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Australasian Society for Parenteral and Enteral Nutrition guidelines for supplementation of trace elements during parenteral nutrition

Osland, Emma, Ali, Azmat, Isenring, Elizabeth, Ball, Patrick, Davis, Melvyn and Gillanders, Lyn (2014). Australasian Society for Parenteral and Enteral Nutrition guidelines for supplementation of trace elements during parenteral nutrition. Asia Pacific Journal of Clinical Nutrition,23(4):545-554.

Document type: Journal Article
Citation counts: Altmetric Score Altmetric Score is 3
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IRMA ID 84377429xPUB41
Title Australasian Society for Parenteral and Enteral Nutrition guidelines for supplementation of trace elements during parenteral nutrition
Author Osland, Emma
Ali, Azmat
Isenring, Elizabeth
Ball, Patrick
Davis, Melvyn
Gillanders, Lyn
Journal Name Asia Pacific Journal of Clinical Nutrition
Publication Date 2014
Volume Number 23
Issue Number 4
ISSN 0964-7058   (check CDU catalogue open catalogue search in new window)
Start Page 545
End Page 554
Total Pages 10
Place of Publication Australia
Publisher H E C Press
HERDC Category C1 - Journal Article (DIISR)
Abstract BACKGROUND:
This work represents the first part of a progressive review of AuSPEN's 1999 Guidelines for Provision of Micronutrient Supplementation in Adult Patients receiving Parenteral Nutrition, in recognition of the developments in the literature on this topic since that time.

METHODS:
A systematic literature review was undertaken and recommendations were made based on the available evidence and with consideration to specific elements of the Australian and New Zealand practice environment. The strength of evidence underpinning each recommendation was assessed. External reviewers provided feedback on the guidelines using the AGREE II tool.

RESULTS:

Reduced doses of manganese, copper, chromium and molybdenum, and an increased dose of selenium are recommended when compared with the 1999 guidelines. Currently the composition of available multi-trace element formulations is recognised as an obstacle to aligning these guidelines with practice. A paucity of available literature and limitations with currently available methods of monitoring trace element status are acknowledged. The currently unknown clinical impact of changes to trace element contamination of parenteral solutions with contemporary practices highlights need for research and clinical vigilance in this area of nutrition support practice.

CONCLUSIONS:

Trace elements are essential and should be provided daily to patients receiving parenteral nutrition. Monitoring is generally only required in longer term parenteral nutrition, however should be determined on an individual basis. Industry is encouraged to modify existing multi-trace element solutions available in Australia and New Zealand to reflect changes in the literature outlined in these guidelines. Areas requiring research are highlighted.
Keywords Trace elements
Guidelines
Parenteral nutrition
Manganese
Selenium
DOI http://dx.doi.org/10.6133/apjcn.2014.23.4.21   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
 
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Created: Wed, 19 Aug 2015, 12:29:39 CST