Nutritional management of young infants presenting with acute bronchiolitis in Belgium, France and Switzerland: survey of current practices and documentary search of national guidelines worldwide

Valla Frederic V.; Baudin Florent; Demaret PierreRooze ShancyMoullet ClemenceCotting JacquesFord-Chessel CarolePouyau RobinPeretti NoelTume Lyvonne N.Milesi ChristopheLe Roux Benedicte Gaillard

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Nutritional management of young infants presenting with acute bronchiolitis in Belgium, France and Switzerland: survey of current practices and documentary search of national guidelines worldwide

机译：Nutritional management of young infants presenting with acute bronchiolitis in Belgium, France and Switzerland: survey of current practices and documentary search of national guidelines worldwide

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Feeding difficulties are common in young infants presenting with acute bronchiolitis, but limited data is available to guide clinicians adapting nutritional management. We aimed to assess paediatricians' nutritional practices among Western Europe French speaking countries. A survey was disseminated to describe advice given to parents for at home nutritional support, in hospital nutritional management, and preferred methods for enteral nutrition and for intravenous fluid management. A documentary search of international guidelines was concomitantly conducted. Ninety-three (66) contacted physicians responded. Feeding difficulties were a common indication for infants' admission. Written protocols were rarely available. Enteral nutrition was favoured most of the time when oral nutrition was insufficient and might be withheld in case of severe dyspnoea to decrease respiratory workload. Half of physicians were aware of hyponatremia risk and pathophysiology, and isotonic intravenous solutions were used in less than 15 of centres. International guideline search (23 countries) showed a lack of detailed nutritional management recommendations in most of them.Conclusion: practices were inconsistent among physicians. Guidelines detailed nutritional management poorly. Awareness of hyponatremia risk in relation to intravenous hypotonic fluids and of the safety of enteral hydration and nutrition is insufficient. New guidelines including detailed nutritional management recommendations are urgently needed.

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《European journal of pediatrics》 |2019年第3期|331-340|共10页
作者
Valla Frederic V.; Baudin Florent; Demaret PierreRooze ShancyMoullet ClemenceCotting JacquesFord-Chessel CarolePouyau RobinPeretti NoelTume Lyvonne N.Milesi ChristopheLe Roux Benedicte Gaillard;
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作者单位

Hosp Civils Lyon, Hop Femme Mere Enfant, Paediat Intens Care, 59 Bd Pinel, F-69500 Lyon, France;

INSERM, UMR 1060, Equipe INFOLIP, CarMEN, F-69100 Villeurbanne, France;

Hop Arnaud de Villeneuve, Paediat Intens Care, 371 Av Doyen Giraud, F-34296 Montpellier, FranceHop Femme Mere Enfant, Paediat Intens Care, Nantes, FranceCHC, Dept Paediat, Div Paediat Crit Care Med, Liege, BelgiumHop Univ Enfants Reine Fabiola, Paediat Intens Care, B-1020 Laeken Brussels, BelgiumUniv Appl Sci Western Switzerland, Haute Ecole Sante, Dept Nutr & Dietet, Geneva, SwitzerlandUniv Hosp Lausanne, Paediat Intens Care, Lausanne, SwitzerlandUniv West England, Fac Hlth & Appl Sci, Glenside Campus,Blackberry Hill, Bristol BS16 1DD, Avon;

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正文语种英语
中图分类儿科学;
关键词
Recommendation; Child; Nutrition; Bronchiolitis; clinical practice;

Nutritional management of young infants presenting with acute bronchiolitis in Belgium, France and Switzerland: survey of current practices and documentary search of national guidelines worldwide

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