TY - JOUR
T1 - Parenterale Ernährung in deutschen Perinatalzentren
T2 - Ergebnisse einer Umfrage zu Barrieren der klinischen Anwendung
AU - Arbeitsgruppe parenterale Ernährung von EFCNI, GNPI und ADKA
AU - Hoffmann, Julia
AU - Haiden, Nadja
AU - Babl, Jürgen
AU - Fusch, Christoph
AU - Piening, Brar
AU - Schubert, Sebastian
AU - Mader, Silke
AU - Babl, Jürgen
AU - Erdmann, Harald
AU - Fusch, Christoph
AU - Haiden, Nadja
AU - Hentschel, Roland
AU - Herting, Egbert
AU - Hock, Simone M.
AU - Hoffmann, Julia
AU - Mader, Silke
AU - Mihatsch, Walter
AU - Pfeil, Johanna M.
AU - Piening, Brar
AU - Schubert, Sebastian
AU - Seeliger, Stephan
AU - Zimmermann, Luc J.I.
N1 - Publisher Copyright:
© 2021, The Author(s).
PY - 2021
Y1 - 2021
N2 - Background: The guidelines of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) provide evidence-based recommendations for parenteral nutrition (PN) of preterm and sick neonates. In 2013 it has been shown that the ESPGHAN guidelines were only partly applied in Western Europe. Thus, it is essential to improve the practical implementation of these guidelines. Objective: The aim was to evaluate the current application of these guidelines in Germany and to identify barriers that impede their implementation. Material and methods: In cooperation with the German Society for Neonatology and Pediatric Intensive Care (GNPI), the Federal Association of German Hospital Pharmacists (ADKA) and 11 key experts, the European Foundation for the Care of Newborn Infants (EFCNI) initiated an online survey. Pediatricians and pharmacists from German perinatal centers and hospital pharmacies provided details on the current application and implementation of the ESPGHAN guidelines via an online questionnaire. Data were analyzed in a qualitative and quantitative approach. Results and discussion: Among the 558 contacted perinatal centers and hospital pharmacies, 196 provided valid data. The results showed that the ESPGHAN guidelines were well-known among pharmacists and pediatricians in Germany and partly applied in their daily procedures; however, barriers in the practical application were identified together with organizational and structural problems that hinder their implementation. There is need to improve the provision of standardized parenteral solutions and computer order entry systems, the initiation of lipid supply on the first day of life, the control of laboratory parameters as well as the training of responsible staff. Conclusion: We identified structural barriers and implementation problems of the ESPGHAN Guidelines in German neonatal intensive care units. To overcome these barriers, practical solutions tailored to needs of individual professional groups have to be developed.
AB - Background: The guidelines of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) provide evidence-based recommendations for parenteral nutrition (PN) of preterm and sick neonates. In 2013 it has been shown that the ESPGHAN guidelines were only partly applied in Western Europe. Thus, it is essential to improve the practical implementation of these guidelines. Objective: The aim was to evaluate the current application of these guidelines in Germany and to identify barriers that impede their implementation. Material and methods: In cooperation with the German Society for Neonatology and Pediatric Intensive Care (GNPI), the Federal Association of German Hospital Pharmacists (ADKA) and 11 key experts, the European Foundation for the Care of Newborn Infants (EFCNI) initiated an online survey. Pediatricians and pharmacists from German perinatal centers and hospital pharmacies provided details on the current application and implementation of the ESPGHAN guidelines via an online questionnaire. Data were analyzed in a qualitative and quantitative approach. Results and discussion: Among the 558 contacted perinatal centers and hospital pharmacies, 196 provided valid data. The results showed that the ESPGHAN guidelines were well-known among pharmacists and pediatricians in Germany and partly applied in their daily procedures; however, barriers in the practical application were identified together with organizational and structural problems that hinder their implementation. There is need to improve the provision of standardized parenteral solutions and computer order entry systems, the initiation of lipid supply on the first day of life, the control of laboratory parameters as well as the training of responsible staff. Conclusion: We identified structural barriers and implementation problems of the ESPGHAN Guidelines in German neonatal intensive care units. To overcome these barriers, practical solutions tailored to needs of individual professional groups have to be developed.
UR - http://www.scopus.com/inward/record.url?scp=85107716734&partnerID=8YFLogxK
U2 - 10.1007/s00112-021-01219-4
DO - 10.1007/s00112-021-01219-4
M3 - Zeitschriftenaufsätze
AN - SCOPUS:85107716734
SN - 0026-9298
JO - Monatsschrift fur Kinderheilkunde
JF - Monatsschrift fur Kinderheilkunde
ER -
