Parenterale Ernährung in deutschen Perinatalzentren: Ergebnisse einer Umfrage zu Barrieren der klinischen Anwendung

Translated title of the contribution: Parenteral nutrition in German neonatal centers: Results of a survey on barriers to optimal clinical implementation

Arbeitsgruppe parenterale Ernährung von EFCNI, GNPI und ADKA

2 Citations (Scopus)

Abstract

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.

Translated title of the contributionParenteral nutrition in German neonatal centers: Results of a survey on barriers to optimal clinical implementation
Original languageGerman
JournalMonatsschrift fur Kinderheilkunde
ISSN0026-9298
DOIs
Publication statusAccepted/In press - 2021

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