PP222-SUN HONEY, AN ADJUVANT THERAPY IN ACUTE INFANTILE DIARRHEA

108 PP222-SUN HONEY, AN ADJUVANT THERAPY IN ACUTE INFANTILE DIARRHEA H.G. Elnady1 , N.A.A. Aly1 , N. El-Hussieny2 , S. Kholoussi3 . 1 Child Health Department, National Research Centre, 2 Pediatrics, General Organisation of teaching hospitals and institutes, 3 Immunogenetics, National Research Centre, Cairo, Egypt Rationale: Diarrheal diseases is one of the major causes of mortality of infants and toddlers in developing countries Honey has an antimicrobial and anti-inflammatory effect so we aim to study the effect of using pure honey as an adjuvant therapy to the oral rehydration solution in management of acute infantile diarrhea. Methods: The effect of floral honey on 200 patient aged 6 24 months, suffering from acute diarrhea with mild to moderate dehydration. They were divided into a control group and three honey treated groups (50 patients each). The control group received the WHO-ORS only. The other three groups received floral honey in various forms. The studied groups were observed for rehydration time, weight gain, amount of rehydration solutions consumed, vomiting, diarrhea and recovery time. Stool culture was done at admission, stool pH, serum sodium and potassium. Results: In the pure honey-ORS group, the recovery time was 3.5±2.88 days compared to 5.6±3.8 days in the control group and 5.4±3.7, 5.3±3.8 days in group I and III respectively, showing significant shorter recovery time (P < 0.05) specially in cases of bacterial diarrhea. Also persistent diarrhea was significantly less in pure honeyORS treated group than other groups (P < 0.05). Statistical analysis was performed using SPSS program version 13 and the comparison between groups of patients and control were evaluated by the unpaired student’s t-test differences were considered significant when (P < 0.05). Conclusion: Honey is a non allergic, natural agent of high nutrient value. We observed a significant decrease in stool motions number and improvement of stool consistency in Acute infantile diarrhea treated with pure honey in addition to oral rehydration solution. Disclosure of Interest: None Declared

PP223-SUN EVALUATION OF MENUS AND FEEDING HABITS IN PRIMARY SCHOOLS OF NORTHERN SPAIN I. Irastorza1 , B. Zulueta1 , P. Oliver1 , Z. García1 , E. Guerra1 , J.C. Vitoria1 . 1 Pediatric Gastroenterology and Nutrition, Hospital de Cruces, Universidad del País Vasco, Barakaldo, Spain Rationale: PERSEO guidelines for school meals were set by the Government to promote healthy eating habits [1]. The aim of this study is to evaluate school menus and to assess eating habits at school. Methods: 6 schools participated. The study had 2 parts: (1) Analysis of one-month school menu composition. (2) Ten children from each school were randomly selected; individual intake was estimated using double weight and visual estimation of plate waste for 25 consec-

Poster presentations utive days. Results were analysed using PERSEO guidelines recommendations. Results: 1500 trays were analysed. (1) Menu composition: Carbohydrates 48%, proteins 20% and fat 32%. Times per week: First course: vegetable 2.9; potato 0.4; rice-pasta 1.7. Second course: meat 2.5; fish 1.4; egg 0.6; precooked fried food 0.5. Side dish: potato 0.5; vegetable 2.7; none 1.8. Dessert: fruit 2.8; dairy 2; sweets and others 0.2. Correspondence between proposed/served meals: in 40% of occasions vegetable trimmings are not served; changes between foods groups are detected 7% of the days, substitution of fresh fruit for dairy products, candied fruits or sweets are the most common changes. (2) Individual intake: 86% of children eat more than 43 of the meals. 70% of children do not eat the side dish when vegetables are served. Conclusion: Diet-fibre score below the benchmark because although vegetables offer is theoretically correct, vegetable side dishes are often not served or if served are not eaten; and because fruits are sometimes substituted for other desserts. Excess of protein and a lack of carbohydrate intake is due to the poor ingestion of vegetables and fruits and the high intake of dairy products. As vegetable side dishes are only very rarely consumed, the offer of vegetables as a first course and fruits in the dessert should be increased. References [1] Aranceta J et al. Prevention of overweight and obesity: a Spanish approach. Public Health Nutr. 2007;10:1187 93 Disclosure of Interest: None Declared

PP224-SUN PRACTICAL HANDLING, EASE OF USE, SAFETY, AND EFFICACY OF A NEW PEDIATRIC TRIPLE-CHAMBER BAG FOR PARENTERAL NUTRITION IN PRETERM INFANTS J. Rigo1 , M.L. Marlowe2 , D. Bonnot3 , T. Senterre1 . 1 Neonatology, University of Liege, Liege, Belgium; 2 Baxter Healthcare Corporation, Deerfield, United States; 3 Baxter SAS, Paris, France Rationale: The objective of this study was to evaluate the first ready to use multi-chamber parenteral nutrition (PN) system, Ped3CB-A 300 mL, with optional lipid bag activation, specially designed for preterm infants. Methods: Preterm requiring 80% of their total estimated nutritional needs as PN were included in a prospective, open-label, multicenter, noncomparative, Phase III clinical trial for 5 10 consecutive days. PN intakes, additional PN intakes, oral intakes, body weight and adverse events were collected daily during the study. Results: 113 infants were enrolled in the study and 97 (BW: 1382±520 g, GA: 31.2±2.5 weeks, PNA: 5.6±6.1 d) were included in the per protocol analysis accounting for 854 perfusion days. 32 PN infusion days in 11 infants involved double-chamber bag activation. Vitamins and trace elements were provided to 100% and 96% of the infants respestively. Macronutrient, electrolyte, and mineral supplements were primarily administered through a Y-line or directly in the activated bag. In all, 199 additions (mainly sodium 95%) were made to the Ped3CB-A bags on 197 infusion days (23.1%) in 43 infants (44.3%). More than 1 of these nutrients was added to the bag on only