Nutritional therapy for protein-energy malnutrition in children with sepsis
- 作者: Satvaldieva E.1,2, Ashurova G.1,2
-
隶属关系:
- Tashkent Pediatric Medical Institute
- National Children’s Medical Center
- 期: 卷 3, 编号 4 (2022)
- 页面: 217-229
- 栏目: Reviews
- URL: https://journals.rcsi.science/2658-4433/article/view/131167
- DOI: https://doi.org/10.17816/clinutr111170
- ID: 131167
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This review presents meta-analyses on nutrition in patients with critical illness using ASPEN/SCCM (2017), SSC (2012, 2021), ESPNIC (2020), and SSC (2020) pediatric sepsis guidelines. The ESPNIC (2020) guideline, based on new evidence, complements most of the existing ASPEN (2017) guidelines for critical pediatrics. Children’s SSC (2020) did not find direct evidence and sufficient data to develop strong nutritional recommendations for children with sepsis/SS. Many issues remain unresolved, requiring systematic analysis. In the literature search, only a few randomized clinical trials have focused on the assessment and correction of protein-energy malnutrition in pediatric intensive care. Over the past decade, small and large pediatric studies have recommended nutritional therapy. However, given the heterogeneity of children admitted to intensive care units in terms of age, pathology, disease severity, presence of comorbidities, and nutritional status, it is unrealistic to expect that one nutrition strategy applies to all patients requiring intensive care. Therefore, most clinicians emphasize the need for an individualized approach to nutrition support in children, taking into account the pathology, severity, initial nutritional status, and risk–benefit ratio of different nutritional therapies. An extensive search of the literature on the problem did not reveal strong nutritional recommendations for children with sepsis/SS, which dictates the need for future research on the topic and correction of protein-energy malnutrition in children with sepsis/SS.
作者简介
Elmira Satvaldieva
Tashkent Pediatric Medical Institute; National Children’s Medical Center
编辑信件的主要联系方式.
Email: Satvaldieva.el@gmail.com
ORCID iD: 0000-0002-8448-2670
SPIN 代码: 9896-8364
MD, Dr. Sci. (Med.), Professor
乌兹别克斯坦, Tashkent; TashkentGulchehra Ashurova
Tashkent Pediatric Medical Institute; National Children’s Medical Center
Email: gulibaur@gmail.com
ORCID iD: 0000-0001-6437-8967
SPIN 代码: 7063-0126
MD
乌兹别克斯坦, Tashkent; Tashkent参考
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