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August 6, 1997


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

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


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

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