Characteristics and incidence of transfusion-associated necrotizing enterocolitis in the UK

Faraday, Christopher M, Hamad, Sheima, Jones, Kelsey D, Sim, Kathleen, Cherian, Shobha, James, Anitha, New, Helen V, Godambe, Sunit, Kroll, J Simon and Clarke, Paul (2020) Characteristics and incidence of transfusion-associated necrotizing enterocolitis in the UK. Journal of Maternal-Fetal & Neonatal Medicine, 33 (3). pp. 398-403. ISSN 1476-7058

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Abstract

BACKGROUND AND AIMS: The etiology of necrotizing enterocolitis (NEC) is unclear and postulated as being multifactorial. It has been suggested that one causative factor is the transfusion of packed red blood cells (PRBCs) leading to the disease entity commonly referred to as transfusion-associated NEC (TANEC). TANEC has been reported in North America but its incidence has not been formally investigated in the UK. Our aims were to identify the incidence of NEC and TANEC in tertiary-level UK neonatal units and to describe characteristics of TANEC cases. MATERIALS AND METHODS: Using strict case definitions for NEC and TANEC, we undertook a retrospective review to estimate the incidence of TANEC cases occurring in four UK tertiary-level centers during a 38-month period. RESULTS: Of 8007 consecutive neonatal admissions of all gestations to the four centers, 68 babies went on to develop NEC and all affected infants were of very low birth weight (VLBW); 34 of these had previously received a transfusion of PRBCs but did not fit the diagnostic criteria for TANEC, whereas 15 (22%) of the 68 babies with NEC qualified as TANEC cases. UK cases occurred at an earlier postnatal age than cases reported in multiple large North American series and were of a lower birth weight. CONCLUSIONS: We have confirmed the presence of TANEC in the UK VLBW neonatal population. Its incidence lies within the wide range described in previous reports of this phenomenon globally, though with some local variation in characteristics. Further work is needed to clarify causation, pathophysiology, and possible mechanisms of prevention of TANEC.

Item Type: Article
Uncontrolled Keywords: necrotizing,blood transfusion,very low birth weight,premature
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
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Depositing User: LivePure Connector
Date Deposited: 27 Sep 2019 08:30
Last Modified: 08 Jul 2020 23:58
URI: https://ueaeprints.uea.ac.uk/id/eprint/72401
DOI: 10.1080/14767058.2018.1494147

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