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Guidance From the Guidelines: What Is the Role of Prebiotics and Probiotics in Neonatal and Infant Growth and Nutrition?

Guidance From the Guidelines: What Is the Role of Prebiotics and Probiotics in Neonatal and Infant Growth and Nutrition?

Format

Webcast

Time to Complete

45 minutes

Released

August 13, 2019

Expires

April 1, 2021
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Maximum Credits

0.75 / AMA PRA Category 1 CreditTM
0.75 / CNE Contact Hours
1.00 / CE for Registered dietitians/nutritionists (RDs/RDNs) and Dietetic technicians

Accredited Provider

This activity is jointly provided by Haymarket Medical Education (HME) and AKH Inc., Advancing Knowledge in Healthcare.

Commercial Supporter

Supported by an educational grant from Abbott Nutrition

Program Description

The cycle of how we acquire bacteria—beginning with pregnancy, during birth (whether vaginal delivery or cesarian section), through diet, and exposure to antibiotics—influences the development of either healthy microbiota or dysbiosis, an abnormal colonization. The microbiota infants develop early in life can influence their gut microbiome as they get older, become adults, and then pass it on to their children. As clinicians continue researching the role of gut microbiome and microbial dysbiosis as in the development of adverse events such as necrotizing enterocolitis (NEC) and sepsis among preterm infants in the neonatal intensive care unit (NICU), data supporting the use of prebiotics and probiotics in both neonatal and infant nutrition to improve health is robust and growing.

Probiotics are one of the most frequently studied interventions for NEC, with numerous trials indicating they can reduce risk by 50%. In this program, a leading neonatologist and a pediatric gastroenterologist discuss reduced, or altered, bacterial diversity in microbiome as a theme across diseases in preterm and fullterm infants, children and adults, and provide comprehensive commentary on functional studies that address the benefits of treatment such as prebiotics and probiotics, as well as the importance of diet, the prebiotics delivered through human milk oligosaccharides, medicine, and exercise. They also share guidelines for infants regarding a number of diseases that may be affected by probiotics, including prevention of antibiotic-associated diarrhea and reducing colic.

Intended Audience

NICU healthcare providers including neonatologists, pediatricians, NICU nurses, nurse practitioners and physician assistants, registered dietitians, and other healthcare providers who care for preterm infants.

Educational Objectives

At the conclusion of this activity, participants should be better able to:

  • Discuss the role of the microbiome and the impact of neonatal nutrition on the developing immune system as well as growth and development
  • Describe the factors that contribute to the development of necrotizing enterocolitis as well as strategies for prevention and treatment
  • Review recommendations from professional pediatric and nutrition organizations on the use of prebiotics and probiotics in neonatal and infant care
  • Implement updated clinical trial data and real-world experience on the use and effectiveness of probiotic and prebiotic products in the NICU

Conflict Of Interest Disclosure Policy

In accordance with the ACCME Standards for Commercial Support, HME and AKH require that individuals in a position to control the content of an educational activity disclose all relevant financial relationships with any commercial interest. HME and AKH resolve all conflicts of interest to ensure independence, objectivity, balance, and scientific rigor in all its educational activities.

Faculty

Ravi Patel, MD
Associate Professor of Pediatrics
Emory University School of Medicine
Atlanta, GA

Dr. Patel receives honorarium from Mednax, Inc.

John M. Rosen, MD
Associate Professor of Pediatrics
University of Missouri-Kansas City School of Medicine
Pediatric Gastroenterologist
Kansas City, MO

Dr. Rosen has nothing to disclose.

Accredited Provider Disclosure

The staff of Haymarket Medical Education and AKH Inc., and Dorothy Caputo, MA, BSN, RN, Lead Nurse Planner of AKH Inc., Advancing Knowledge in Healthcare have no relevant financial relationships to disclose.

Credit

0.75

Type

AMA PRA Category 1 Credit(s)TM

Accreditation Statement

Haymarket Medical Education is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statement

Haymarket Medical Education designates this enduring material for a maximum of 0.75 AMA PRA Category 1 CreditTM  .  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Credit

0.75

Type

CNE Contact Hour(s)

Accreditation Statement

AKH Inc., Advancing Knowledge in Healthcare is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Designation Statement

This activity is awarded 0.75 contact hour.

Credit

1.00

Type

CPEU Credit

Accreditation Statement

AKH Inc., Advancing Knowledge in Healthcare is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR).

Designation Statement

Registered dietitians/nutritionists (RDs/RDNs) and dietetic technicians, registered (DTRs) will receive up to 1.00 continuing professional education unit (CPEU) for completion of this program/material. CDR Accredited Provider #AN008.

Learners may submit evaluations of program/materials quality to the CDR at www.cdrnet.org.

Additional Credit Information

Physician Assistant Continuing Education
AAPA accepts certificates of participation for educational activities approved for AMA PRA Category 1 CreditTM   from organizations accredited by ACCME or a recognized state medical society. PAs may receive a maximum of 0.75 Category 1 Credit for completing this activity.

Nurse Practitioner Continuing Education
AANPCP accepts certificates of participation for educational activities approved for AMA PRA Category 1 CreditTM   from organizations accredited by ACCME. Individuals are responsible for checking with the AANPCP for further guidelines.

Disclosure of Unlabeled Use

This CME/CE activity may or may not discuss investigational, unapproved, or off-label use of drugs. Participants are advised to consult prescribing information for any products discussed. The information provided in this CME/CE activity is for continuing medical education purposes only and is not meant to substitute for the independent medical judgment of a physician relative to diagnostic and treatment options for a specific patient's medical condition.

Disclaimer

The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of Haymarket Medical Education or AKH Inc., Advancing Knowledge in Healthcare. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

If you have any questions relating to the CME accreditation of this activity, please contact HME at cmequestions@haymarketmedical.com.

If you have any questions relating to the CE accreditation of this activity, please contact AKH at jgoldman@akhcme.com.

If you have any questions relating to your certificate or other issues with this activity, please contact myCME.Support@haymarketmedical.com.

Instructions

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