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Ana Gabriela Ayala Germán

Pediatric Service of the Hospital General Agustín O Horan, Mexico

Title: Hospital management of severe malnutrition in pediatrics

Abstract

Malnutrition is defined as a pathological, non-specific, systemic, and potentially reversible condition that results from the deficient use of nutrients by the cells of organisms. According to the American Society for Parenteral and Enteral Nutrition (ASPEN), it is defined as an imbalance between energy requirement and energy expenditure, which results in a cumulative deficit of energy, protein, or micronutrients that deteriorate significantly. negative growth, development, and other relevant outcomes in the pediatric population. According to the World Health Organization (WHO), its severity is classified according to its Z score as mild, moderate, and severe. In-hospital management of this group of patients has become a challenge given clinical complexity and complications. The treatment of this group of patients should be based on “ten steps" for recovery in the management of acute malnutrition, dividing the management into the definition, transition, and rehabilitation phases. It is important to note that among the most important complications is the refeeding syndrome, which is a potentially lethal response secondary to the increase in energy (carbohydrates) when starting oral, enteral, intravenous, or parenteral feeding due to a change from catabolism to anabolism due to the release of insulin, as well as the main complications.

Biography

Ana Gabriela Ayala Germán is a pediatrician currently working in the Pediatric Service of the Hospital General Agustín O Horan, Merida, Yucatan, Mexico