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. 2020 Aug:38:196-200.
doi: 10.1016/j.clnesp.2020.05.002. Epub 2020 May 11.

Home medical nutrition during SARS-CoV-2 pandemic - A position paper

Przemyslaw Matras  1 , Stanislaw Klek  2 , Marcin Folwarski  3 , Anna Zmarzly  4 , Lidia Bartoszewska  1 , Wlodzimierz Cebulski  5 , Marlena Jakubczyk  6 , Zbigniew Kamocki  7 , Katarzyna Klepczyk  4 , Marek Kunecki  8 , Michal Lawiński  5 , Krystyna Majewska  9 , Maciej Matczuk  10 , Katarzyna Matysiak-Lusnia  11 , Maciej Sadowski  12 , Jacek Sobocki  9 , Magdalena Sumlet  13 , Waldemar Szafranski  14 , Kinga Szczepanek  1 , Krystyna Urbanowicz  12 , Agata Zoubek-Wojcik  15
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Home medical nutrition during SARS-CoV-2 pandemic - A position paper

Przemyslaw Matras et al. Clin Nutr ESPEN. 2020 Aug.

Abstract

Background: The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the cause of a worldwide rapidly spreading illness, Coronavirus Disease 2019 (COVID-19). Patients fed enterally and parenterally at home are exposed to the same risk of infection as the general population, but more prone to complications than others. Therefore the guidance for care-givers and care-takers of these patients is needed.

Methods: The literature search identified no relevant systematic reviews or studies on the subject. Therefore a panel of 21 experts from 13 home medical nutrition (HMN) centres in Poland was formed. Twenty-three key issues relevant to the management of SARS-CoV-2 infection or COVID-19 in the HMN settings were identified and discussed. Some statements diverge from the available nutrition, surgical or ICU guidelines, some are based on the best available experience. Each topic was discussed and assessed during two Delphi rounds subsequently. Statements were graded strong or weak based on the balance between benefit and harm, resource and cost implications, equity, and feasibility.

Results: the panel issued 23 statements, all of them were graded strong. Two scored 85.71% agreement, eleven 95.23%, and ten 100%. The topics were: infection control, enrolment to HMN, logistics and patient information.

Conclusions: the position paper present pragmatic statements for HMN to be implemented in places without existing protocols for SARS-CoV-2 pandemic. They represent the state of knowledge available at the moment and may change should new evidence occurs.

Keywords: COVID-19; HAN; HEN; Home enteral nutrition; Home medical nutritition; Home parenteral nutrition; SARS-CoV-2.

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References

    1. Guan W.J., Ni Z.Y., Hu Y., Liang W.H., Ou C.Q., He J.X. China medical treatment expert group for clinical characteristics of coronavirus disease 2019 in China. N Engl J Med. 2020;328(18):1708–1720. doi: 10.1056/NEJMoa2002032. - DOI - PMC - PubMed
    1. European Centre for Disease Prevention and Control (ECDC) ECDC; Stockholm: 2020. COVID-19 2020 [internet, cited 2020 24 February]
    1. World Health Organization (WHO) WHO; Geneva: 2020. Coronavirus disease (COVID-19) outbreak 2020 [cited 2020 24 February]
    1. https://www.worldometers.info/coronavirus/
    1. Barazzoni R., Bischoff S., Krznaric Z., Pirlich M., Singer P. Espen expert statements and practical guidance for nutritional management of individuals with sars-cov-2 infection. Clin Nutr. 2020;39:1631–1638. doi: 10.1016/j.clnu.2020.03.022. - DOI - PMC - PubMed

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