Light protection of parenteral nutritional solutions for infants and children up to 2 years old: Statement of the Federal Association of German Hospital Pharmacists (ADKA), the nutrition committee of the German Society of Pediatrics and Adolescent Medicine (DGKJ), the nutrition committee of the Austrian Society of Pediatrics and Adolescent Medicine (ÖGKJ) and the working group on chronic intestinal failure (AGCDV) of the Society for Pediatric Gastroenterology and Nutrition (GPGE)

H. Erdmann; R. Heimke-Brinck; W. Mihatsch; C. Bührer; R. Ensenauer; F. Jochum; H. Kalhoff; A. Körner; B. Koletzko; B. Lawrenz; S. Rudloff; K. P. Zimmer; S. Greber-Platzer; N. Haiden; A. Hauer; R. Lanzersdorfer; B. Pietschnig; S. Scholl-Bürgi; W. Sperl; D. Weghuber; K. Zwiauer; A. Ballauff; G. Burmester; A. Busch; J. de Laffolie; J. Felcht; J. Garino; J. Hilberath; M. Kohl; K. Krohn; A. Lieb; C. Posovszky; A. Querfurt; A. Rückel; L. Wessel; Walter A. Mihatsch

doi:10.1007/s00112-020-01111-7

Light protection of parenteral nutritional solutions for infants and children up to 2 years old: Statement of the Federal Association of German Hospital Pharmacists (ADKA), the nutrition committee of the German Society of Pediatrics and Adolescent Medicine (DGKJ), the nutrition committee of the Austrian Society of Pediatrics and Adolescent Medicine (ÖGKJ) and the working group on chronic intestinal failure (AGCDV) of the Society for Pediatric Gastroenterology and Nutrition (GPGE)

H. Erdmann, R. Heimke-Brinck, W. Mihatsch, C. Bührer, R. Ensenauer, F. Jochum, H. Kalhoff, A. Körner, B. Koletzko, B. Lawrenz, S. Rudloff, K. P. Zimmer, S. Greber-Platzer, N. Haiden, A. Hauer, R. Lanzersdorfer, B. Pietschnig, S. Scholl-Bürgi, W. Sperl, D. WeghuberK. Zwiauer, A. Ballauff, G. Burmester, A. Busch, J. de Laffolie, J. Felcht, J. Garino, J. Hilberath, M. Kohl, K. Krohn, A. Lieb, C. Posovszky, A. Querfurt, A. Rückel, L. Wessel, Walter A. Mihatsch

Abstract

Position paper of the Federal Association of German Hospital Pharmacists, the nutrition committees of the German and Austrian Societies of Pediatrics and Adolescent Medicine and the working group on intestinal failure of the Society of Pediatric Gastroenterology and Nutrition. In 2019 the German Federal Institute for Drugs and Medical Devices (Bundesinstitut für Arzneimittel und Medizinprodukte, BfArM) launched a “doctors letter” (Rote-Hand-Brief) recommending light protection of all parenteral nutrition (PN) solutions during administration for preterm infants, term infants and children less than 2 years of age. The aim of the present paper is to review the available evidence and provide evidence-based recommendations for hospital and home PN light protection in children. The Federal Association of German Hospital Pharmacists, the nutrition committees of the German and Austrian Societies of Pediatrics and Adolescent Medicine and the working group on intestinal failure of the Society of Pediatric Gastroenterology and Nutrition recommend in accordance with the recommendations of the ESPGHAN, ESPEN, ESPR and CESPEN guidelines on pediatric parenteral nutrition: 1. Lipid emulsions and/or vitamins containing PN solutions should be protected from light during administration (bags and tubing) to prevent the generation of oxidants. 2. There is no conclusive evidence for recommending light protection for PN solutions without lipid emulsions and without vitamins during administration (solutions containing, e.g. amino acids, glucose, electrolytes, or trace elements). In addition, in home PN non-light-protected spiral tubing may be used because validated light-protected spiral tubing is currently not available, given that spiral tubing improves the range of motion and safety in infants and young children.

Original language	English
Journal	Monatsschrift fur Kinderheilkunde
Volume	169
Issue number	8
Pages (from-to)	751-755
Number of pages	5
ISSN	0026-9298
DOIs	https://doi.org/10.1007/s00112-020-01111-7
Publication status	Published - 08.2021

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Erdmann, H., Heimke-Brinck, R., Mihatsch, W., Bührer, C., Ensenauer, R., Jochum, F., Kalhoff, H., Körner, A., Koletzko, B., Lawrenz, B., Rudloff, S., Zimmer, K. P., Greber-Platzer, S., Haiden, N., Hauer, A., Lanzersdorfer, R., Pietschnig, B., Scholl-Bürgi, S., Sperl, W., ... Mihatsch, W. A. (2021). Light protection of parenteral nutritional solutions for infants and children up to 2 years old: Statement of the Federal Association of German Hospital Pharmacists (ADKA), the nutrition committee of the German Society of Pediatrics and Adolescent Medicine (DGKJ), the nutrition committee of the Austrian Society of Pediatrics and Adolescent Medicine (ÖGKJ) and the working group on chronic intestinal failure (AGCDV) of the Society for Pediatric Gastroenterology and Nutrition (GPGE). Monatsschrift fur Kinderheilkunde, 169(8), 751-755. https://doi.org/10.1007/s00112-020-01111-7

Erdmann, H. ; Heimke-Brinck, R. ; Mihatsch, W. et al. / Light protection of parenteral nutritional solutions for infants and children up to 2 years old: Statement of the Federal Association of German Hospital Pharmacists (ADKA), the nutrition committee of the German Society of Pediatrics and Adolescent Medicine (DGKJ), the nutrition committee of the Austrian Society of Pediatrics and Adolescent Medicine (ÖGKJ) and the working group on chronic intestinal failure (AGCDV) of the Society for Pediatric Gastroenterology and Nutrition (GPGE). In: Monatsschrift fur Kinderheilkunde. 2021 ; Vol. 169, No. 8. pp. 751-755.

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title = "Light protection of parenteral nutritional solutions for infants and children up to 2 years old: Statement of the Federal Association of German Hospital Pharmacists (ADKA), the nutrition committee of the German Society of Pediatrics and Adolescent Medicine (DGKJ), the nutrition committee of the Austrian Society of Pediatrics and Adolescent Medicine ({\"O}GKJ) and the working group on chronic intestinal failure (AGCDV) of the Society for Pediatric Gastroenterology and Nutrition (GPGE)",

abstract = "Position paper of the Federal Association of German Hospital Pharmacists, the nutrition committees of the German and Austrian Societies of Pediatrics and Adolescent Medicine and the working group on intestinal failure of the Society of Pediatric Gastroenterology and Nutrition. In 2019 the German Federal Institute for Drugs and Medical Devices (Bundesinstitut f{\"u}r Arzneimittel und Medizinprodukte, BfArM) launched a “doctors letter” (Rote-Hand-Brief) recommending light protection of all parenteral nutrition (PN) solutions during administration for preterm infants, term infants and children less than 2 years of age. The aim of the present paper is to review the available evidence and provide evidence-based recommendations for hospital and home PN light protection in children. The Federal Association of German Hospital Pharmacists, the nutrition committees of the German and Austrian Societies of Pediatrics and Adolescent Medicine and the working group on intestinal failure of the Society of Pediatric Gastroenterology and Nutrition recommend in accordance with the recommendations of the ESPGHAN, ESPEN, ESPR and CESPEN guidelines on pediatric parenteral nutrition: 1. Lipid emulsions and/or vitamins containing PN solutions should be protected from light during administration (bags and tubing) to prevent the generation of oxidants. 2. There is no conclusive evidence for recommending light protection for PN solutions without lipid emulsions and without vitamins during administration (solutions containing, e.g. amino acids, glucose, electrolytes, or trace elements). In addition, in home PN non-light-protected spiral tubing may be used because validated light-protected spiral tubing is currently not available, given that spiral tubing improves the range of motion and safety in infants and young children.",

author = "H. Erdmann and R. Heimke-Brinck and W. Mihatsch and C. B{\"u}hrer and R. Ensenauer and F. Jochum and H. Kalhoff and A. K{\"o}rner and B. Koletzko and B. Lawrenz and S. Rudloff and Zimmer, \{K. P.\} and S. Greber-Platzer and N. Haiden and A. Hauer and R. Lanzersdorfer and B. Pietschnig and S. Scholl-B{\"u}rgi and W. Sperl and D. Weghuber and K. Zwiauer and A. Ballauff and G. Burmester and A. Busch and \{de Laffolie\}, J. and J. Felcht and J. Garino and J. Hilberath and M. Kohl and K. Krohn and A. Lieb and C. Posovszky and A. Querfurt and A. R{\"u}ckel and L. Wessel and Mihatsch, \{Walter A.\}",

note = "Publisher Copyright: {\textcopyright} 2021, The Author(s).",

year = "2021",

month = aug,

doi = "10.1007/s00112-020-01111-7",

language = "English",

volume = "169",

pages = "751--755",

journal = "Monatsschrift fur Kinderheilkunde",

issn = "0026-9298",

number = "8",

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Erdmann, H, Heimke-Brinck, R, Mihatsch, W, Bührer, C, Ensenauer, R, Jochum, F, Kalhoff, H, Körner, A, Koletzko, B, Lawrenz, B, Rudloff, S, Zimmer, KP, Greber-Platzer, S, Haiden, N, Hauer, A, Lanzersdorfer, R, Pietschnig, B, Scholl-Bürgi, S, Sperl, W, Weghuber, D, Zwiauer, K, Ballauff, A, Burmester, G, Busch, A, de Laffolie, J, Felcht, J, Garino, J, Hilberath, J, Kohl, M, Krohn, K, Lieb, A, Posovszky, C, Querfurt, A, Rückel, A, Wessel, L & Mihatsch, WA 2021, 'Light protection of parenteral nutritional solutions for infants and children up to 2 years old: Statement of the Federal Association of German Hospital Pharmacists (ADKA), the nutrition committee of the German Society of Pediatrics and Adolescent Medicine (DGKJ), the nutrition committee of the Austrian Society of Pediatrics and Adolescent Medicine (ÖGKJ) and the working group on chronic intestinal failure (AGCDV) of the Society for Pediatric Gastroenterology and Nutrition (GPGE)', Monatsschrift fur Kinderheilkunde, vol. 169, no. 8, pp. 751-755. https://doi.org/10.1007/s00112-020-01111-7

Light protection of parenteral nutritional solutions for infants and children up to 2 years old: Statement of the Federal Association of German Hospital Pharmacists (ADKA), the nutrition committee of the German Society of Pediatrics and Adolescent Medicine (DGKJ), the nutrition committee of the Austrian Society of Pediatrics and Adolescent Medicine (ÖGKJ) and the working group on chronic intestinal failure (AGCDV) of the Society for Pediatric Gastroenterology and Nutrition (GPGE). / Erdmann, H.; Heimke-Brinck, R.; Mihatsch, W. et al.
In: Monatsschrift fur Kinderheilkunde, Vol. 169, No. 8, 08.2021, p. 751-755.

Research output: Journal Articles › Journal articles › Research › peer-review

TY - JOUR

T1 - Light protection of parenteral nutritional solutions for infants and children up to 2 years old: Statement of the Federal Association of German Hospital Pharmacists (ADKA), the nutrition committee of the German Society of Pediatrics and Adolescent Medicine (DGKJ), the nutrition committee of the Austrian Society of Pediatrics and Adolescent Medicine (ÖGKJ) and the working group on chronic intestinal failure (AGCDV) of the Society for Pediatric Gastroenterology and Nutrition (GPGE)

AU - Erdmann, H.

AU - Heimke-Brinck, R.

AU - Mihatsch, W.

AU - Bührer, C.

AU - Ensenauer, R.

AU - Jochum, F.

AU - Kalhoff, H.

AU - Körner, A.

AU - Koletzko, B.

AU - Lawrenz, B.

AU - Rudloff, S.

AU - Zimmer, K. P.

AU - Greber-Platzer, S.

AU - Haiden, N.

AU - Hauer, A.

AU - Lanzersdorfer, R.

AU - Pietschnig, B.

AU - Scholl-Bürgi, S.

AU - Sperl, W.

AU - Weghuber, D.

AU - Zwiauer, K.

AU - Ballauff, A.

AU - Burmester, G.

AU - Busch, A.

AU - de Laffolie, J.

AU - Felcht, J.

AU - Garino, J.

AU - Hilberath, J.

AU - Kohl, M.

AU - Krohn, K.

AU - Lieb, A.

AU - Posovszky, C.

AU - Querfurt, A.

AU - Rückel, A.

AU - Wessel, L.

AU - Mihatsch, Walter A.

PY - 2021/8

Y1 - 2021/8

N2 - Position paper of the Federal Association of German Hospital Pharmacists, the nutrition committees of the German and Austrian Societies of Pediatrics and Adolescent Medicine and the working group on intestinal failure of the Society of Pediatric Gastroenterology and Nutrition. In 2019 the German Federal Institute for Drugs and Medical Devices (Bundesinstitut für Arzneimittel und Medizinprodukte, BfArM) launched a “doctors letter” (Rote-Hand-Brief) recommending light protection of all parenteral nutrition (PN) solutions during administration for preterm infants, term infants and children less than 2 years of age. The aim of the present paper is to review the available evidence and provide evidence-based recommendations for hospital and home PN light protection in children. The Federal Association of German Hospital Pharmacists, the nutrition committees of the German and Austrian Societies of Pediatrics and Adolescent Medicine and the working group on intestinal failure of the Society of Pediatric Gastroenterology and Nutrition recommend in accordance with the recommendations of the ESPGHAN, ESPEN, ESPR and CESPEN guidelines on pediatric parenteral nutrition: 1. Lipid emulsions and/or vitamins containing PN solutions should be protected from light during administration (bags and tubing) to prevent the generation of oxidants. 2. There is no conclusive evidence for recommending light protection for PN solutions without lipid emulsions and without vitamins during administration (solutions containing, e.g. amino acids, glucose, electrolytes, or trace elements). In addition, in home PN non-light-protected spiral tubing may be used because validated light-protected spiral tubing is currently not available, given that spiral tubing improves the range of motion and safety in infants and young children.

AB - Position paper of the Federal Association of German Hospital Pharmacists, the nutrition committees of the German and Austrian Societies of Pediatrics and Adolescent Medicine and the working group on intestinal failure of the Society of Pediatric Gastroenterology and Nutrition. In 2019 the German Federal Institute for Drugs and Medical Devices (Bundesinstitut für Arzneimittel und Medizinprodukte, BfArM) launched a “doctors letter” (Rote-Hand-Brief) recommending light protection of all parenteral nutrition (PN) solutions during administration for preterm infants, term infants and children less than 2 years of age. The aim of the present paper is to review the available evidence and provide evidence-based recommendations for hospital and home PN light protection in children. The Federal Association of German Hospital Pharmacists, the nutrition committees of the German and Austrian Societies of Pediatrics and Adolescent Medicine and the working group on intestinal failure of the Society of Pediatric Gastroenterology and Nutrition recommend in accordance with the recommendations of the ESPGHAN, ESPEN, ESPR and CESPEN guidelines on pediatric parenteral nutrition: 1. Lipid emulsions and/or vitamins containing PN solutions should be protected from light during administration (bags and tubing) to prevent the generation of oxidants. 2. There is no conclusive evidence for recommending light protection for PN solutions without lipid emulsions and without vitamins during administration (solutions containing, e.g. amino acids, glucose, electrolytes, or trace elements). In addition, in home PN non-light-protected spiral tubing may be used because validated light-protected spiral tubing is currently not available, given that spiral tubing improves the range of motion and safety in infants and young children.

UR - https://www.scopus.com/pages/publications/85099828715

UR - https://www.mendeley.com/catalogue/8f3c27b6-46a7-37ba-ada5-78ea1cfdc092/

U2 - 10.1007/s00112-020-01111-7

DO - 10.1007/s00112-020-01111-7

M3 - Journal articles

AN - SCOPUS:85099828715

SN - 0026-9298

VL - 169

SP - 751

EP - 755

JO - Monatsschrift fur Kinderheilkunde

JF - Monatsschrift fur Kinderheilkunde

IS - 8

ER -