Letters NICE on refeeding syndrome

Attitudes to NICE guidance on refeeding syndrome

BMJ 2008; 337 doi: http://dx.doi.org/10.1136/bmj.a680 (Published 08 July 2008) Cite this as: BMJ 2008;337:a680
  1. Aminda De Silva, specialist registrar gastroenterology and clinical nutrition1,
  2. Trevor Smith, consultant gastroenterologist2,
  3. Mike Stroud, consultant gastroenterologist1
  1. 1Southampton University Hospital NHS Trust, Southampton SO16 6YD
  2. 2Royal Bournemouth Hospital, Bournemouth, Dorset BH7 7DW
  1. aminda{at}doctors.org.uk

    Any discussion on the risks of the refeeding syndrome should include the increased threat of infection that may often be silent in malnutrition.1 Malnourished patients may develop infection without showing the usual septic markers—such as an increased temperature, leucocyte count, or C reactive protein. We therefore advocate septic screening and a low threshold for …

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