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...
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| Language: | English |
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MDPI AG
2021-08-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/13/8/2754 |
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| author | José Vicente N. Spolidoro Mirella C. Souza Helena A. S. Goldani María N. Tanzi Veronica B. Busoni Maria del Carmen Padilla Nelson E. Ramirez Colomba Cofre Lidia P. Valdivieso Carola Saure Gabriela Jimenez-Arguedas Mikaelle S. M. Mateus Roberta Serra Carlos Cuadros-Mendonza Juan Rivera-Medina Daniela Gattini Beatriz J. dos Santos Clara Plata Natascha Silva Sandy |
| author_facet | José Vicente N. Spolidoro Mirella C. Souza Helena A. S. Goldani María N. Tanzi Veronica B. Busoni Maria del Carmen Padilla Nelson E. Ramirez Colomba Cofre Lidia P. Valdivieso Carola Saure Gabriela Jimenez-Arguedas Mikaelle S. M. Mateus Roberta Serra Carlos Cuadros-Mendonza Juan Rivera-Medina Daniela Gattini Beatriz J. dos Santos Clara Plata Natascha Silva Sandy |
| author_sort | José Vicente N. Spolidoro |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-03-10T08:30:01Z |
| format | Article |
| id | doaj.art-373d6c89e23d474fb66895915fd89701 |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-10T08:30:01Z |
| publishDate | 2021-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-373d6c89e23d474fb66895915fd897012023-11-22T09:05:37ZengMDPI AGNutrients2072-66432021-08-01138275410.3390/nu13082754International Latin American Survey on Pediatric Intestinal Failure TeamJosé Vicente N. Spolidoro0Mirella C. Souza1Helena A. S. Goldani2María N. Tanzi3Veronica B. Busoni4Maria del Carmen Padilla5Nelson E. Ramirez6Colomba Cofre7Lidia P. Valdivieso8Carola Saure9Gabriela Jimenez-Arguedas10Mikaelle S. M. Mateus11Roberta Serra12Carlos Cuadros-Mendonza13Juan Rivera-Medina14Daniela Gattini15Beatriz J. dos Santos16Clara Plata17Natascha Silva Sandy18School of Medicine, Pontificia Universidade Catolica do Rio Grande do Sul, Porto Alegre 90619-900, BrazilUnidade de Suporte de Home Care, Unimed Blumenau, Ponta Aguda 89051-900, BrazilPediatric Gastroenterology Unit, Hospital de Clinicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre 90035-903, BrazilUnidad de Nutrición Enteral y Parenteral, Pediatric Gastroenterology and Endoscopy, Centro Hospitalario Pereira Rossell, 11600 Montevideo, UruguayPediatric Gastroenterology and Hepatology Unit, Department of Pediatrics, Hospital Italiano de Buenos Aires, Buenos Aires C1199 CABA, ArgentinaHospital Materno Infantil Caja Nacional, Santa Cruz, BoliviaHospital del Seguro Universitário, Universidad Mayor de San Andrés, 3161 La Paz, BoliviaDepartment of Pediatric Gastroenterology and Nutrition, School of Medicine, Pontificia Universidad Catolica de Chile, Santiago 8330024, ChilePediatric Gastroenterology, Hepatology and Nutrition Unit, Department of Pediatrics, Hospital Nacional Docente Madre Niño San Bartolome, Lima 15001, PeruDivisión de Nutrición y Diabetes, Hospital de Pediatría Juan Pedro Garrahan, Buenos Aires C1245 CABA, ArgentinaServicio de Gastroenterología, Departamento de Pediatría, Hospital Nacional de Niños, “Dr. Carlos Sáenz Herrera” Caja Costarricense de Seguro Social, San José 10103, Costa RicaHospital Infantil Albert Sabin- Ambulatorio de Reabilitação Intestinal, Fortaleza 60410-994, BrazilInstituto de Puericultura Martagã Gesteira—Universidade Federal do Rio de Janeiro, Rio de Janeiro 21941-912, BrazilHospital Internacional de Colombia—Fundacion Cardiovascular de Colombia, Santander 681004, ColombiaGastroenterology, Hepatology and Nutrition Unit of Instituto Nacional de Salud del Niño, Universidad Nacional Mayor de San Marcos, Lima 15081, PeruDepartment of Pediatric Gastroenterology and Nutrition, School of Medicine, Pontificia Universidad Catolica de Chile, Santiago 8330024, ChileHospital da Criança Conceição, Porto Alegre 91350-250, BrazilPontificia Universidad Javeriana, Hospital Universitario San Ignacio, Bogota 111321, ColombiaDivision of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Hospital for Sick Children, University of Toronto, Toronto, ON M5G 1X8, CanadaThere 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.https://www.mdpi.com/2072-6643/13/8/2754home parenteral nutritionintestinal failureintestinal rehabilitationsurvey |
| spellingShingle | José Vicente N. Spolidoro Mirella C. Souza Helena A. S. Goldani María N. Tanzi Veronica B. Busoni Maria del Carmen Padilla Nelson E. Ramirez Colomba Cofre Lidia P. Valdivieso Carola Saure Gabriela Jimenez-Arguedas Mikaelle S. M. Mateus Roberta Serra Carlos Cuadros-Mendonza Juan Rivera-Medina Daniela Gattini Beatriz J. dos Santos Clara Plata Natascha Silva Sandy International Latin American Survey on Pediatric Intestinal Failure Team Nutrients home parenteral nutrition intestinal failure intestinal rehabilitation survey |
| 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 | home parenteral nutrition intestinal failure intestinal rehabilitation survey |
| url | https://www.mdpi.com/2072-6643/13/8/2754 |
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