Published online April 1, 2008
PEDIATRICS Vol. 121 No. 4 April 2008, pp. 865-866 (doi:10.1542/peds.2007-3804)
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LETTER TO THE EDITOR

Quality of Amino Acid Solutions for Preterm Infants

C. H. P. van den Akker, MSc
F. W. J. te Braake, MSc
W. W. Rövekamp-Abels, MD
J. B. van Goudoever, MD, PhD
Department of Pediatrics, Division of Neonatology
Erasmus MC, Sophia Children's Hospital
3000 CB, Rotterdam, the Netherlands

The first 20% of the full text of this article appears below.

To the Editor.—

With great interest, we read the article by Clark et al1 published in the December 2007 issue of Pediatrics. The authors concluded that higher doses of amino acid supplementation did not improve neonatal growth, and might even be unfavorable in terms of metabolic tolerance (increased blood amino acid and urea nitrogen levels).

However, we have some comments. Blood chemistry results, including amino acid concentrations, are reported for postnatal days 1, 7, and 28. Regrettably, no such information is provided for day 4, which shows a peak amino acid intake in the "high-dose group" and the largest difference in . . . [Full Text of this Article]


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