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August 6, 1997


JAMA. 1997;278(5):380-382. doi:10.1001/jama.1997.03550050040015

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In the article "Lactic Acidosis Traced to Thiamine Deficiency Related to Nationwide Shortage of Multivitamins for Total Parenteral Nutrition—United States, 1997" (JAMA. 1997;278:109, 111), an error appears in the table on p 111 in point 4 of the Recommendations for Pediatric Patients. The correct table is reprinted here.

Recommendations to Health-Care Providers to Reduce the Risk for Vitamin Deficiency in Adult and Pediatric Patients Receiving Total Parenteral Nutrition During Intravenous Multivitamin Shortages*

Recommendations for Adult Patients  1. DO NOT use pediatric parenteral multivitamins (MVIs) for adults.2. Use oral vitamin preparations whenever possible.3. Reserve use of MVI-12 Injection (Astra USA, Westborough, Massachusetts)† for patients receiving total parenteral nutrition (TPN) or those with a medical need for intravenous MVIs.4. Ration MVI-12 (e.g., reduce the daily dose or give vitamins three times a week).5. Use 5 mL of Multi Vitamin Concentrate (MVC) (Fujisawa, Deerfield, Illinois) three times a week