Newborn and Infant Nursing Reviews
Volume 9, Issue 3 , Pages 156-162, September 2009

Necrotizing Enterocolitis: Past Trends and Current Concerns

  • Bonnie Hughes, RN, MSN, NNP
  • ,
  • Lois Baez, RN, MSN, NNP
  • ,
  • Jacqueline M. McGrath, PhD, RN, FNAP, FAAN

      Affiliations

    • Corresponding Author InformationAddress correspondence to. Jacqueline M. McGrath, PhD, RN, FNAP, FAAN, School of Nursing, Virginia Commonwealth University, Box 980567, Richmond, VA 23298

School of Nursing, Virginia Commonwealth University, Box 980567, Richmond, VA 23298

Abstract 

Necrotizing enterocolitis is the most common gastrointestinal emergency in the preterm infant. It is unpredictable, and the etiology is complex and not well understood. Yet, the care of these infants requires astute assessment and management for the outcome to be favorable. No one can predict to whom or when this life-threatening emergency will occur. The purpose of this article is to explore the physiology of the gastrointestinal tract, the pathophysiology associated with necrotizing enterocolitis, the contributing factors needed to confirm the diagnosis, and the plan of care required for these infants. In addition, a discussion of new management strategies is included.

Keywords: Necrotizing enterocolitis, Infection, Premature infants

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PII: S1527-3369(09)00092-0

doi:10.1053/j.nainr.2009.07.003

Newborn and Infant Nursing Reviews
Volume 9, Issue 3 , Pages 156-162, September 2009