早产和低出生体重新生儿铁预防的当前实践：意大利新生儿病房的一项调查。

Current practice of iron prophylaxis in preterm and low birth weight neonates: A survey among Italian Neonatal Units.

作者信息

Parodi Emilia, Ferrero Anna, Perrone Barbara, Saracco Paola, Giraudo Maria Teresa, Regoli Daniela

机构信息

Neonatology Unit, Ordine Mauriziano Hospital, Torino, Italy; Department of Pediatric and Public Health Sciences, University of Torino, Torino, Italy.

Department of Pediatric and Public Health Sciences, University of Torino, Torino, Italy.

出版信息

Pediatr Neonatol. 2018 Dec;59(6):581-585. doi: 10.1016/j.pedneo.2018.01.013. Epub 2018 Feb 2.

DOI:10.1016/j.pedneo.2018.01.013

PMID:29398552

Abstract

BACKGROUND

Preterm babies are at high risk of iron deficiency.

METHODS

We investigated current practices regarding iron prophylaxis in preterm and low birth weight newborns among Local Neonatal Units (LNUs, n = 74) and Neonatal Intensive Care Units (NICUs, n = 20) of three Italian Regions (Piemonte, Marche and Lazio).

RESULTS

Birth weight is considered an indicative parameter in only 64% of LNUs and 71% of NICUs, with a significant difference between LNUs in the three regions (86%, 20% and 62%, respectively; p < 0.001). Iron is recommended to infants with a birth weight between 2000 and 2500 g in only 25% of LNUs and 21% of NICUs, and to late-preterm (gestational age between 34 and 37 weeks) in a minority of Units (26% of LNUs, 7% of NICUs).

CONCLUSIONS

Our pilot survey documents a great variability and the urgent need to standardize practices according to literature recommendations.

摘要

背景

早产儿缺铁风险高。

方法

我们调查了意大利三个地区（皮埃蒙特、马尔凯和拉齐奥）的地方新生儿病房（LNUs，n = 74）和新生儿重症监护病房（NICUs，n = 20）中关于早产和低出生体重新生儿铁预防的现行做法。

结果

仅64%的地方新生儿病房和71%的新生儿重症监护病房将出生体重视为指示参数，三个地区的地方新生儿病房之间存在显著差异（分别为86%、20%和62%；p < 0.001）。仅25%的地方新生儿病房和21%的新生儿重症监护病房建议给出生体重在2000至2500克之间的婴儿补充铁剂，少数病房（26%的地方新生儿病房，7%的新生儿重症监护病房）建议给晚期早产儿（胎龄在34至37周之间）补充铁剂。