title: Necrotizing enterocolitis: the road to zero.
abstract: Necrotizing enterocolitis (NEC) continues to be the most severe gastrointestinal emergency facing the preterm neonate. The pathogenesis of NEC is still a complex and poorly understood process, but with increasing understanding of the role of enteral feeding, gut immunity and the altered gut microbiota, new opportunities to reduce overall NEC rates are now possible. Prevention strategies continue to lead as the most suitable approaches to reducing NEC, as early diagnosis and rapid effective treatment of NEC are still not optimal. Programmatic changes are equally important as subscribing to individual prevention strategies. The primary focus of this review is to summarize the best strategies we currently have to eliminate NEC within an institution.
authors.affiliation: Divisions of Neonatology & Pediatric Gastroenterology, Hepatology and Nutrition, University of California San Diego, Rady Children's Hospital of San Diego, 200 West Arbor Dr MPF 1140, San Diego, CA 92103-8774, USA. Electronic address: neojae@ucsd.edu.
authors.forename: Jae H
authors.initials: JH
authors.lastname: Kim
mesh_terms: D004750:Enteral Nutrition / Q000379:methods; D020345:Enterocolitis, Necrotizing / Q000276:immunology / Q000382:microbiology / Q000517:prevention & control*; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D007422:Intestines / Q000276:immunology / Q000382:microbiology; D064307:Microbiota / Q000276:immunology; D008895:Milk, Human
keywords: Necrotizing enterocolitis; Neonate; Prevention; Strategies