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Study aim
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Given the known side effects of TPN including sepsis, electrolyte abnormalities and cost, we prepared to compare the two ways of preparing TPN (The usual method of manual preparation in the ward by a nurse in compression with a clinical pharmacologist making it in sterile conditions ). Identify the preferred method that is associated with the least side effects and is also useful in cost effectiveness theory and that we submit our review to other health centers in the country.
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Design
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The clinical trial study was a randomized, single-blind, control group.
The study population is all neonates admitted to NICU ward of Kashan Shahid Beheshti Hospital who will undergo TPN. The sample size was 26 people in each group. All infants with TPN indication were randomly divided into 4 groups using 4 blocks. The two groups were matched for sex, gestational age, and birth weight.
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Settings and conduct
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First group consists of infants who, provide all the contents of the TPN as provided by the neonatal care nurse to the patient within the ward. The second group will be attached to the TPN as directed by the physician in a fully sterile package, directly to the infant without any nurse manipulation. The contents of both TPNs were similar, in the first group the TPN contents were injected separately but in the second group, the TPN contents were combined and infused into an infusion.
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Participants/Inclusion and exclusion criteria
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Inclusion criteria:
All neonates admitted to the neonatal intensive care unit who have a scientific indication of TPN onset.
Exclusion criteria:
Parental dissatisfaction
Sepsis
Get worse
Receive TPN in less than 5 days
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Intervention groups
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The intervention group receives a standard TPN compound prepared by the clinical pharmacologist in sterile conditions.
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Main outcome variables
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Mortality, Hospitalization, Neonatal weight gain, Sepsis,Thrombophlebitis, Skin necrosis