title: [Modular diet and parenteral support in persistent diarrhea].
abstract: Eleven infants with protracted diarrhea were treated with modular diet and short-term parenteral nutrition. Mean age at admission was 3.7 months with males predominating. Enteropathogenic E. coli, classic serotypes, were isolated from 7 patients and rotavirus from one. A child with combined, severe immunodeficiency died. Milk protein intolerance was diagnosed in another patient. Balance studies and peroral biopsies were performed. Malnutrition was more frequent and hospital stay was longer in those infants who developed nosocomial infections. Even though this treatment shortened the duration of the hospitalization, the negative nutritional impact persisted: Weight/Age (NCHS) decreased from 84% to 61%, with rapid recovery after discharge. Fecal lactic acid excretion was increased on admission to 1,296 mg x day and disaccharidase activity was decreased. The modular diet decreased both fecal volume and lactic acid excretion.
authors.forename: F
authors.initials: F
authors.lastname: Barrera
authors.forename: M J
authors.initials: MJ
authors.lastname: Rebollo
authors.forename: J
authors.initials: J
authors.lastname: Espinoza
authors.forename: M
authors.initials: M
authors.lastname: Araya
authors.forename: O
authors.initials: O
authors.lastname: Brunser
authors.forename: S
authors.initials: S
authors.lastname: Escobar
authors.forename: G
authors.initials: G
authors.lastname: Romero
mesh_terms: D003968:Diarrhea, Infantile / Q000097:blood / Q000628:therapy*; D004032:Diet; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D010288:Parenteral Nutrition
vernacular_title: Dieta modular y apoyo parenteral en diarrea persistente.