Çocuk Sağlığı ve Hastalıkları Dergisi 2005 , Vol 48 , Num 1
Early enteral iron supplementation in very low birth weight infants
Filiz Tiker1, Aylin Tarcan2, Namık Özbek3, Berkan Gürakan4
Başkent Üniversitesi Tıp Fakültesi 1Pediatri Yardımcı Doçenti, 2Neonatoloji Uzmanı, 3Pediatri Doçenti, 4Pediatri Profesörü Tiker F, Tarcan A, Özbek N, Gürakan B. (Department of Pediatrics, Baskent University Faculty of Medicine, Ankara, Turkey). Early enteral iron supplementation in very low birth weight infants. Çocuk Sağlığı ve Hastalıkları Dergisi 2005; 48: 14-19.

In this study we investigated the effects of early enteral iron supplementation on erythrocyte and iron status parameters and on endogenous erythropoietin levels in very low birth weight infants. Thirty healthy preterm infants with birth weights between 920-1500 g were included in the study at a mean age of 16 days. Seventeen infants were randomized to receive 2-4 mg/kg/day enteral iron and 13 infants served as controls. Hemoglobin concentrations, mean corpuscular volume, reticulocyte count, serum iron, transferrin, transferrin saturation, ferritin and erythropoietin levels were studied on three consecutive venous blood samples taken at the beginning, and on the 7th and 28th days of the study. Hemoglobin concentration declined throughout the study in both groups. Serum iron levels and transferrin saturation increased during the study period in iron-supplemented infants. Although the erythropoietin levels were similar in both groups, a significant negative correlation between erythropoietin and hemoglobin concentration was observed in iron-supplemented infants on the 7th and 28th days of the study. Early enteral iron supplementation in very low birth weight infants seems beneficial by maintaining adequate iron levels and enhancing erythropoietin response to anemia. Anahtar Kelimeler : Prematüre anemisi, çok düşük doğum ağırlığı, erken enteral demir, eritropoez, eritropoetin, anemia of prematurity, very low birth weight, early enteral iron, erythropoiesis, erythropoietin

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