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Parenteral nutrition therapy for neonates: Experience in a tertiary care centre in Sri Lanka

Authors:

C M Wickramatilake ,

Department of Biochemistry, Faculty of Medicine, University of Ruhuna, Sri Lanka,, LK
About C M
Senior Lecturer, Department of Biochemistry, Faculty of Medicine, University of Ruhuna, Sri Lanka, 
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K Withanaarachchi,

Teaching Hospital, Karapitiya, Galle, Sri Lanka., LK
About K
Neonatal Intensivist, Neonatal Intensive Care Unit, Teaching Hospital, Karapitiya, Galle, Sri Lanka.
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R A Dharmadasa,

Teaching Hospital Mahamodara, Galle, LK
About R A
Medical officer, Special Care Baby Unit, Teaching Hospital Mahamodara, Galle 
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M T J Amaraweera,

Teaching Hospital Mahamodara, Galle, LK
About M T J
Medical officer, Special Care Baby Unit, Teaching Hospital Mahamodara, Galle 
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S R Dissanayake

Teaching Hospital Mahamodara, Galle, LK
About S R
Medical officer, Special Care Baby Unit, Teaching Hospital Mahamodara, Galle 
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Abstract

Background: There is scarce literature about the practice of parenteral nutrition (PN) in neonates in Sri Lanka.

Objectives: To describe the characteristics of neonates receiving PN, the current practice of PN and the complications developing in neonates receiving PN in Sri Lanka.

Method: A descriptive cross-sectional study was conducted on babies receiving PN after admission to the Special Care Baby Unit of a Tertiary Care Centre in Sri Lanka during 2014. Data was gathered from mothers, medical records and by clinical examination of the babies.

Results: Fifty six neonates were on PN during 2014. Twenty (36%) were on PN for 4 days. All babies were fed on breast milk as the trophic feeds except one who was given formula milk. Initiation of trophic feeds was early (median day 2). Fifty one (91%) were started on trophic feeds by day 3 with 14 (25%) on day 1. Twenty six (46%) developed complications consisting of septicaemia (5), hypoglycaemia (9), hyperglycaemia (2), hypernatraemia (23), 4 had catheter site related complications (4) and thrombocytopenia (7).

Conclusions: The median duration of PN was 4 days. Trophic feeds with expressed breast milk were started in 91% by day three. Forty six percent of babies on PN developed complications.

Sri Lanka Journal of Child Health, 2018; 47(1): 16-20 

How to Cite: Wickramatilake, C.M., Withanaarachchi, K., Dharmadasa, R.A., Amaraweera, M.T.J. and Dissanayake, S.R., 2018. Parenteral nutrition therapy for neonates: Experience in a tertiary care centre in Sri Lanka. Sri Lanka Journal of Child Health, 47(1), pp.16–20. DOI: http://doi.org/10.4038/sljch.v47i1.8424
Published on 05 Mar 2018.
Peer Reviewed

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