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Neonatal Total Parenteral Nutrition: Clinical Implications From Recent NICE Guidelines

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Abstract

Postnatal growth failure and its impact on the long term outcomes in preterm neonates is a long-standing problem. Optimal and aggressive nutrition strategies are required to ameliorate these concerns. Total parenteral nutrition (TPN) is widely practiced in management of preterm neonates. Recently published National Institute for Health and Care Excellence (NICE) guidelines provide recommendations for best practices for parenteral nutrition in neonates. However, healthcare associated sepsis, expertise as well as infrastructure of TPN, monitoring facilities and cost remain major constraints for widespread use of TPN in resource limited settings. Current update is aimed to summarize NICE and European society for Clinical Nutrition and Metabolism (ESPEN) guidelines to inform best practice for TPN for neonatologists in India.

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Authors and Affiliations

  1. Departments of Pediatrics, Indira Gandhi Institute of Child Health, Bengaluru, Karnataka, India

    B. H. Prathik

  2. Ovum Woman and Child Speciality Hospital, Bengaluru, Karnataka, India

    Abhishek Somasekhara Aradhya

  3. Department of Neonatology, All India Institute of Medical Sciences, Bhubaneshwar, Orissa, India

    Tanushree Sahoo

  4. Division of Neonatology, Department of Pediatrics, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India

    Shiv Sajan Saini

Authors
  1. B. H. Prathik
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  2. Abhishek Somasekhara Aradhya
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  3. Tanushree Sahoo
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  4. Shiv Sajan Saini
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Correspondence to Shiv Sajan Saini.

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Prathik, B.H., Aradhya, A.S., Sahoo, T. et al. Neonatal Total Parenteral Nutrition: Clinical Implications From Recent NICE Guidelines. Indian Pediatr 58, 67–70 (2021). https://doi.org/10.1007/s13312-021-2098-5

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  • DOI: https://doi.org/10.1007/s13312-021-2098-5

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