Rivista di formazione e aggiornamento professionale del pediatra e del medico di base, fondata nel 1982. In collaborazione con l'Associazione Culturale Pediatri.
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Prescrizione della vitamina D alla dimissione del neonato sano

Vitamin D prescription at newborn discharge: clinical practice in the nurseries of the three regions in North-East italy (Triveneto)

Graziella Nassimbeni

UO di Pediatria, Ospedale Civile di Tolmezzo (Udine)

Febbraio 2013 - pagg. 100 -104

Abstract
Background - In 2008 the American Academy of Paediatrics (AAP) recommended the administration of 400 UI/die of vitamin D to all newborns.
Aims - The aim of this study was to verify the adherence to current guidelines in birth centres of the three regions in North-East Italy (Triveneto).
Materials and methods - In the months of February and March 2012 a questionnairewas sent to all 64 nurseries to verify whether the intake of vitamin D was recommended for all healthy newborns as a matter of department, and in what way, shape and dose was prescribed.
Results - It resulted that 93.8% of birth centres prescribed vitamin D at discharge of healthy newborns and 89.8% prescribed it indiscriminately. All prescribed vitamin D in writing, at a dose of 400 UI/die in 93.1% and 27.6% in pure form.
Conclusions - Adherence to guidelines regarding the recommendation to give supplemental vitamin D to newborns was optimal in the regions of Triveneto.
Bibliografia
1. Wagner CL, Greer FR. Prevention of rickets and vitamin D deficiency in infants, children, and adolescents. Pediatrics 2008; 122:1142-52. 2. Gartner LM, Greer FR. Prevention of rickets and vitamin D deficiency: new guidelines for vitamin D intake. Pediatrics 2003;111: 908-10. 3. Misra M, Pacaud D, Petryk A, et al. Vitamin D deficiency in children and its management: review of current knowledge and recommendations. Pediatrics 2008;122:398-416. 4. Taylor JA, Geyer LJ, Feldman KW. Use of supplemental vitamin D among infants breastfed for prolonged periods. Pediatrics 2010; 125: 105-11. 5. Guala A, Guarino R, Zaffaroni M, et al. The impact of national and international guidelines on newborn care in the nurseries of Piedmont and Aosta Valley, Italy. BMC Pediatrics 2005;5:45. Available from www. biomedcentral. com/1471-2431/5745. 6. Eidelman AI, Schanler RJ. Breastfeeding and the use of human milk. Pediatrics 2012; 129:e827-41.

Corrispondenza: granassimbeni@alice.it