Intestinal Failure Unit, Salford Royal Foundation Trust and University of Manchester, Manchester, Stott Lane, Salford, M6 8HD, UK.
Medico-Surgical Department of Gastroenterology, Hˆopital Erasme, Free University of Brussels, Belgium.
Clin Nutr. 2020 Jul;39(7):1988-1991. doi: 10.1016/j.clnu.2020.05.023. Epub 2020 May 28.
The management of patients with chronic intestinal failure requiring home parenteral nutrition has been and will continue to be impaired during the SARS-CoV-2 pandemic. Multidisciplinary intestinal failure teams may have to adapt their clinical approaches to home care, outpatient care as well as hospital admission and discharge in order to keep this vulnerable group of patients as safe and well as possible during the unprecedented challenges that countries are facing during the pandemic. Equally, it is important that expert advice from intestinal failure teams is available when home parenteral nutrition (HPN)-dependent patients require admission with SARS-CoV-2 infection. The Home Artificial Nutrition & Chronic Intestinal Failure Special Interest Group of the European Society for Clinical Nutrition and Metabolism (ESPEN) has developed a position paper to outline areas for intestinal failure teams to consider when managing patients with chronic intestinal failure during the SARS-CoV-2 pandemic.
在 SARS-CoV-2 大流行期间,需要家庭肠外营养的慢性肠衰竭患者的管理受到了影响,并且在未来仍将继续受到影响。多学科肠衰竭团队可能需要调整其针对家庭护理、门诊护理以及住院和出院的临床方法,以便在前所未有的挑战中使这群易受感染的患者尽可能保持安全和健康,这些挑战是各国在大流行期间所面临的。同样,当依赖家庭肠外营养(HPN)的患者因 SARS-CoV-2 感染需要住院时,获得肠衰竭团队的专家建议也很重要。欧洲临床营养与代谢学会(ESPEN)的家庭人工营养与慢性肠衰竭特别兴趣小组制定了一份立场文件,概述了肠衰竭团队在 SARS-CoV-2 大流行期间管理慢性肠衰竭患者时需要考虑的领域。