Esteban Gómez M J, Vicario Zubizarreta M J, Lucena Campillo A, Moyano Sierra N, Gomis Muñoz P, de Juana Velasco P
Servicio de Farmacia, Hospital Universitario 12 de Octubre, Madrid.
Farm Hosp. 2006 Jan-Feb;30(1):6-11. doi: 10.1016/s1130-6343(06)73937-x.
To identify habits related to prescription and preparation of parenteral nutrition in Spain and their adequacy to current recommendations.
A questionnaire was administered in order to collect information about the characteristics of diets used at each hospital and the way they were prepared. The questionnaire was available through the web page of the Spanish Society of Hospital Pharmacy.
Forty five hospitals answered the questionnaire. More than 90% of the hospitals reported that they used diets with a fixed or standard composition and 66.6% reported that they bought diets available in the market with a defined composition. Fifty seven point five per cent of the hospitals always prepared "all in one" parenteral nutrition and 37.5% prepared them only for adults. A 5% provided the lipids separately, both for adults and for children. Forty five per cent of the hospitals reported that they did not use organophosphates as source of phosphate. Almost 60% alternate the introduction of vitamins and trace elements. Differences were also found regarding the type of lipids provided and the use of filters. Most hospitals used multi-layer bags and photoprotection.
There is quite a lot of diversity in the patterns of prescription and preparation of parenteral nutrition in our country. Further consensus documents should be written about these topics.
确定西班牙肠外营养处方及配制相关习惯及其与当前建议的相符程度。
发放一份调查问卷，以收集各医院所用饮食的特点及其配制方式的信息。该问卷可通过西班牙医院药学协会的网页获取。
45家医院回复了问卷。超过90%的医院报告称他们使用成分固定或标准的饮食，66.6%的医院报告称他们购买市场上成分明确的饮食。57.5%的医院总是配制“全合一”肠外营养，37.5%的医院仅为成人配制。5%的医院为成人和儿童都分别提供脂质。45%的医院报告称他们不使用有机磷酸盐作为磷源。近60%的医院交替添加维生素和微量元素。在提供的脂质类型和过滤器的使用方面也发现了差异。大多数医院使用多层袋和光保护措施。
我国肠外营养的处方及配制模式存在相当大的差异。关于这些主题应编写更多的共识文件。
