Herron Thomas J, Farach Sandra M, Russo Rocco M
Division of Acute Care and Trauma Surgery, University of South Florida, 2 Tampa General Circle, Tampa, FL 33606 USA.
Department of Clinical Nutrition, Tampa General Hospital, Tampa, FL USA.
Curr Surg Rep. 2023;11(2):30-38. doi: 10.1007/s40137-022-00342-9. Epub 2023 Feb 11.
The purpose of this review is to provide an overview of the current literature, recommendations, and practice guidelines on the nutritional management of and implications associated with COVID-19 infection.
Particular attention should be paid to the screening, prevention, and treatment of malnutrition in critically ill individuals with COVID-19 infection given the significant risk for complications and poor outcomes. Extrapolation of existing literature for the nutritional support in the critically ill patient has demonstrated early enteral nutrition is safe and well-tolerated in patients with severe COVID-19 infection.
Futures studies should focus on the long-term nutritional outcomes for patients who have suffered COVID-19 infection, nutritional outcomes/recommendations for special populations with COVID-19, nutritional outcomes based on the current recommendations and guidelines for nutrition therapy, and the role for micronutrient supplementation in COVID-19 infection.
本综述旨在概述当前关于2019冠状病毒病(COVID-19)感染营养管理及其相关影响的文献、建议和实践指南。
鉴于重症COVID-19感染患者出现并发症和不良预后的风险很高,应特别关注其营养不良的筛查、预防和治疗。对现有危重症患者营养支持文献的推断表明,早期肠内营养在重症COVID-19感染患者中是安全且耐受性良好的。
未来研究应关注COVID-19感染患者的长期营养结局、COVID-19特殊人群的营养结局/建议、基于当前营养治疗建议和指南的营养结局,以及微量营养素补充在COVID-19感染中的作用。