Aluminium loading in children receiving long-term parenteral nutrition |
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Authors: | Larchet M Chaumont P Galliot M Bourdon R Goulet O Ricour C |
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Affiliation: | Service de réanimation Digestive et d'Assistance Nutritive et, H?pital Necker-Enfants Malades, 149 rue de Sèvres, 75743 Paris Cedex 15, France. |
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Abstract: | Eight children on long-term, total parenteral nutrition (TPN) were found to have elevated aluminium (Al) levels in plasma (51 +/- 11 mug 1 1 ), urine (223 +/- 78 mug 24 h) and bone. The load of Al in TPN solution was 232 +/- 89 mug/day, and, among the different parenteral solution components high Al concentrations were found in amino-acids, calcium gluconate, potassium lactate, and trace elements, representing respectively 40%, 30%, 15%, and 10% of the total Al intakes. The authors conclude that children receiving long-term TPN have excessive Al intakes and are exposed to Al toxicity. The prevention of Al contamination requires careful control of the TPN components. |
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