Alketa Hoxha (Qosja)1,2
1University of Medicine, Tirana, Albania;
2UHOG “Koço Gliozheni”, Tirana, Albania.
Aim: ECUN is one of the most common pathologies affecting preterm infants, associated with very high morbidity and mortality. It is an inflammatory bowel disease, often accompanied by sepsis and complicated by perforation, peritonitis and death. Despite significant neonatal advances, ECUN is often an incurable disease due to unknown etiology and lack of preventive and therapeutic strategies. The aim of this study was to shed light into the incidence of ECUN in premature babies at the UHOG “Koço Gliozheni” in Tirana.
Methods: A retrospective study was conducted at NICU, at UHOG “Koço Gliozheni” in Tirana, and covers the period between January 2018-December 2018. Early-born infants’ cards during this period, grouped by age group and weight group were studied. The total number of cards included in the study is 259. Bell’s classification with its stages was used to establish the diagnosis. The infants included in the study were compared regarding the variables: mean age at birth, mean birth weight, gender (F / M), mortality, day care in the neonatal intensive care unit, neonatal morbidity associated with NEC, and various complications.
Results: During this period, 3868 babies in total were born at the “Koço Gliozheni” University Obstetric-Gynecological Hospital. Preterm-born infants, age 22 ÷ <37 weeks are a total of 265 infants. Preterm-born babies transferred to NICU were 259 babies in total. Preterm-born babies with a diagnosis of NEC have a total of 0 babies. According to the NICU protocol, it was found that the only food used in premature and especially premature babies is breast milk. Day care in the NICU, before the baby has excitus ranges from 0.5 days (a baby with congenital polyanomalies) to 46 days after birth.
Conclusions: The incidence of NEC in preterm-born babies at NICU, at UHOG “Koço Gliozheni” is very low, almost zero. The life expectancy of preterm-born babies has increased in NICU in our country. Breastfeeding-only feeding is almost the only feeding applied to NICU. Breast milk contains unmatched and highly valuable values that prevent the emergence of NEC in preterm born babies.
Keyword: breast milk, ECUN, NICU, preterm babies.