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Home parenteral nutrition guidelines: Review of key recommendations and proposal for standardization
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Orientador(es)
Resumo(s)
Implementing home parenteral nutrition (HPN) is a complex process, and the large number of recommendations in this area may hinder the identification of a minimum standard of care, potentially compromising patient safety [1]. This study aimed to develop a standardized set of recommendations to support healthcare professionals in the safe and effective preparation and administration of HPN. A literature review was carried out between February 2024 and June 2025 to identify guidelines published by international organisations dedicated to HPN. To assess the methodological quality and transparency of these guidelines, the validated AGREE II instrument was used [2]. Recommendations related to the preparation/administration of HPN were extracted whenever the documents achieved moderate or high scores in the domains of rigour of development and applicability. A total of 27 guidelines from 14 different organizations were evaluated. Overall, the domain concerning the scope and purpose achieved the highest score (65 ± 17%). In contrast, the lowest score was observed in the domain of editorial independence (35 ± 20%). Sixteen documents, authored by nine organizations demonstrated moderate to high quality in domains 3 and 5 and were used for the development of the standardized proposal that included as most prominent recommendations: personal protective equipment, aseptic technique, appropriate containers (for preparation) and therapy length (for administration). By identifying key recommendations from dispersed bibliography, it was possible to create a concise, standardized version for the preparation and administration of HPN, based on guidelines with the highest methodological quality.
Descrição
Palavras-chave
Artificial nutrition Parenteral nutrition Guidelines
Contexto Educativo
Citação
Cerqueira, A., Gonçalves, D., Santos, M., & Moreira, F. (2025). Home parenteral nutrition guidelines: Review of key recommendations and proposal for standardization. 13th APLF Annual Conference, TherapeuTic advances in drug safety 16(S1), 30–31. https://journals.sagepub.com/doi/epub/10.1177/20420986251379201
Editora
SAGE Publications