Necrotizing
Enterocolitis
(NEC)
A Beginners Guide for
Parents of Preemies
O Preemie Parents Will:
B
J Know the risk factors
E associated with NEC
C Recognize the signs and
T symptoms
I Explain the different
V treatments available
E Understand the different
S possible outcomes
W
H
A
T
I
S
A disease predominately associated with
N premature infants
There is no single known cause for NEC
E Bacteria causes a local infection and
C inflammation of the intestine
It can destroy the wall of the intestine and cause
? necrosis (death)
R
Prematurity
I Intrauterine Growth
S Retardation (IUGR) or low
K birth weight
Enteric feeding
F
A Formula feeding
Chorioamnionitis
C Low oxygen levels during
T birth
O Blood transfusions
Congenital heart disease
R
S
S
I Abdominal distention
G Feeding intolerance (bilious
N residuals/vomiting)
S Bloody stool
Diarrhea
& Body temperature instability
S Unstable vital signs (apneas,
bradycardia, desaturations,
Y
low blood pressure)
M Decreased bowel sounds
P Lethargy
T Abdominal tenderness
O Redness or bruising to
M abdomen
S
T NPO diet (nothing by mouth
R or feeding tube)
Insert an orogastric tube to
E decompress the stomach
Total parenteral nutrition
A
T
Initiate intravenous broad
M spectrum antibiotics
E Monitor closely through
frequent exams, x-rays and
N blood work
Possible intubation (advanced
T NEC)
S Possible Surgery (advanced
NEC)
Most infants will
P recover fully from NEC
R Scarring and
narrowing can cause
O future intestinal
G obstruction
N
O
S Some infants may suffer
from malabsorption
I 20-30% of infants will die
S from NEC.
P
R
E
V
E Breast milk
Donor breast milk
N Probiotics
Feeding protocols based on literature and
T evidence based practice
I
O
N
s
U
P https://necsociety.org/who-we-are/
P
O
R
T http://www.morgansfund.org/
G
R
O
U
P http://grahamsfoundation.org/
s
Q Risk factors of necrotizing enterocolitis
U include:
E
S A. Prematurity
T
B. Low birth weight
I
O C. Formula feeding
N
D. All of the above
S
?
Q
In enterocolitis bacteria causes a local
U infection and inflammation of the
E intestine.
S
T
I True or False
O
N
S
?
References
R
Duthie, G. & Lander, A. (2013). Necrotizing
E enterocolitis. Surgery (Oxford), 31(3), pp. 119-122.
F Papillon, S., Castle, S. L., Gayer, C. P., Ford, H. R. (2013).
Necrotizing Enterocolitis. Advances in Pediatrics,
E 60(1), pp. 263-279.
Thakkar, H. S. & Lakhoo, K. (2016). Necrotizing
R enterocolitis. Surgery (Oxford), 34(12), pp. 617-620.
E
N https://emedicine.medscape.com/article/977956-overview
http://grahamsfoundation.org/
C https://medlineplus.gov/ency/article/001148.htm
https://necsociety.org/who-we-are/
E https://www.chla.org/necrotizing-enterocolitis
http://www.morgansfund.org/
s https://www.prolacta.com/necrotizing-enterocolitis
