Background: Necrotizing enterocolitis (NEC) is a leading cause of death from gastrointestinal disease in premature infants. It has been recognized for decades as the most common life-threatening medico-surgical intestinal emergency in newborns. The overall incidence of NEC has been reducing steadily during the past few years and has become even less common in late preterm and in term infants. However, accumulating evidence over the years suggest that NEC should be considered in a broader set including these subpopulations with risk factors. The disease might be associated with short and long-term complications, prolong hospitalization, and be cost worthy. Medical treatment alone may be done with considerable success, when diagnosed early enough with mild or moderate severity. In most cases, a multidisciplinary approach is recommended as much as possible. Nevertheless, primary prevention by breastfeeding promotion and standardized formula replacement when indispensable is pertinent. Method: We present and discuss based on current reviews, a case of early onset NEC complicating sepsis in a late preterm. Results: It appears that medical management alone which is indicated for moderate NEC may be quite successful when based on broad spectrum antibiotics that cover gram negative bacteria and anaerobes, together with intensive and supportive cares. Conclusion: NEC may occur precociously in late preterm. The prompt diagnosis may be made easier by radiological exams. A multidisciplinary approach for the management of stage II or moderate NEC may be more efficient. Breastfeeding remains an effective prevention against NEC.
| Published in | American Journal of Pediatrics (Volume 6, Issue 2) |
| DOI | 10.11648/j.ajp.20200602.12 |
| Page(s) | 83-86 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2020. Published by Science Publishing Group |
Necrotizing Enterocolitis, Prematurity, Preterm, Cameroon
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APA Style
Georges Pius Kamsu Moyo, Manuela Nguedjam, Lynda Miaffo. (2020). Necrotizing Enterocolitis Complicating Sepsis in a Late Preterm Cameroonian Infant. American Journal of Pediatrics, 6(2), 83-86. https://doi.org/10.11648/j.ajp.20200602.12
ACS Style
Georges Pius Kamsu Moyo; Manuela Nguedjam; Lynda Miaffo. Necrotizing Enterocolitis Complicating Sepsis in a Late Preterm Cameroonian Infant. Am. J. Pediatr. 2020, 6(2), 83-86. doi: 10.11648/j.ajp.20200602.12
AMA Style
Georges Pius Kamsu Moyo, Manuela Nguedjam, Lynda Miaffo. Necrotizing Enterocolitis Complicating Sepsis in a Late Preterm Cameroonian Infant. Am J Pediatr. 2020;6(2):83-86. doi: 10.11648/j.ajp.20200602.12
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Download@article{10.11648/j.ajp.20200602.12,
author = {Georges Pius Kamsu Moyo and Manuela Nguedjam and Lynda Miaffo},
title = {Necrotizing Enterocolitis Complicating Sepsis in a Late Preterm Cameroonian Infant},
journal = {American Journal of Pediatrics},
volume = {6},
number = {2},
pages = {83-86},
doi = {10.11648/j.ajp.20200602.12},
url = {https://doi.org/10.11648/j.ajp.20200602.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20200602.12},
abstract = {Background: Necrotizing enterocolitis (NEC) is a leading cause of death from gastrointestinal disease in premature infants. It has been recognized for decades as the most common life-threatening medico-surgical intestinal emergency in newborns. The overall incidence of NEC has been reducing steadily during the past few years and has become even less common in late preterm and in term infants. However, accumulating evidence over the years suggest that NEC should be considered in a broader set including these subpopulations with risk factors. The disease might be associated with short and long-term complications, prolong hospitalization, and be cost worthy. Medical treatment alone may be done with considerable success, when diagnosed early enough with mild or moderate severity. In most cases, a multidisciplinary approach is recommended as much as possible. Nevertheless, primary prevention by breastfeeding promotion and standardized formula replacement when indispensable is pertinent. Method: We present and discuss based on current reviews, a case of early onset NEC complicating sepsis in a late preterm. Results: It appears that medical management alone which is indicated for moderate NEC may be quite successful when based on broad spectrum antibiotics that cover gram negative bacteria and anaerobes, together with intensive and supportive cares. Conclusion: NEC may occur precociously in late preterm. The prompt diagnosis may be made easier by radiological exams. A multidisciplinary approach for the management of stage II or moderate NEC may be more efficient. Breastfeeding remains an effective prevention against NEC.},
year = {2020}
}
TY - JOUR T1 - Necrotizing Enterocolitis Complicating Sepsis in a Late Preterm Cameroonian Infant AU - Georges Pius Kamsu Moyo AU - Manuela Nguedjam AU - Lynda Miaffo Y1 - 2020/03/06 PY - 2020 N1 - https://doi.org/10.11648/j.ajp.20200602.12 DO - 10.11648/j.ajp.20200602.12 T2 - American Journal of Pediatrics JF - American Journal of Pediatrics JO - American Journal of Pediatrics SP - 83 EP - 86 PB - Science Publishing Group SN - 2472-0909 UR - https://doi.org/10.11648/j.ajp.20200602.12 AB - Background: Necrotizing enterocolitis (NEC) is a leading cause of death from gastrointestinal disease in premature infants. It has been recognized for decades as the most common life-threatening medico-surgical intestinal emergency in newborns. The overall incidence of NEC has been reducing steadily during the past few years and has become even less common in late preterm and in term infants. However, accumulating evidence over the years suggest that NEC should be considered in a broader set including these subpopulations with risk factors. The disease might be associated with short and long-term complications, prolong hospitalization, and be cost worthy. Medical treatment alone may be done with considerable success, when diagnosed early enough with mild or moderate severity. In most cases, a multidisciplinary approach is recommended as much as possible. Nevertheless, primary prevention by breastfeeding promotion and standardized formula replacement when indispensable is pertinent. Method: We present and discuss based on current reviews, a case of early onset NEC complicating sepsis in a late preterm. Results: It appears that medical management alone which is indicated for moderate NEC may be quite successful when based on broad spectrum antibiotics that cover gram negative bacteria and anaerobes, together with intensive and supportive cares. Conclusion: NEC may occur precociously in late preterm. The prompt diagnosis may be made easier by radiological exams. A multidisciplinary approach for the management of stage II or moderate NEC may be more efficient. Breastfeeding remains an effective prevention against NEC. VL - 6 IS - 2 ER -
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