Very Low Birth Weight / extremely premature infants: Nutrition and Late onset sepsis (LOS), CVC/PICC complications Pregnancy and Childbirth Extremely low birth weight
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Very Low Birth Weight Infants (less than 1500g) who are initiating enteral feeding 2. Peripherally inserted central catheter (PICC) in situ
Exclusion criteria
Exclusion criteria: 1. Infants diagnosed with a major congenital or chromosomal abnormality which will affect growth parameters and time to full feeds 2. Death/transfer out of unit likely before primary outcome (i.e return to birth-weight) 3. Enteral feed volume of 100mls/kg/day achieved prior to randomisation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the two allocation groups with respect to the time taken to regain birth weight. This will be calculated in days from birth. Infants are weighed daily. | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare the two allocation groups with respect to the following: 1. Episodes of CVC associated blood stream infection/Late onset infection (>72hours) 2. PICC complications (thrombosis, infiltration, leaking, thrombophlebitis, superficial skin infection at site) 3. Hypoglycaemia ? Point Of Care Testing (POCT) glucose =2.6mmol/L within 24 hours of PICC line removal 4. Peripheral IV inserted within 24hours of PICC removal for the purpose of IV hydration 5. Discharge weight (kg), occipital-frontal circumference (OFC) (cm) and length (cm) and centiles (WHO centile chart) 6. The mean difference in calorie, carbohydrate, lipid and protein intake between between removal of PICC line and 140mls/kg/day 7. Mean duration PICC line in situ, calculated in hours | — |
Countries
Ireland