title: [Assessment of standard parenteral nutrition in children].
abstract: BACKGROUND
  Nowadays, there is a stronger consensus on the proceedings of nutritional support with parenteral nutrition (PN) in paediatrics, the prescription standards, its formulation, elaboration, and nutritional requirements in order to improve the process quality and the patient's safety. The use of standardized PN solutions in children is rare due to the difficulty to adapt them to every pathophysiologic condition. In order to do so, in 2006 we designed and validated a big range of standard solutions for children weighing more than 10 kg or being older than 1 year.
  
  
  OBJECTIVE
  To assess the use of standard PN solutions and their suitability in children from January of 2006 until June of 2008: the frequency of prescription of standard solutions by age, weight, and indication, as well as their modifications. We compared the nutrients given by individualized PN solutions versus the recommendations of the Reference Guidelines and standardised PN.
  
  
  RESULTS
  47 children with a mean weight of 26.6 kg (9-50) and mean age 6.8 years (1-14) received 539 units of PN. Standardized PN (437) were used in 83% of the patients. Their total energy requirements were reached within 1-3 days by using one to three types of formulas. Only 4% (22) of them were modified, with easily feasible changes: volume increase (16), glucose lowering (3), and potassium increase (3). The analysis of the individualized PN in 8 children shows the same trend, with a caloric intake lower than 33% of the recommended one.
  
  
  CONCLUSIONS
  Standardized PN meet the nutritional requirements in most of the patients according to their morbid condition, highlighting their adaptability and versatility. Their use has eased the prescription-validation-preparation circuit and has improved the efficiency of the process.
authors.affiliation: Complejo Hospitalario de Jaén, Jaén, Spain. icabaporras@yahoo.es
authors.forename: I
authors.initials: I
authors.lastname: Caba Porras
authors.forename: A
authors.initials: A
authors.lastname: Cabello Muriel
authors.forename: B
authors.initials: B
authors.lastname: Oya Alvarez de Morales
authors.forename: J F
authors.initials: JF
authors.lastname: Marín Pozo
authors.forename: J
authors.initials: J
authors.lastname: García Aranda
authors.forename: C
authors.initials: C
authors.lastname: Llácer Pérez
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D010288:Parenteral Nutrition / Q000592:standards*; D057947:Parenteral Nutrition Solutions / Q000592:standards*
chemical_list: D057947:Parenteral Nutrition Solutions