Vol 1, No 2 (2020)


Nutritional support for patients with COVID-19 coronavirus infection

Grechko A.V., Evdokimov E.A., Kotenko O.N., Krylov K.Y., Kryukov E.V., Luft V.M., Nikityuk D.B., Petrikov S.S., Petrova M.V., Pogozheva A.V., Popova T.S., Protsenko D.N., Ryk A.A., Sviridov S.V., Starodubova A.V., Stets V.V., Tarmayeva I.Y., Tutelyan V.A., Sharafetdinov K.K., Shestopalov A.E., Yakovleva A.V.


Prophylaxis, diagnostics and correction of nutritional status disturbances is considered as one of the main treatment methods of patients with COVID-19 infection-directed to resolve systemic inflammatory response and correction of metabolic response to a viral infection. Systemic Inflammatory Reaction (SIR) manisfestation as a result of viral infection leads to pronounced metabolic processes disturbances. The main metabolic manifestations of SIR is reflected as hypermetabolic-hypercatabolic syndrome with complex disturbances of protein, lipids and carbohydrates metabolism, increased consumption of carbohydrate-lipid reserves and breakdown of tissue proteins. Thus, adequate correction of metabolic disorders and a wholesome nutritional support, taking into account the clinical picture, severity of the disease, ongoing respiratory and intensive care therapy is an integral component in treating patients with COVID-19 infection which determines the efficiency of its treatment and reduction in mortality. Given the relevance of the problem, the authors decided that it was important to increase the COVID-19 treatment efficacy by producing guidelines based on the most fundamental provisions of the modern approach to nutritional support in critical patients with community acquired pneumonia, acute respiratory failure, ARDS, sepsis, multiple organ failure.

Clinical nutrition and metabolism. 2020;1(2):56-91
pages 56-91 views

Original Study Articles

Home clinical nutrition and prospects for its development

Krylov K.Y., Petrova M.V., Shestopalov A.E., Sviridov S.V., Zozulya V.V., Yagubyan R.S., Rubanes M.


There is an increase in the number of patients worldwide who require special home feeding after discharge from the hospital — Home clinical nutrition (HCN). The yearly prevalence of home clinical nutrition in 2017 was at 463 cases per million in the United States of America whereby in the 90’s it was around 163–360 per million in the United States of America and Europe. There isn’t an established practice of HCN in the Russian Federation and thereby no data on the amount of patients who require HCN and the new risks associated with it because there isn’t prior experience in conducting it. To study the routine practice and identify patients who need HCN, we planned a multicenter observational monitoring programme. The goal of the study is patient monitoring who are unable to completely cover their energy needs with the help of conventional nutrition.

Clinical nutrition and metabolism. 2020;1(2):92-98
pages 92-98 views

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies