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[Prevention, diagnosis and treatment of necrotising enterocolitis in newborns less than 32 weeks at birth in Spain].

Authors
  • Zozaya, Carlos1
  • Avila-Alvarez, Alejandro2
  • Somoza Argibay, Iván3
  • García-Muñoz Rodrigo, Fermín4
  • Oikonomopoulou, Niki5
  • Encinas, José Luis6
  • Saenz de Pipaón, Miguel7
  • Couce, María Luz8
  • 1 División de Neonatología, The Hospital for Sick Children, Toronto, Ontario, Canadá. Electronic address: [email protected]
  • 2 Unidad de Neonatología, Servicio de Pediatría, Complexo Hospitalario Universitario A Coruña, A Coruña, España.
  • 3 Servicio de Cirugía Pediátrica, Complexo Hospitalario Universitario A Coruña, A Coruña, España.
  • 4 Servicio de Neonatología, Complejo Hospitalario Universitario Insular Materno-Infantil, Las Palmas de Gran Canaria, España.
  • 5 División de Neonatología, The Hospital for Sick Children, Toronto, Ontario, Canadá.
  • 6 Departamento de Cirugía Pediátrica, Hospital Universitario La Paz, Madrid, España.
  • 7 Servicio de Neonatología, Hospital Universitario La Paz, Madrid, España.
  • 8 Servicio de Neonatología, Hospital Clínico Universitario de Santiago de Compostela. Universidad de Santiago, IDIS; CIBERER, Santiago de Compostela, A Coruña, España.
Type
Published Article
Journal
Anales de Pediatría
Publisher
Elsevier
Publication Date
Sep 01, 2020
Volume
93
Issue
3
Pages
161–169
Identifiers
DOI: 10.1016/j.anpedi.2019.12.023
PMID: 32111552
Source
Medline
Keywords
Language
Spanish
License
Unknown

Abstract

To describe preventive, diagnostic and therapeutic strategies regarding necrotising enterocolitis in Spain and to identify the strengths, areas of further improvement, and future research lines. Two questionnaires on the management of preterm infants less than 32 weeks, at risk of, or with diagnosed necrotising enterocolitis, were distributed among selected representatives of the surgeons and neonatologists of the Spanish Neonatal Network (SEN1500) participant hospitals with a Paediatric Surgery Department. Percentage of response was 77.1% of contacted surgeons and 88.6% of neonatologists. There is a written protocol on the diagnosis and medical management of necrotising enterocolitis in 52% of the hospitals, and as regards surgical treatment in 33%. There is wide access to donor bank milk and to staff dedicated to breastfeeding promotion (87%). On the contrary, only 52% of the centres perform delayed cord clamping, and probiotics are used in just 23%. The use of abdominal ultrasound is increasing. There are no large differences as regards duration of antibiotic use and bowel rest, whereas there was as regards antibiotic selection, surgical indication, and type of intervention. As regards prevention, delayed cord clamping and extended access to donor milk are two possible aspects of further improvement. The observed discrepancies noted in diagnostic and therapeutic aspects are common in precisely the areas where evidence in the literature is weakest. Copyright © 2020 Asociación Española de Pediatría. Publicado por Elsevier España, S.L.U. All rights reserved.

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