[Parenteral nutrition in pediatric patients: indications and complications in third level].
BACKGROUND
Parenteral nutrition (PN) is a mixture that covers the nutritional needs when enteral nutrition is not an option; however, PN is not free of complications. The aim of our study was to determine the indication and frequency of NP complications in pediatric patients treated at a tertiary center.


METHODS
Children receiving PN at the Hospital de Pediatría del Centro Médico Nacional Siglo XXI were included. Demographic and anthropometric characteristics were recorded, as well as the reason of indicating PN, the time of administration, and the complications associated to this type of nutrition.


RESULTS
Sixty-nine pediatric patients with PN were included: 33 neonates, 18 infants (between one and 11 months of age), nine preschoolers (from 1 to 5 years of age), and nine children over five years of age. Instructions for initiating the PN were given for the treatment of 71 % of the patients with diseases of the digestive tract who were treated surgically. Complications of PN occurred in 87 % of the children and 76.7 % had more than one complication. Metabolic complications occurred in 98 % of the children while mechanical and infectious complications only in 1 %, respectively.


CONCLUSIONS
Parenteral nutrition was indicated more frequently in pediatric patients with digestive diseases treated surgically. Metabolic complications were the main concern in pediatric patients with PN.
Hospital de Pediatría, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Distrito Federal, México. rorg21@yahoo.com.mx.
Roxana
R
Ríos-González
María Salomé
MS
Anaya-Florez
Jorge Isaac
JI
Gutiérrez-Hernández
Segundo
S
Morán-Villota
D002648:Child; D002675:Child, Preschool; D004066:Digestive System Diseases / Q000628:therapy*; D005260:Female; D006776:Hospitals, Pediatric; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007239:Infections / Q000209:etiology; D008297:Male; D008659:Metabolic Diseases / Q000209:etiology; D008800:Mexico; D010288:Parenteral Nutrition / Q000009:adverse effects* / Q000706:statistics & numerical data*; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D011446:Prospective Studies; D062606:Tertiary Care Centers
Child health service; Complications; Parenteral nutrition