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Gut Microflora and Their Role in Infant Nutrition

Gut Microflora and Their Role in Infant Nutrition

Format

Monograph

Time to Complete

1 hour

Released

July 22, 2011

Expires

July 31, 2013

Maximum Credits

1.00 / AMA PRA Category 1 Credit(s)TM
1.00 / CPEU Credit
1.00 / CE for Nurses

Accredited Provider

This activity is sponsored by Albert Einstein College of Medicine of Yeshiva University and Montefiore.
For questions about CME and CPEU, please call Einstein CME at 718-920-6674.
For questions about CE, please call Montefiore at 718-920-8580 or e-mail mmclough@montefiore.org.
This program is produced by Haymarket Medical Education.

Commercial Supporter

This activity is supported by an educational grant from Nestlé Nutrition Institute.

Program Description

Gut microflora are believed to guide in early infancy the development of gut-associated lymphoid tissue (GALT), which comprises 70% to 80% of immunologically active cells in the body. The interaction between microflora and the GALT may help regulate responses to antigens both in the GI tract and systemically. Vaginal delivery and breastfeeding promote the establishment of a healthy intestinal flora in which bifidobacteria predominate. Since the numbers of C-sections are increasing, with fewer vaginal births, and many mothers do not exclusively breastfeed, resulting in a lower level of bifidobacteria in their breast milk, there is a concern that infants may require a source of nutrition that will help improve the balance of their intestinal ecosystem. The use of probiotics, prebiotics, or synbiotics may help meet that need. Pediatricians need to be aware of how the immunologic effects of gut microflora, the type of birth delivery, the decision to breastfeed or formula feed, and the use of probiotics, prebiotics, and synbiotics in infant nutrition can all impact childhood health.


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Intended Audience

Pediatricians, nurses, pediatric nurse practitioners, registered dietitians, and other health care professionals involved in the care of children

Educational Objectives

Upon completion of this educational activity, participants should be better able to:

  • Describe the intestinal microflora and their role in intestinal immune mechanisms
  • Outline the factors that affect bacterial colonization of the intestinal tract
  • Define probiotics, prebiotics, and synbiotics and their use in infant nutrition
  • Cite evidence for the use of probiotics in the treatment and/or prevention of acute diarrhea, antibiotic-associated diarrhea, and atopic dermatitis

Disclosure of Conflicts of Interest

The “Conflict of Interest Disclosure Policy” of Albert Einstein College of Medicine of Yeshiva University requires that faculty participating in any CME activity disclose to the audience any relationship(s) with a pharmaceutical or equipment company. Any presenter whose disclosed relationships prove to create a conflict of interest with regard to their contribution to the activity will not be permitted to present.

It is the policy of Montefiore to ensure balance, independence, objectivity, and scientific rigor in all its educational activities. All faculty participating in our programs are expected to disclose any relationships they may have with commercial companies whose products or services may be mentioned, so that participants may evaluate the objectivity of the presentations. In addition, any discussion of off-label, experimental, or investigational use of drugs or devices will be disclosed by the faculty.

Faculty

AUTHOR
Michelle M. Pietzak, MD

Assistant Professor of Clinical Pediatrics
Department of Pediatrics, Children’s Hospital Los Angeles
University of Southern California Keck School of Medicine
Los Angeles, California

Michelle M. Pietzak, MD, has received grant/research support from Prometheus Laboratories and has served as a consultant and is on the speakers’ bureau for Nestlé/Gerber Nutrition and Prometheus Laboratories.

REVIEWER
John A. Kerner, Jr., MD

Professor of Pediatrics
Division of Gastroenterology, Hepatology, and Nutrition
Stanford University Medical Center, Lucile Packard Children’s Hospital
Stanford, California

John A. Kerner, Jr., MD, has nothing to disclose with regard to commercial support.

COURSE DIRECTORS
Marguerite M. Mayers, MD

Attending Physician
Children’s Hospital at Montefiore
Professor of Clinical Pediatrics
Albert Einstein College of Medicine
Bronx, New York

Marguerite M. Mayers, MD, has nothing to disclose with regard to commercial support.

Kathleen Ronca, MSN, PNP, ANP, APRN-BC, DNPc
Nurse Practitioner
Montefiore
Bronx, New York

Kathleen Ronca, MSN, PNP, ANP, APRN-BC, DNPc, has nothing to disclose with regard to commercial support.

Accreditor Staff Disclosures

The staff of the Center for Continuing Medical Education of Albert Einstein College of Medicine of Yeshiva University and Montefiore has nothing to disclose with regard to commercial support.

Publishing Staff Disclosures

Mary Jo Krey, Mary Pinkowish, Sharon Hill-Ingram, Lynne Callea, Anne Bardsley, and Denise Stern of Haymarket Medical Education have nothing to disclose with regard to commercial support.

Credit

1.00

Type

AMA PRA Category 1 Credit(s)TM

Accreditation Statement

Albert Einstein College of Medicine of Yeshiva University is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statement

Albert Einstein College of Medicine of Yeshiva University designates this enduring monograph for a maximum of 1.00 AMA PRA Category 1 credit.™ Physicians should only claim credit commensurate with the extent of their participation in the activity. This CME activity was planned and produced in accordance with the ACCME Essentials.

Credit

1.00

Type

CPEU Credit

Accreditation Statement

The following activity has been approved by the ACCME, whose approval is recognized by the Commission on Dietetic Registration and, as such, RDs/DTRs will be able to receive CPEUs equivalent to one (1) contact hour.

Designation Statement

The following activity has been approved by the ACCME, whose approval is recognized by the Commission on Dietetic Registration and, as such, RDs/DTRs will be able to receive CPEUs equivalent to one (1) contact hour.

Credit

1.00

Type

CE for Nurses

Accreditation Statement

Montefiore, Division of Education & Organizational Development, is an approved provider of continuing nursing education by the New York State Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

Designation Statement

This activity is awarded 1 contact hour and is assigned approval code 7UZLNN-PRV-09-160.

Disclosure of Unlabeled Use

This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. Nestlé Nutrition Institute, Albert Einstein College of Medicine of Yeshiva University, Montefiore, and Haymarket Medical Education do not recommend the use of any agent outside of the labeled indications.

The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of Nestlé Nutrition Institute, Albert Einstein College of Medicine of Yeshiva University, Montefiore, and Haymarket Medical Education. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

Disclaimer

Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.

Instructions

To obtain credit, a score of 70% or better is required. This CME is offered at no cost to participants. Please proceed with the activity until you have successfully completed this program, answered all post-test questions, completed the post-test survey, and received your digital copy of your credit certificate. Your online certificate will be saved on myCME.com within your Profile/Exam History, which you can then access at any time.

SYSTEM REQUIREMENTS

Hardware and Software Requirements
  • A computer with an internet connection
  • Internet Browser: Internet Explorer 7.x or higher, Firefox 4.x or higher, Safari 2.x or higher, or any other W3C standards compliant browser
  • Additional Software: Adobe Flash Player and/or an HTML 5 capable browser maybe required for video or audio playback. PowerPoint or Adobe Acrobat Reader may occasionally be required
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