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Early enteral feeding in conservatively managed stage II necrotizing enterocolitis is associated with a reduced risk of catheter-related sepsis

Brotschi, Barbara ; Baenziger, Oskar ; Frey, Bernhard ; Bucher, Hans Ulrich ; Ersch, Jörg

In: Journal of Perinatal Medicine, 2009, vol. 37, no. 6, p. 701-705

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    Titre
    • Early enteral feeding in conservatively managed stage II necrotizing enterocolitis is associated with a reduced risk of catheter-related sepsis
    Auteur
    • Brotschi, Barbara. Department of Intensive Care and Neonatology, University Children's Hospital, Zurich, Switzerland
    • Baenziger, Oskar. Department of Intensive Care and Neonatology, University Children's Hospital, Zurich, Switzerland
    • Frey, Bernhard. Department of Intensive Care and Neonatology, University Children's Hospital, Zurich, Switzerland
    • Bucher, Hans Ulrich. Division of Neonatology, Department of Obstetrics and Gynecology, University Hospital Zurich, Switzerland
    • Ersch, Jörg. Department of Intensive Care and Neonatology, University Children's Hospital, Zurich, Switzerland
    Type de document
    • Postprint
    Langue
    • Anglais
    Publié dans
    • Journal of Perinatal Medicine, 2009, vol. 37, no. 6, p. 701-705. Walter de Gruyter
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:289930
    Summary
    Aims: To compare the effect of fasting period duration on complication rates in neonates managed conservatively for necrotizing enterocolitis (NEC) Bell stage II. Methods: We conducted a multicenter study to analyze retrospectively multiple data collected by standardized questionnaire on all admissions for NEC between January 2000 and December 2006. NEC was staged using modified Bell criteria. We divided the conservatively managed neonates with NEC Bell stage II into two groups (those fasted for <5days and those fasted for >5days) and compared the complication rates. Results: Of the 47 conservatively managed neonates Bell stage II, 30 (64%) fasted for <5days (range 1-4days) and 17 (36%) for >5days (range 6-16days). There were no significant differences for any of the patient characteristics analyzed. One (3%) and four (24%) neonates, respectively, developed post-NEC bowel stricture. One (3%) and two neonates (12%) suffered NEC relapse. None and five (29%) neonates developed catheter-related sepsis. Conclusion: Shorter fasting after NEC appears to lower morbidity after the acute phase of the disease. In particular, shorter-fasted neonates have significantly less catheter-related sepsis. We found no benefit in longer fasting