Department of Paediatrics and Child Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
Division of Pediatric Hematology/Oncology/Stem Cell Transplant, Columbia University Medical Center, New York, USA.
J Trop Pediatr. 2019 Aug 1;65(4):397-404. doi: 10.1093/tropej/fmy068.
Up to 50% of children diagnosed with cancer in low- and middle-income countries are malnourished, which likely affects survival.
An online survey to paediatric oncology units (POUs) in Africa was done regarding nutritional assessment and care.
Sixty-six surveys were received from POUs in 31 countries. Only 44.4% had a dedicated dietician for nutritional assessment and support; 29.6% undertook routine nutritional assessment during treatment. None reported defined criteria for nutritional intervention. Total parenteral nutrition was not available for 42.6% of POUs, while 51.8% did not have access to commercial enteral nutrition for inpatients, and 25.9% of the hospitals could not supply any home-based nutritional supplements.
Nutritional assessment in POUs in Africa is neither routinely undertaken nor are there defined criteria to initiate nutritional interventions. Standardized guidelines for nutritional assessment and interventions are needed for African POUs to enable improved outcome.
在中低收入国家，多达 50%的癌症患儿存在营养不良的情况，这可能会影响他们的生存。
对非洲儿科肿瘤病房（POU）进行了一项关于营养评估和护理的在线调查。
从 31 个国家的 POU 共收到 66 份调查。只有 44.4%的病房有专门的营养师进行营养评估和支持；29.6%在治疗期间进行常规营养评估。没有一个病房报告有明确的营养干预标准。42.6%的 POU 无法获得全胃肠外营养，51.8%的病房无法为住院患者提供商业肠内营养，25.9%的医院无法提供任何家庭用营养补充剂。
非洲 POU 既没有常规进行营养评估，也没有明确的标准来启动营养干预。需要为非洲 POU 制定标准化的营养评估和干预指南，以提高治疗效果。
