Skip to main content Accessibility help
×
Hostname: page-component-8448b6f56d-t5pn6 Total loading time: 0 Render date: 2024-04-22T11:10:25.314Z Has data issue: false hasContentIssue false

19 - Protein hydrolysate formulas

Published online by Cambridge University Press:  05 August 2012

David H. Adamkin
Affiliation:
University of Louisville Medical Center
Get access

Summary

Protein hydrolysate formulas are designed for infants who are allergic to cow's milk or soy proteins. Some protein hydrolysate formulas are also elemental with the carbohydrate in easily absorbable forms, such as glucose polymers or monosaccharides, and the fat as both medium-chain and long-chain triglycerides. These are sometimes used in the management of infants with intestinal resection or intractable diarrhea. These formulas can be loosely categorized according to the extent that the protein is hydrolyzed: (1) 100% free amino acid-containing formula (SHS Neocate); (2) extensively hydrolyzed protein-containing formula (Enfamil Nutramigen, Enfamil Pregestimil, Similac Alimentum); and (3) partially hydrolyzed protein-containing formula (Carnation Good Start) (Table 19.1).

All of these protein hydrolysate formulas provide 67–68 kcal/dL energy. These formulas are not routinely recommended for VLBW infants but are used frequently in VLBW infants after intestinal resection resulting from NEC. A recent review by Szajewska concluded there was little evidence to support the use of extensive and partial protein hydrolysate formulas for preterm infants.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×