Cargando…
International Latin American Survey on Pediatric Intestinal Failure Team
There is little data on the experience of managing pediatric Intestinal Failure (IF) in Latin America. This study aimed to identify and describe the current organization and practices of the IF teams in Latin America and the Caribbean. An online survey was sent to inquire about the existence of IF t...
Autores principales: | , , , , , , , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8399331/ https://www.ncbi.nlm.nih.gov/pubmed/34444914 http://dx.doi.org/10.3390/nu13082754 |
_version_ | 1783745050846429184 |
---|---|
author | Spolidoro, José Vicente N. Souza, Mirella C. Goldani, Helena A. S. Tanzi, María N. Busoni, Veronica B. Padilla, Maria del Carmen Ramirez, Nelson E. Cofre, Colomba Valdivieso, Lidia P. Saure, Carola Jimenez-Arguedas, Gabriela Mateus, Mikaelle S. M. Serra, Roberta Cuadros-Mendonza, Carlos Rivera-Medina, Juan Gattini, Daniela dos Santos, Beatriz J. Plata, Clara Sandy, Natascha Silva |
author_facet | Spolidoro, José Vicente N. Souza, Mirella C. Goldani, Helena A. S. Tanzi, María N. Busoni, Veronica B. Padilla, Maria del Carmen Ramirez, Nelson E. Cofre, Colomba Valdivieso, Lidia P. Saure, Carola Jimenez-Arguedas, Gabriela Mateus, Mikaelle S. M. Serra, Roberta Cuadros-Mendonza, Carlos Rivera-Medina, Juan Gattini, Daniela dos Santos, Beatriz J. Plata, Clara Sandy, Natascha Silva |
author_sort | Spolidoro, José Vicente N. |
collection | PubMed |
description | There is little data on the experience of managing pediatric Intestinal Failure (IF) in Latin America. This study aimed to identify and describe the current organization and practices of the IF teams in Latin America and the Caribbean. An online survey was sent to inquire about the existence of IF teams that managed children on home parenteral nutrition (HPN). Our questionnaire was based on a previously published European study with a similar goal. Twenty-four centers with pediatric IF teams in eight countries completed the survey, representing a total number of 316 children on HPN. The median number of children on parenteral nutrition (PN) at home per team was 5.5 (range 1–50). Teams consisted of the following members: pediatric gastroenterologist and a pediatric surgeon in all teams, dietician (95.8%), nurse (91.7%), social worker (79.2%), pharmacist (70.8%), oral therapist (62.5%), psychologist (58.3%), and physiotherapist (45.8%). The majority of the centers followed international standards of care on vascular access, parenteral and enteral nutrition, and IF medical and surgical management, but a significant percentage reported inability to monitor micronutrients, like vitamins A (37.5%), E (41.7%), B1 (66.7%), B2 (62.5%), B6 (62.5%), active B12 (58.3%); and trace elements—including zinc (29.2%), aluminum (75%), copper (37.5%), chromium (58.3%), selenium (58.3%), and manganese (58.3%). Conclusion: There is wide variation in how IF teams are structured in Latin America—while many countries have well-established Intestinal rehabilitation programs, a few do not follow international standards. Many countries did not report having an IF team managing pediatric patients on HPN. |
format | Online Article Text |
id | pubmed-8399331 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-83993312021-08-29 International Latin American Survey on Pediatric Intestinal Failure Team Spolidoro, José Vicente N. Souza, Mirella C. Goldani, Helena A. S. Tanzi, María N. Busoni, Veronica B. Padilla, Maria del Carmen Ramirez, Nelson E. Cofre, Colomba Valdivieso, Lidia P. Saure, Carola Jimenez-Arguedas, Gabriela Mateus, Mikaelle S. M. Serra, Roberta Cuadros-Mendonza, Carlos Rivera-Medina, Juan Gattini, Daniela dos Santos, Beatriz J. Plata, Clara Sandy, Natascha Silva Nutrients Article There is little data on the experience of managing pediatric Intestinal Failure (IF) in Latin America. This study aimed to identify and describe the current organization and practices of the IF teams in Latin America and the Caribbean. An online survey was sent to inquire about the existence of IF teams that managed children on home parenteral nutrition (HPN). Our questionnaire was based on a previously published European study with a similar goal. Twenty-four centers with pediatric IF teams in eight countries completed the survey, representing a total number of 316 children on HPN. The median number of children on parenteral nutrition (PN) at home per team was 5.5 (range 1–50). Teams consisted of the following members: pediatric gastroenterologist and a pediatric surgeon in all teams, dietician (95.8%), nurse (91.7%), social worker (79.2%), pharmacist (70.8%), oral therapist (62.5%), psychologist (58.3%), and physiotherapist (45.8%). The majority of the centers followed international standards of care on vascular access, parenteral and enteral nutrition, and IF medical and surgical management, but a significant percentage reported inability to monitor micronutrients, like vitamins A (37.5%), E (41.7%), B1 (66.7%), B2 (62.5%), B6 (62.5%), active B12 (58.3%); and trace elements—including zinc (29.2%), aluminum (75%), copper (37.5%), chromium (58.3%), selenium (58.3%), and manganese (58.3%). Conclusion: There is wide variation in how IF teams are structured in Latin America—while many countries have well-established Intestinal rehabilitation programs, a few do not follow international standards. Many countries did not report having an IF team managing pediatric patients on HPN. MDPI 2021-08-11 /pmc/articles/PMC8399331/ /pubmed/34444914 http://dx.doi.org/10.3390/nu13082754 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Spolidoro, José Vicente N. Souza, Mirella C. Goldani, Helena A. S. Tanzi, María N. Busoni, Veronica B. Padilla, Maria del Carmen Ramirez, Nelson E. Cofre, Colomba Valdivieso, Lidia P. Saure, Carola Jimenez-Arguedas, Gabriela Mateus, Mikaelle S. M. Serra, Roberta Cuadros-Mendonza, Carlos Rivera-Medina, Juan Gattini, Daniela dos Santos, Beatriz J. Plata, Clara Sandy, Natascha Silva International Latin American Survey on Pediatric Intestinal Failure Team |
title | International Latin American Survey on Pediatric Intestinal Failure Team |
title_full | International Latin American Survey on Pediatric Intestinal Failure Team |
title_fullStr | International Latin American Survey on Pediatric Intestinal Failure Team |
title_full_unstemmed | International Latin American Survey on Pediatric Intestinal Failure Team |
title_short | International Latin American Survey on Pediatric Intestinal Failure Team |
title_sort | international latin american survey on pediatric intestinal failure team |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8399331/ https://www.ncbi.nlm.nih.gov/pubmed/34444914 http://dx.doi.org/10.3390/nu13082754 |
work_keys_str_mv | AT spolidorojosevicenten internationallatinamericansurveyonpediatricintestinalfailureteam AT souzamirellac internationallatinamericansurveyonpediatricintestinalfailureteam AT goldanihelenaas internationallatinamericansurveyonpediatricintestinalfailureteam AT tanzimarian internationallatinamericansurveyonpediatricintestinalfailureteam AT busoniveronicab internationallatinamericansurveyonpediatricintestinalfailureteam AT padillamariadelcarmen internationallatinamericansurveyonpediatricintestinalfailureteam AT ramireznelsone internationallatinamericansurveyonpediatricintestinalfailureteam AT cofrecolomba internationallatinamericansurveyonpediatricintestinalfailureteam AT valdiviesolidiap internationallatinamericansurveyonpediatricintestinalfailureteam AT saurecarola internationallatinamericansurveyonpediatricintestinalfailureteam AT jimenezarguedasgabriela internationallatinamericansurveyonpediatricintestinalfailureteam AT mateusmikaellesm internationallatinamericansurveyonpediatricintestinalfailureteam AT serraroberta internationallatinamericansurveyonpediatricintestinalfailureteam AT cuadrosmendonzacarlos internationallatinamericansurveyonpediatricintestinalfailureteam AT riveramedinajuan internationallatinamericansurveyonpediatricintestinalfailureteam AT gattinidaniela internationallatinamericansurveyonpediatricintestinalfailureteam AT dossantosbeatrizj internationallatinamericansurveyonpediatricintestinalfailureteam AT plataclara internationallatinamericansurveyonpediatricintestinalfailureteam AT sandynataschasilva internationallatinamericansurveyonpediatricintestinalfailureteam AT internationallatinamericansurveyonpediatricintestinalfailureteam |