雀巢儿科肠营养制剂.ppt

When diarrhea strikes, the risk for malnutrition increases. This is because, by itself, diarrhea causes nutrient and water loss. Then there’s a tendency to withhold food due to fear that it will aggravate the diarrhea. Hence, diarrhea often leads to malnutrition. Malnutrition weakens the immune system and makes the infant more susceptible to infections that can, again, lead to diarrhea. Diarrhea is typically more persistent and severe in infants and young children with malnutrition than in children who are not malnourished. So it important to stop the vicious cycle with appropriate nutritional management. Otherwise, the vicious cycle may worsen the statistics on infant mortality. Let us take a look at the current Philippine scenario…. When diarrhea strikes, the risk for malnutrition increases. This is because, by itself, diarrhea causes nutrient and water loss. Then there’s a tendency to withhold food due to fear that it will aggravate the diarrhea. Hence, diarrhea often leads to malnutrition. Malnutrition weakens the immune system and makes the infant more susceptible to infections that can, again, lead to diarrhea. Diarrhea is typically more persistent and severe in infants and young children with malnutrition than in children who are not malnourished. So it important to stop the vicious cycle with appropriate nutritional management. Otherwise, the vicious cycle may worsen the statistics on infant mortality. Let us take a look at the current Philippine scenario…. Previously it was common to rest the gastrointestinal tract for 24-48 hours whilst correcting dehydration and allowing functional recovery of the intestinal mucosa. Clinical studies have shown that an early return to feeding has both clinical and nutritional benefits A meta-analysis of RCTs showed that early refeeding in gastroenteritis reduces the duration of diarrhoea (0.43 days; 95% CI, - 0.74 to 0.12). * Two subsequent RCTs showed that early refeeding improves weight gain without i