Lichtschutz für Lösungen zur parenteralen Ernährung von Säuglingen und Kindern bis zum Alter von 2 Jahren | Light protection of parenteral nutritional solutions for infants and children up to 2 years old: Statement of the Federal Association of German Hospital Pharmacists (ADKA), the nutrition committee of the German Society of Pediatrics and Adolescent Medicine (DGKJ), the nutrition committee of the Austrian Society of Pediatrics and Adolescent Medicine (ÖGKJ) and the working group on chronic intestinal failure (AGCDV) of the Society for Pediatric Gastroenterology and Nutrition (GPGE)
2021
Erdmann, H. | Heimke-Brinck, R. | Mihatsch, W. | Bührer, C. | Ensenauer, Regina | Jochum, F. | Kalhoff, H. | Körner, A. | Koletzko, B. | Lawrenz, B. | Rudloff, S. | Zimmer, K.-P. | Greber-Platzer, S. | Haiden, N. | Hauer, A. | Lanzersdorfer, R. | Pietschnig, B. | Scholl-Bürgi, S. | Sperl, W. | Weghuber, D. | Zwiauer, K. | Ballauff, A. | Burmester, G. | Busch, A. | de Laffolie, J. | Felcht, J. | Garino, J. | Hilberath, J. | Kohl, M. | Krohn, K. | Lieb, A. | Posovszky, C. | Querfurt, A. | Rückel, A. | Wessel, L.
Position paper of the Federal Association of German Hospital Pharmacists, the nutrition committees of the German and Austrian Societies of Pediatrics and Adolescent Medicine and the working group on intestinal failure of the Society of Pediatric Gastroenterology and Nutrition. In 2019 the German Federal Institute for Drugs and Medical Devices (Bundesinstitut für Arzneimittel und Medizinprodukte, BfArM) launched a “doctors letter” (Rote-Hand-Brief) recommending light protection of all parenteral nutrition (PN) solutions during administration for preterm infants, term infants and children less than 2 years of age. The aim of the present paper is to review the available evidence and provide evidence-based recommendations for hospital and home PN light protection in children. The Federal Association of German Hospital Pharmacists, the nutrition committees of the German and Austrian Societies of Pediatrics and Adolescent Medicine and the working group on intestinal failure of the Society of Pediatric Gastroenterology and Nutrition recommend in accordance with the recommendations of the ESPGHAN, ESPEN, ESPR and CESPEN guidelines on pediatric parenteral nutrition: 1. Lipid emulsions and/or vitamins containing PN solutions should be protected from light during administration (bags and tubing) to prevent the generation of oxidants. 2. There is no conclusive evidence for recommending light protection for PN solutions without lipid emulsions and without vitamins during administration (solutions containing, e.g. amino acids, glucose, electrolytes, or trace elements). In addition, in home PN non-light-protected spiral tubing may be used because validated light-protected spiral tubing is currently not available, given that spiral tubing improves the range of motion and safety in infants and young children.
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出版者 Springer Medizin-Verl.
ISSN 0026-9298 | 1433-0474