Necrotizing enterocolitis in a preterm infant newborn and role of | 49916

Primary Health Care: Open Access

ISSN - 2167-1079

Necrotizing enterocolitis in a preterm infant newborn and role of feeding: An update

Annual Child and Family Healthcare Nursing Conference

August 13-14, 2018 Bali, Indonesia

Amr I M Hawal, Ajman and El Atawy Khaled M

Latifa Hospital, UAE

Posters & Accepted Abstracts: Primary Health Care

Abstract :

It is a clinical case presentation of a male preterm infant newborn (+31 weeks) that was delivered in our hospital and transferred to our NICU because of prematurity, VLBW and need to respiratory support. Baby shortly undergo Necrotizing Enterocolitis (NEC) on 5th day of life shortly after start of expressed milk feeding, which was early detected by use of Near Infrared Abdominal Spectroscopy (NIRS). Baby was deteriorated clinically in a couple of hours and undergoes intestinal perforation with peritonitis. So, abdominal exploration surgery with intestinal resection and end-to-end anastomosis was done urgently. Baby improved gradually and early feedings was started and gradually increased up to full feedings with use of Human Fortified Milk (HMF) and probiotics, prebiotics. The study stated the evidence-based feeding strategies guidelines for Necrotizing Enterocolitis (NEC) among very low birth weight infants and role of trophic feedings, probiotics, prebiotics and micronutrients in prophylaxis, prevention and management of NEC. Prematurity is the single greatest risk factor for NEC and avoidance of premature birth is the best way to prevent NEC. The role of feeding in the pathogenesis of NEC is uncertain, but it seems prudent to use breast milk (when available) and advance feedings slowly and cautiously. NEC is one of the main sources of mortality and the most widely recognized explanation behind developing GI medical procedure in infants. NEC remains a noteworthy unsolved medicinal challenge, for which no particular treatment exists and its pathogenesis stays disputable. A better comprehension of the pathophysiology will offer new and imaginative helpful methodologies and future examinations ought to be centered on the parts of the epithelial boundary, inborn invulnerability and micro biota in this issue. Bioinformatics displaying is another rising system went for understanding the flow of different inflammatory markers and their application in early diagnosis.

Biography :