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Nutrients. 2018 Sep 16;10(9). pii: E1311. doi: 10.3390/nu10091311.

Paediatric Home Artificial Nutrition in Italy: Report from 2016 Survey on Behalf of Artificial Nutrition Network of Italian Society for Gastroenterology, Hepatology and Nutrition (SIGENP).

Author information

1
Division of Clinical Nutrition, Regina Margherita Children's Hospital, Città della Salute e della Scienza, 10126 Turin, Italy. alezodott@gmail.com.
2
Artificial Nutrition Unit Bambino Gesù, Children's Hospital, IRCCS, 00165 Rome, Italy. teresa.capriati@opbg.net.
3
Department of Transalational Medical Science, Section of Pediatrics, University of Naples Federico II, 80131 Naples, Italy. mispagnu@unina.it.
4
Department of Gastroenterology and Nutrition Unit, Meyer Children's Hospital, 50139 Florence, Italy. laura.lacitignola@meyer.it.
5
Division of Clinical Nutrition, Regina Margherita Children's Hospital, Città della Salute e della Scienza, 10126 Turin, Italy. igoreva@cittadellasalute.to.it.
6
Department of Pediatrics, "Burlo Garofolo" Hospital, University of Trieste, IRCCS, 34137 Trieste, Italy. grazia.dileo@burlo.trieste.it.
7
"Santobono-Pausillipon" Children's Hospital, 80129 Naples, Italy. n.cecchi@santobonopausilipon.it.
8
Gastroenterology Unit, G. Gaslini Institute for Maternal and Child Health, IRCCS, 16145 Genova, Italy. paologandullia@gaslini.org.
9
Azienda USL-IRCCS di Reggio Emilia, Pediatrics Unit Arcispedale Santa Maria Nuova, 42123 Reggio Emilia, Italy. sergio.amarri@ausl.re.it.
10
Ped Gastroenterology and Nutrition Clinic, DIMEC, "Sant'Orsola" Hospital, 40138 Bologna, Italy. l.forchielli@tiscali.it.
11
Unit of Pediatrics, Department of Human Pathology in Adulthood and Childhood "G. Barresi", University of Messina, 98122 Messina, Italy. dipasquale.valeria@libero.it.
12
Department of Pediatrics, Ospedale Sant'Anna, 22042 Como, Italy. barbaraparma79@hotmail.com.
13
Department of Pediatrics, AOU Ospedali Riuniti, Salesi's Children Hospital, 60121 Ancona, Italy. simona.gatti@hotmail.it.
14
Local Health Care Service AUSL Romagna, 48121 Rimini, Italy. elisa.ravaioli@auslromagna.it.
15
Pediatric Department, "F. Del Ponte" Hospital, Insubria University, 21100 Varese, Italy. silvia.salvatore@uninsubria.it.
16
Department of Paediatrics, "Santa Maria delle Croci" Hospital, 48121 Ravenna, Italy. mmainetti111@gmail.com.
17
Paediatric, Hepatology, Gastroenterology and Transplantation, Hospital Papa Giovanni XXIII, 24127 Bergamo, Italy. lnorsa@asst-pg23.it.
18
"Cà Granda" Hospital, 20162 Milan, Italy. maristella.pellegrino@ospedaleniguarda.it.
19
Pediatrics Unit, "Morgagni-Pierantoni" Hospital, 47100 Forlì, Italy. martina.fornaro@auslromagna.it.
20
Pediatric Division of "Santa Maria del Carmine" Hospital, Rovereto, 38068 Trento, Italy. valentina.fiorito@apss.tn.it.
21
Pediatric Emergency Unit of "Sant'Orsola" Hospital, 40138 Bologna, Italy. marcello.lanari@unibo.it.
22
Dietetic and Nutrition Center, Bufalini" Hospital, AUSL Romagna, 47521 Cesena, Italy. estergiaquinto@gmail.com.
23
"San Paolo" Hospital, 20142 Milan, Italy. elvira.verduci@unimi.it.
24
Neonatology and NICU Division, Policlinico "Aldo Moro" University Hospital, 70124 Bari, Italy. mariaelisabetta.baldassarre@uniba.it.
25
Artificial Nutrition Unit Bambino Gesù, Children's Hospital, IRCCS, 00165 Rome, Italy. antonella.diamanti@opbg.net.

Abstract

Home Artificial Nutrition (HAN) is a safe and efficacious technique that insures children's reintegration into the family, society and school. Epidemiological data on paediatric HAN in Italy are not available.

AIM:

to detect the prevalence and incidence of Home Parenteral Nutrition (HPN) and Home Enteral Nutrition (HEN), either via tube or mouth, in Italy in 2016.

MATERIALS AND METHODS:

a specific form was sent to all registered SIGENP members and investigators of local HAN centres, inviting them to provide the requested centre's data and demographics, underlying diseases and HAN characteristics of the patients.

RESULTS:

we recorded 3403 Italian patients on HAN aged 0 to 19 years from 22 centres: 2277 HEN, 950 Oral Nutritional Supplements (ONS) and 179 HPN programs. The prevalence of HEN (205 pts/million inhabitants) and HPN (16 pts/million inhabitants) has dramatically increased in Italy in the last 9 years. Neurodisabling conditions were the first indication for HEN by tube or mouth while HPN is mainly requested in digestive disorders.

CONCLUSIONS:

HAN is a widespread and rapidly growing treatment in Italy, as well as in other European countries. Awareness of its extent and characteristics helps improving HAN service and patients' quality of life.

KEYWORDS:

children; home enteral nutrition; home parenteral nutrition; oral nutritional supplements

PMID:
30223620
PMCID:
PMC6163787
DOI:
10.3390/nu10091311
[Indexed for MEDLINE]
Free PMC Article

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