NECROTIZING ENTEROCOLITIS OF NEWBORNS - PRESSING ISSUES AND FACTORS PROGNOSTICATING TREATMENT OUTCOME

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Abstract

The article presents the results of retrospective analysis of treatment of 71 newborns with necrotizing enterocolitis admitted to the Centre of Pediatric Surgery from 2007 to 2015. Peculiarities related to the course of pregnancy, labor, volume and quality of rendered aid at labor, duration of newborns’ stay at the resuscitation departments, treatment type, time of beginning and method of enteral feeding raising, clinical and laboratory data of initial manifestations and signs of necrotizing enterocolitis at the stages of rendering specialized aid before admittance to the hospital. Data are analyzed using https:// medcalc.net/stats/ online program. The most significant factors influencing the outcome of NEC in mature and premature patients considering the body mass at birth and gestational age are established. Groups of risk among pregnant women and premature newborns are revealed. It is established that the most significant factors influencing the outcome of NEC in premature and mature children are represented by the body mass at birth and gestational age.

About the authors

A. A. Svirsky

State institution «Republican Scientific and practical Center of Pediatric Surgery»

Author for correspondence.
Email: noemail@neicon.ru
Россия

I. A. Sevkovsky

State institution «Republican Scientific and practical Center of Pediatric Surgery»

Email: noemail@neicon.ru
Россия

V. I. Averin

Educational Establishment "Belarusian State Medical University"

Email: noemail@neicon.ru
Россия

K. Yu. Marakhovsky

State institution «Republican Scientific and practical Center of Pediatric Surgery»

Email: noemail@neicon.ru
Россия

A. M. Makhlin

State institution «Republican Scientific and practical Center of Pediatric Surgery»

Email: noemail@neicon.ru
Россия

L. V. Valek

State institution «Republican Scientific and practical Center of Pediatric Surgery»

Email: noemail@neicon.ru
Россия

E. V. Silina

State institution «Republican Scientific and practical Center of Pediatric Surgery»

Email: noemail@neicon.ru
Россия

E. V. Anisimova

State institution «Republican Scientific and practical Center of Pediatric Surgery»

Email: noemail@neicon.ru
Россия

E. V. Ustinovich

State institution «Republican Scientific and practical Center of Pediatric Surgery»

Email: noemail@neicon.ru
Россия

V. Yu. Poleschuk

Educational Establishment "Belarusian State Medical University"

Email: noemail@neicon.ru
Россия

A. A. Kachan

Educational Establishment "Belarusian State Medical University"

Email: noemail@neicon.ru
Россия

References

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  9. Koval’chuk V.I. Lechebnaya taktika u novorozhdennyh s nekroticheskim e’nterokolitom / V.I. Koval’chuk, V.K. Danilik // «Rebenok i obshhestvo: problemy zdorov’ya, razvitiya i pitaniya»: tez. VI Kongressa pediatrov stran SNG. Minsk, 2014.
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  11. Michael Cotten C. et al. Prolonged duration of initial empirical antibiotic treatment is associated with increased rates of necrotizing enterocolitis and death for extremely low birth weight infants // Pediatrics. January. 2009. Vol. 123. No. 1. P. 58-66.
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Copyright (c) 2016 Svirsky A.A., Sevkovsky I.A., Averin V.I., Marakhovsky K.Y., Makhlin A.M., Valek L.V., Silina E.V., Anisimova E.V., Ustinovich E.V., Poleschuk V.Y., Kachan A.A.

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