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2023

ANUÁRIO DO HOSPITAL
DONA ESTEFÂNIA

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CALCIUM AND PHOSPHATE PARENTERAL INTAKE FOR PRETERM INFANTS: WHICH IS THE BETTER PRACTICE?

Luís Pereira-da-Silva1,2, Daniel Virella2

1 - Comprehensive Health Research Centre (CHRC), Medicine of Woman, Childhood and Adolescence, NOVA Medical School, Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Lisbon, Portugal
2 - Neonatal Intensive Care Unit, Hospital Dona Estefânia, Centro Hospitalar Universitário de Lisboa Central, Lisbon, Portugal

Publicação em versão integral:
Early Human Development 2021 Dec 23:105524. Epub ahead of print. PMID: 34955299. doi: 10.1016/j.earlhumdev.2021.105524. [Letter to Editor]

We read the recent interesting review by S. Uthaya [1], which addresses the preterm parenteral nutrition practice and discusses areas of uncertainty owing to as the current nonavailability of strong evidence. While NICE recommends 1.5–2.0 mmol/kg/day of calcium and 2.0 mmol/kg/day of phosphate from the age of 2 or 3 postnatal days [2], ESPGHAN recommends 1.6–3.5 mmol/kg/day of calcium and phosphate [3], which has 75% higher maximum doses than the NICE recommended doses.

References
1. S. Uthaya, Better preterm parenteral nutrition practice, Early Hum. Dev. 162 (2021), 105468.
2. Neonatal parenteral nutrition: National Institute for Health and care excellence,Available from, https://www.nice.org.uk/guidance/ng154, 2021
3. W.A. Mihatsch, C. Braegger, J. Bronsky, W. Cai, C. Campoy, V. Carnielli, et al., ESPGHAN/ESPEN/ESPR/CSPEN guidelines on pediatric parenteral nutrition, Clin. Nutr. 37 (6 Pt B) (2018) 2303–2305.

Palavras Chave: calcium, parenteral nutrition, phosphate, preterm infants, recommended doses