A nutrição adequada pode melhorar o prognóstico dos neonatos prematuros

Leite, Heitor Pons

doi:10.1590/s0103-507x2011000400003

Cited by 3 publications

(3 citation statements)

References 16 publications

(16 reference statements)

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“…Variables were categorized into parenteral nutrition (yes or no) and days to reach full enteral nutrition (≤14 and >14 days) [ 16 , 17 ]. Fasting days were categorized as ≤4 and >4 days, according to the day of energy reserve expected for infants since adverse health outcomes may occur after four days [ 18 , 19 ].…”

Section: Methodsmentioning

confidence: 99%

“…Data normality was assessed using the Kolmogorov–Smirnov test. Pearson’s Chi-square test evaluated the association between late-onset sepsis, nutritional variables (parenteral nutrition, days to reach full enteral nutrition (≤14 or >14 days) [ 16 ], fasting days (≤4 or >4 days) [ 18 , 19 ]), and maternal variables (prenatal care, chorioamnionitis, urinary tract infection, and time of ruptured membranes) [ 2 ]. The Mann–Whitney test compared late-onset sepsis and continuous variables (birth weight, gestational age at birth, extrauterine growth restriction, days of parenteral nutrition, and days to reach full enteral nutrition), and median and interquartile range were presented according to the occurrence of late-onset sepsis.…”

Section: Methodsmentioning

confidence: 99%

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Nutritional Factors Associated with Late-Onset Sepsis in Very Low Birth Weight Newborns

et al. 2021

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Background: Delayed onset of minimal enteral nutrition compromises the immune response of preterm infants, increasing the risk of colonization and clinical complications (e.g., late-onset sepsis). This study aimed to analyze associations between late-onset sepsis in very low birth weight infants (<1500 g) and days of parenteral nutrition, days to reach full enteral nutrition, and maternal and nutritional factors. Methods: A cross-sectional study was carried out with very low birth weight infants admitted to a neonatal intensive care unit (NICU) of a reference maternity hospital of high-risk deliveries. Data regarding days of parenteral nutrition, days to reach full enteral nutrition, fasting days, extrauterine growth restriction, and NICU length of stay were extracted from online medical records. Late-onset sepsis was diagnosed (clinical or laboratory) after 48 h of life. Chi-squared, Mann–Whitney tests, and binary logistic regression were applied. Results: A total of 97 preterm infants were included. Of those, 75 presented late-onset sepsis with clinical (n = 40) or laboratory (n = 35) diagnosis. Maternal urinary tract infection, prolonged parenteral nutrition (>14 days), and extrauterine growth restriction presented 4.24-fold, 4.86-fold, and 4.90-fold higher chance of late-onset sepsis, respectively. Conclusion: Very low birth weight infants with late-onset sepsis had prolonged parenteral nutrition and took longer to reach full enteral nutrition. They also presented a higher prevalence of extrauterine growth restriction than infants without late-onset sepsis.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Nutritional Factors Associated with Late-Onset Sepsis in Very Low Birth Weight Newborns

et al. 2021

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“…Adequate nutrition remained a significant challenge for preterm infants. [1][2][3][4][5] Premature infants might need several days to pass meconium and then have a normal stooling pattern due to immature digestive tracts. [6,7] Preterm infants encountered the delay in the transition to full enteral feeding before complete meconium evacuation.…”

Section: Introductionmentioning

confidence: 99%

The efficacy of glycerin suppositories for preterm infants: A meta-analysis of randomized controlled studies

Wen

2023

Medicine

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Background:The effect of glycerin suppositories on full enteral feeds remained controversial in preterm infants, and thus we conducted this meta-analysis to identify the influence of glycerin suppositories on full enteral feeds in preterm infants.Methods: The protocol was registered in PROSPERO (CRD20214283090). We searched PubMed, EMbase, Web of science, EBSCO and Cochrane library databases through February 2020, and included randomized controlled trials assessing the effect of glycerin suppositories on full enteral feeds in preterm infants. This meta-analysis was performed using the random-effect model.Results: Six Randomized controlled trials were included in the meta-analysis. Overall, compared with control group in preterm infants, glycerin suppositories demonstrated no significant effect on days to full enteral feeds (mean difference = −0.26; 95% confidence interval [CI] = −1.16 to 0.65; P = .58), the incidence of necrotizing enterocolitis (odd ratio = 3.62; 95% CI = 0.56-23.32; P = .18) or death (odd ratio = 1.46; 95% CI = 0.40-5.40; P = .57), but may increase the days under phototherapy (mean difference = 0.50; 95% CI = 0.43-0.57; P < .00001). Only low heterogeneity was seen among all outcomes.Conclusions: Glycerin suppositories may provide no additional benefits to preterm infants.

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Processos de aprendizagem e desenvolvimento de crianças prematuras: uma temática essencial e salutar às áreas de educação e saúde

Granemann

Anache

2017

Interfaces da Educ.

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No Brasil, alguma ações vêm sendo efetivadas, com vistas a prevenir possíveis deficiências que podem atingir a criança desde seus primeiros anos de vida. Para tanto, este estudo tem como objetivo principal, analisar o processo de aprendizagem e de desenvolvimento de 30 crianças nascidas prematuras, com idades gestacionais de até 35 semanas, acompanhadas pelo Núcleo do Hospital Universitário em Campo Grande, MS. Tratou-se de uma pesquisa de base qualitativa apoiada na perspectiva histórico-cultural utilizando, inicialmente, entrevistas com familiares e profissionais do setor. Tais dados foram associados às informações dos prontuários, dos protocolos das crianças, além de, após a alta, nos atendimentos ambulatoriais, serem avaliadas nos aspectos cognitivo, afetivo, social e motor, conforme as avaliações apoiadas na escala de desenvolvimento do comportamento da criança, de Batista Pinto, Villanova e Vieira (1997), no Inventário de Níveis de Funcionamento Psicossocial, elaborado por Leal (2004). Nesse momento foram observados os impactos da prematuridade sob os processos de aprendizagem e de desenvolvimento dessas crianças, levantando-se maiores dificuldades em comportamentos ou competências relativas às áreas de comunicação, locomoção e independência. Após esse período, sugere-se que essas crianças sejam assistidas nos centros de educação infantil e pela Classe Hospitalar, quando em situação de hospitalização.

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A nutrição adequada pode melhorar o prognóstico dos neonatos prematuros

Cited by 3 publications

References 16 publications

Nutritional Factors Associated with Late-Onset Sepsis in Very Low Birth Weight Newborns

Nutritional Factors Associated with Late-Onset Sepsis in Very Low Birth Weight Newborns

The efficacy of glycerin suppositories for preterm infants: A meta-analysis of randomized controlled studies

Processos de aprendizagem e desenvolvimento de crianças prematuras: uma temática essencial e salutar às áreas de educação e saúde

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