26 / 29
World Nutrition 2018
J u n e 1 8 - 1 9 , 2 0 1 8
P a r i s , F r a n c e
Page 68
Journal of Clinical Nutrition & Dietetics
ISSN 2472-1921
W o r l d C o n g r e s s o n
Nutrition and Dietetics
Introduction:
6QVCN RCTGPVGTCN PWVTKVKQP 620 EQUVU CPF OCNPWVTKVKQP CTG C DKI ƒPCPEKCN DWTFGP HQT JQURKVCNU +P QWT JQURKVCN
increasing TPN usage and costs and untreated malnutrition in patients had to be addressed. In 2009 a dietitian was appointed
for malnutrition screening and monitoring of intramural patients with TPN and a nutritional management team was assembled.
+P VJG EWTTGPV UVWF[ C RTQEGFWTG JCU DGGP FGXGNQRGF VQ CUUWTG QRVKOCN ENKPKECN PWVTKVKQPCN ECTG HQT CNN RCVKGPVU QTCN GPVGTCN CPF
RCTGPVGTCN PWVTKVKQP CPF UETGGPKPI QP OCNPWVTKVKQP D[ '$ RTCEVKEG VQQNU
Purpose:
620 WUG CPF HQNNQY WR CEEQTFKPI IWKFGNKPGU YKNN TGFWEG 620 WUG CPF EQUVU D[ KP QT
KP
Method:
TPN usage and costs over the years prior to 2010 were calculated. Causes for improper prescription of TPN were
KFGPVKƒGF 620 WUCIG IWKFGNKPGU CEEQTFKPI '$ #52'0 '52'0 IWKFGNKPGU CPF RTQEGFWTGU YGTG FGXGNQRGF 0WTUKPI UVCHH CPF
dietitians were trained in proper administration and followed up of TPN and EN usage in patients. TPN-EN instruction tools for
ECTGIKXGTU RJ[UKEKCPU FKGVKVKCPU YGTG RTGUGPVGF KPENWFKPI TKUM HQT TGHGGFKPI U[PFTQOG CPF VTCKPKPI QP VJG LQD HQT FKGVKVKCP
teams/nutrition teams in other hospitals started. Inclusion of enteral and parenteral nutrition expertise in the job description of
FKGVKVKCPU HQNNQYGF KP
Results:
620 WUCIG FGETGCUGF D[
EQUV UCXKPIU QP 620 WUCIG QH
YCU QDVCKPGF CPF VJG PWODGT QH 620 WUGTU FGENKPGF
D[ KP EQORCTGF VQ
+P
QH 620 RCVKGPVU YGTG HQNNQYGF WR D[ FKGVKVKCPU CPF C FKGVCT[ VTGCVOGPV RNCP YCU
available in the medical records.
rianvanschaik@stlucas.beTotal parenteral nutrition follow up by
dietitians is better and cheaper
R. van Schaik
1
, P Schepens
1
, T Lanssens
1
, B Vlaemynk
1
, M
Devisch
1
, G Melssens
1
, K Van den Abeele
1
and T Niewold
2
1
General Hospital St Lucas, Bruges, Belgium
2
KU Leuven, Belgium
J Clin Nutr Diet 2018 Volume: 4
DOI: 10.4172/2472-1921-C1-003