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Nutrients 2018, 10(9), 1311; https://doi.org/10.3390/nu10091311

Paediatric Home Artificial Nutrition in Italy: Report from 2016 Survey on Behalf of Artificial Nutrition Network of Italian Society for Gastroenterology, Hepatology and Nutrition (SIGENP)

1
Division of Clinical Nutrition, Regina Margherita Children’s Hospital, Città della Salute e della Scienza, 10126 Turin, Italy
2
Artificial Nutrition Unit Bambino Gesù, Children’s Hospital, IRCCS, 00165 Rome, Italy
3
Department of Transalational Medical Science, Section of Pediatrics, University of Naples Federico II, 80131 Naples, Italy
4
Department of Gastroenterology and Nutrition Unit, Meyer Children’s Hospital, 50139 Florence, Italy
5
Department of Pediatrics, “Burlo Garofolo” Hospital, University of Trieste, IRCCS, 34137 Trieste, Italy
6
“Santobono-Pausillipon” Children’s Hospital, 80129 Naples, Italy
7
Gastroenterology Unit, G. Gaslini Institute for Maternal and Child Health, IRCCS, 16145 Genova, Italy
8
Azienda USL-IRCCS di Reggio Emilia, Pediatrics Unit Arcispedale Santa Maria Nuova, 42123 Reggio Emilia, Italy
9
Ped Gastroenterology and Nutrition Clinic, DIMEC, “Sant’Orsola” Hospital, 40138 Bologna, Italy
10
Unit of Pediatrics, Department of Human Pathology in Adulthood and Childhood “G. Barresi”, University of Messina, 98122 Messina, Italy
11
Department of Pediatrics, Ospedale Sant’Anna, 22042 Como, Italy
12
Department of Pediatrics, AOU Ospedali Riuniti, Salesi’s Children Hospital, 60121 Ancona, Italy
13
Local Health Care Service AUSL Romagna, 48121 Rimini, Italy
14
Pediatric Department, “F. Del Ponte” Hospital, Insubria University, 21100 Varese, Italy
15
Department of Paediatrics, “Santa Maria delle Croci” Hospital, 48121 Ravenna, Italy
16
Paediatric, Hepatology, Gastroenterology and Transplantation, Hospital Papa Giovanni XXIII, 24127 Bergamo, Italy
17
“Cà Granda” Hospital, 20162 Milan, Italy
18
Pediatrics Unit, “Morgagni-Pierantoni” Hospital, 47100 Forlì, Italy
19
Pediatric Division of ”Santa Maria del Carmine” Hospital, Rovereto, 38068 Trento, Italy
20
Pediatric Emergency Unit of “Sant’Orsola” Hospital, 40138 Bologna, Italy
21
Dietetic and Nutrition Center, Bufalini” Hospital, AUSL Romagna, 47521 Cesena, Italy
22
“San Paolo” Hospital, 20142 Milan, Italy
23
Neonatology and NICU Division, Policlinico “Aldo Moro” University Hospital, 70124 Bari, Italy
*
Author to whom correspondence should be addressed.
Received: 10 August 2018 / Revised: 9 September 2018 / Accepted: 13 September 2018 / Published: 16 September 2018
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Abstract

Home Artificial Nutrition (HAN) is a safe and efficacious technique that insures children’s reintegration into the family, society and school. Epidemiological data on paediatric HAN in Italy are not available. Aim: to detect the prevalence and incidence of Home Parenteral Nutrition (HPN) and Home Enteral Nutrition (HEN), either via tube or mouth, in Italy in 2016. Materials and methods: a specific form was sent to all registered SIGENP members and investigators of local HAN centres, inviting them to provide the requested centre’s data and demographics, underlying diseases and HAN characteristics of the patients. Results: we recorded 3403 Italian patients on HAN aged 0 to 19 years from 22 centres: 2277 HEN, 950 Oral Nutritional Supplements (ONS) and 179 HPN programs. The prevalence of HEN (205 pts/million inhabitants) and HPN (16 pts/million inhabitants) has dramatically increased in Italy in the last 9 years. Neurodisabling conditions were the first indication for HEN by tube or mouth while HPN is mainly requested in digestive disorders. Conclusions: HAN is a widespread and rapidly growing treatment in Italy, as well as in other European countries. Awareness of its extent and characteristics helps improving HAN service and patients’ quality of life. View Full-Text
Keywords: home enteral nutrition; home parenteral nutrition; oral nutritional supplements; children home enteral nutrition; home parenteral nutrition; oral nutritional supplements; children
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Lezo, A.; Capriati, T.; Spagnuolo, M.I.; Lacitignola, L.; Goreva, I.; Di Leo, G.; Cecchi, N.; Gandullia, P.; Amarri, S.; Forchielli, M.L.; Dipasquale, V.; Parma, B.; Gatti, S.; Ravaioli, E.; Salvatore, S.; Mainetti, M.; Norsa, L.; Pellegrino, M.; Fornaro, M.; Fiorito, V.; Lanari, M.; Giaquinto, E.; Verduci, E.; Baldassarre, M.E.; Diamanti, A. Paediatric Home Artificial Nutrition in Italy: Report from 2016 Survey on Behalf of Artificial Nutrition Network of Italian Society for Gastroenterology, Hepatology and Nutrition (SIGENP). Nutrients 2018, 10, 1311.

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