scholarly journals Do Extremely Low Birthweight Infants Get Enough Iron in the First Year of Life Compared to Term Born Controls? - An Evaluation of Current Management Practice

1999 ◽  
Vol 45 (4, Part 2 of 2) ◽  
pp. 259A-259A
Author(s):  
Michael F Whitfield ◽  
Louis D Wadsworth ◽  
Timothy F Oberlander ◽  
Sheila M Innis ◽  
Colleen E Fitzgerald
Keyword(s):  
Low Birthweight ◽  
Management Practice ◽  
First Year ◽  
Current Management ◽  
First Year Of Life ◽  
Extremely Low Birthweight

Iron deficiency

2018 ◽  
Author(s):  
John Puntis
Keyword(s):  
Iron Deficiency ◽  
Low Socioeconomic Status ◽  
Low Birthweight ◽  
Educational Achievement ◽  
Poor Response ◽  
Underlying Disease ◽  
Cow Milk ◽  
First Year ◽  
Low Socioeconomic ◽  
First Year Of Life

Iron deficiency is the most common nutritional deficiency in the world, affecting around 5 billion people mostly in developing countries. Risk factors in infants include low birthweight, high cow milk consumption, low intake of iron containing complementary foods, low socioeconomic status, and immigrant status. Developmental delay and poor educational achievement are among the long-term complications. Preventative strategies include promotion of breastfeeding, use of iron-fortified formula if breast milk not available, encouraging intake of iron-rich foods, vitamin C-rich drinks with meals to promote iron absorption, and avoiding whole cow’s milk in the first year of life. Poor response to oral iron treatment is most likely due to poor compliance (iron ingestion may cause abdominal pain diarrhoea or constipation) but should also raise the possibility of underlying disease causing inflammation, malabsorption, or blood loss.

scholarly journals 13 Evaluating Potential Overuse of Intravenous Hydration in Patients Hospitalized with Bronchiolitis

2020 ◽  
Vol 25 (Supplement_2) ◽  
pp. e5-e5
Author(s):  
Vénitia Langlois ◽  
Chloé Sainte-Marie-Lestage ◽  
Anne-Claude Bernard-Bonnin ◽  
Nathalie Lucas ◽  
Pascal Bédard ◽  
...  
Keyword(s):  
Management Practice ◽  
Tertiary Care ◽  
Pediatric Emergency ◽  
Local Order ◽  
First Year ◽  
National Guidelines ◽  
Oral Hydration ◽  
Intravenous Hydration ◽  
First Year Of Life ◽  
Local Guideline

Abstract Background Bronchiolitis is the primary cause of hospitalization in children during the first year of life. Respiratory support and hydration are the two pillars of management. Practice guidelines for bronchiolitis (NICE and CPS) recommend nasogastric (NG) hydration before intravenous (IV) fluids if oral hydration cannot be maintained. However, IV hydration remains the primary mode of hydration at our tertiary care pediatric centre. Objectives This is a resource stewardship project aiming to evaluate the baseline use of IV versus NG hydration in children 0-15 months hospitalized for bronchiolitis and requiring supplemental hydration. The secondary objective is to evaluate potential barriers to NG hydration for these children. Design/Methods Data was collected retrospectively for the 2017-2018 bronchiolitis season. A survey was sent to all the pediatric emergency (ED) physicians and nurses, pediatric hospitalists, ED fellows, pediatric residents and ward nurses. Results Among eligible patients (n=95), IV hydration was prescribed 52% of the time, compared to 48% NG hydration. Ninety-six percent (47/49) of IV hydration was initiated in the ED, while only 4% (2/49) was initiated on the ward. Among patients who began receiving hydration in the ED (80/95, or 84%), 41% (33/80) were hydrated via NG and 59% (47/80) by IV. In the survey, while 92% (57/62) of responding physicians claimed to be aware of national guidelines for bronchiolitis, only 67% (42/62) said that NG was the recommended mode of hydration. Among ED practitioners, 56% (19/34) were up-to-date on the recommendation. Two-thirds of all respondents (physicians and nurses) felt that NG hydration would be more acceptable to parents. Among nurses, 84% (38/45) felt that IV installation was a longer procedure to complete. Despite the existence of a local order set indicating NG hydration as the preferred hydration method, only 64% (40/62) of physicians were aware of its existence, and only 23% of these (9/40) actually use the guideline. Main reasons of disuse included forgetting the guideline exists and it not being easily available. In contrast, 93% of nurses were aware of the local guideline. Conclusion Intravenous hydration is overused among patients hospitalized with bronchiolitis at our centre, and the ED is the main setting where this occurs. There is a discrepancy between physicians’ theoretical knowledge of hydration guidelines and the application of these in reality. Barriers to the use of NG hydration can be amenable to a quality improvement (QI) intervention targeting improved knowledge and use of our local guideline, and this will be our focus going forward.

scholarly journals Hospital admissions from birth to early adolescence and early-life risk factors: the 11-year follow-up of the 1993 Pelotas (Brazil) birth cohort study

2010 ◽  
Vol 26 (10) ◽  
pp. 1980-1989 ◽  
Author(s):  
Ana M. B. Menezes ◽  
Ricardo B. Noal ◽  
Juraci A. Cesar ◽  
Pedro C. Hallal ◽  
Cora Luiza Araújo ◽  
...  
Keyword(s):  
Risk Factors ◽  
Hospital Admission ◽  
Skin Color ◽  
Low Birthweight ◽  
Family Income ◽  
Hospital Admissions ◽  
Significant Risk ◽  
Birth Cohort Study ◽  
First Year ◽  
First Year Of Life

The aim of this prospective analysis was to describe the cumulative incidence of hospital admissions in the first year of life and between 1 and 11 years of age and to explore associated factors. Hospital admissions were collected through regular monitoring in the first year of life, and through maternal report on admissions between 1 and 11 years. Analyses were stratified by sex and adjusted for confounding factors. 18.1% of children were hospitalized in the first year of life, and 30.7% between ages 1 and 11 years. Among boys, hospital admission in the first year was associated with low family income, paternal smoking during pregnancy, preterm delivery, and low birthweight. Among girls, in addition to the variables described for boys, black/mixed skin color was also a risk factor for hospital admission. For admissions between 1 and 11 years of age, low family income and gestational age > 37 weeks were found to be significant risk factors.

Physical growth of low birthweight infants in the first year of life: impact of maternal behaviors

1997 ◽  
Vol 47 (1) ◽  
pp. 19-34 ◽  
Author(s):  
Susan J. DeWitt ◽  
John W. Sparks ◽  
Paul B. Swank ◽  
Karen Smith ◽  
Susan E. Denson ◽  
...  
Keyword(s):  
Low Birthweight ◽  
Physical Growth ◽  
First Year ◽  
Maternal Behaviors ◽  
Life Impact ◽  
First Year Of Life
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