Continuous Parenteral Nutrition to Reduce Pneumonia: Its Effects on Severe Head Injury Patients in Hasan Sadikin Hospital Bandung, Indonesia.

Continuous Parenteral Nutrition to Reduce Pneumonia:
Its Effects on Severe Head Injury Patients
in Hasan Sadikin Hospital Bandung, Indonesia

Farid Yudoyono, Muhammad Z. Arifin

Department of Neurosurgery, Faculty of Medicine,
Universitas Padjadjaran – Dr. Hasan Sadikin Hospital,
Jl. Pasteur No. 38 Bandung 40161 Indonesia

Abstract
The aim of this study was to compare the effects of enteral-, standard- and continousparenteral nutrition therapy to reduce incidence of pneumonia in severe head injury (SHI)
patients. We used nutrition therapy as one of the treatments for reducing pneumonia in SHI
patients. Twenty one brain-injured patients with peak 24-hour admission Glasgow Coma Scale
(GCS) scores of 4-8 were prospectively and randomly assigned to receive continuous total
parenteral nutrition (TPNC) for 24 hours nonstop, total parenteral nutrition standard (TPNS)
and enteral nutrition (EN) in March-May 2011. Patients were observed up to 14 days post injury.
Pneumonia was assessed by using clinical, radiology and laboratory tests with the incidence of
pneumonia significantly different among groups (p