models were fit to evaluate NEC association with feeding strategies and showed that exclusive mother's own milk (MM) and fortified human milk (FHM) across time were significantly less likely associated with NEC ( p < 0.001) and that enteral fasting was positively related with NEC. In the cross-sectional analysis, a binary logistic regression model was fit and predicted 80.7% of NEC cases. MM was also found to correlate with a reduced risk for NEC (OR 0.148, 95% CI 0.044-0.05, p = 0.02), and in particular, on day 14, several factors were related to a decreased odd for NEC, including birth weight, antenatal steroids, and the use of FHM ( p < 0.001). (4) Conclusions: MM and FHM were associated with less NEC compared to fasting on days 7 and 14. Feeding practices in Neonatal Intensive Care Units (NICUs) should promote exclusive MM across the two-week critical period as a potential guideline to improve NEC outcome.
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معلومات مُعتمدة: 2018-1-149 Instituto Nacional de Perinatología; FORDECYT-PRONACES/116325/2020 Consejo Nacional de Ciencia y Tecnología; 2016-01-1690 Consejo Nacional de Ciencia y Tecnología; 2017-2-5 Instituto Nacional de Perinatología
فهرسة مساهمة: Keywords: enterocolitis; human milk; neonatology
تواريخ الأحداث: Date Created: 20210403 Latest Revision: 20210424
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC8063799
DOI: 10.3390/children8040253
PMID: 33804829
قاعدة البيانات: MEDLINE
الوصف
تدمد:2227-9067
DOI:10.3390/children8040253