Parenteral Nutrition Utilization in Bone Marrow Transplant Recipients

Bone marrow transplant (BMT) recipients often require parenteral nutrition (PN) to meet their nutrient needs. While general guidelinesfor the provision of PN support by nutrition support teams (NSTs) have been shown to decrease inappropriate PN use, recommendationsfor nutrition in BMT recipients are lacking. We reviewed the charts of patients status post BMT on PN to determinewhether institutional guidelines for PN initiation and continuous supervision of NSTs could be applied in this population. With theInstitutional Review Board (IRB) approval, charts of adult BMT recipients on PN between June 14, 2006 and June 30, 2007 were examined.Sixty-nine charts were reviewed. Indications for initiation of PN included severe mucositis, graft versus host disease (GVHD), and other transplant related side effects resulting in poor oral intake.

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