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Prebiotics, Probiotics: Enhancing Nutrition in the NICU

Prebiotics, Probiotics: Enhancing Nutrition in the NICU

Format

Monograph

Time to Complete

30 minutes

Released

April 1, 2019

Expires

April 1, 2020
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Maximum Credits

0.50 / AMA PRA Category 1 CreditTM
0.50 / CNE Contact Hour
0.50 / CPEU for Registered Dietitians (RDs) and Dietetic Technicians, Registered (DTRs)

Accredited Provider

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

Microbial colonization of the infant’s gut begins during pregnancy and continues rapidly after birth until 2 to 3 years of age. This initial colonization is extremely important, because the types of organisms with which the gut is colonized can have a profound effect on overall health and disease prevention. Sparked by ongoing research in this arena, as well as real-word experience, the role of prebiotics and probiotics in human nutrition in general, and for neonatal and infant nutrition in particular, is advancing into a new era of recognition and appreciation.

To relay the latest data on the role of the microbiome in neonatal health to practicing clinicians, this educational initiative provides an in-depth review of the pivotal role of gut microbiota in neonatal health and development. Evolving understandings of the pathogenesis of necrotizing enterocolitis are explored, as are the implications for prevention and treatment. Rationale for the use of prebiotics and probiotics in the neonatal intensive care unit is provided, combining the latest research findings with practical experience. The activity will also describe key points from latest guidelines and recommendations from professional associations on the use of prebiotics and probiotics in neonatal and infant nutrition.

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

Disclosure of Conflict of Interest 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

Mark A. Underwood, MD
Professor of Pediatrics
Chief, Division of Neonatology
UC Davis School of Medicine
Davis, CA

Dr. Underwood is on the speaker’s bureau for Abbott Nutrition.

Accredited Provider Disclosure

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

Credit

0.50

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 0.50 AMA PRA Category 1 CreditTM  . Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Credit

0.50

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 enduring activity is awarded 0.50 contact hours for nurses.

Credit

0.50

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 (RDs) and dietetic technicians, registered (DTRs) will receive 0.50 continuing professional education unit (CPEU) for completion of this program/material. CDR Accredited Provider #AN008.

Additional Credit Information

Physician Assistant Continuing Education
AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 CreditTM  from organizations accredited by ACCME or a recognized state medical society. PAs may receive a maximum of 0.50 Category 1 Credit for completing this activity.

Nurse Practitioner Continuing Education
The American Academy of Nurse Practitioners Certification Program (AANPCP) accepts certificates of participation for educational activities certified 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 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 have 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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