Gasto energético no recém-nascido e lactente com sepse

Autores

  • Rubens Feferbaun Universidade de São Paulo; Faculdade de Medicina; Departamento de Pediatria
  • Adriana Gonçalves de Oliveira Hospital Maternidade Leonor Mendes de Barros
  • Vitor Engrácia Valenti Universidade Federal de São Paulo; Departamento de Medicina
  • Luiz Carlos de Abreu Faculdade de Medicina do ABC; Departamento de Fisiologia

DOI:

https://doi.org/10.7322/jhgd.19909

Palavras-chave:

sepse, recém-nascido, metabolismo, infecção

Resumo

INTRODUÇÃO: as necessidades nutricionais e particularmente o metabolismo energético de crianças são temas controversos na literatura. OBJETIVO: caracterizar o gasto energético em repouso em recém-nascidos e lactentes com sepse. MÉTODO: foram consultadas as bases de dados do Medline, SciELO, BVS Pepsic e Lilacs. Utilizou-se como estratégia de busca no MEDLINE newborn and energy spent or sepsis em todos os campos. RESULTADOS: recém-nascidos e lactentes em casos de sepse grave apresentam imaturidade dos sistemas enzimáticos, limitando a produção de alguns aminoácidos como a cisteína (deficiência da enzima cistationase em pré-termo), taurina, glutamina e nucleotídeos como colina e inositol. Este fato torna estes nutrientes condicionalmente essenciais para estas população. CONCLUSÃO: vários conceitos estabelecidos para adultos são transpostos para a faixa pediátrica, o que é inadequado, podendo ocasionar graves conseqüências à saúde dos recém-nascidos e lactentes.

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Publicado

2009-04-01

Edição

v. 19 n. 1 (2009)

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