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Table 10 Nutritional composition of home emergency feeds in infants and children

From: Proposed guidelines for the diagnosis and management of methylmalonic and propionic acidemia

Age Protein per 100 ml Glucose polymer concentration ±fat emulsion* Energy Energy Suggested daily intake Feeding frequency
% carbohydrate % fat kcal per 100 ml from CHO + fat kJ per 100 ml ml//kg
Up to 12 m Stop or reduce total protein intake by ≥50% depending on illness severity 10 3.5 72 302 120 -150 ml/kg Continuous tube feds using enteral feeding pump
1-2 y 15 5 105 441 1200 ml
2-9 y 20 5 125 525 Estimated as indicated
>10 y 25 5 145 609 Estimated as indicated
  1. For children >10 kg emergency regimen fluid requirements can be calculated as:
  2. 11-20 kg: 100 ml/kg for the first 10 kg, plus 50 ml/kg for the next 10 kg.
  3. >20 kg: 100 ml/kg for the first 10 kg, plus 50 ml/kg for the next 10 kg, plus 25 ml/kg thereafter.
  4. up to a maximum of 2500 ml/day.
  5. *Fat emulsion (50%) is based on a long chain fatty acid source. Fat may not be well tolerated during illness and so may be omitted from emergency feed.
  6. Grade of recommendation: D.