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June 1983

Necrotizing Enterocolitis in Premature Infants Transferred Back to Community Hospitals

Author Affiliations

From the Departments of Pediatrics (Drs Clarke, Maniscalco, and Emmens), Obstetrics and Gynecology (Drs Clarke and Maniscalco), and Surgery (Dr Emmens), University of Rochester (NY) School of Medicine. Dr Clarke is now with Roscommon (Ireland) Hospital.

Am J Dis Child. 1983;137(6):563-565. doi:10.1001/archpedi.1983.02140320039008

• The return of stable premature infants to community hospitals from level III neonatal intensive care units is becoming more common. While these infants usually need only to gain weight, they are still at risk for significant neonatal problems. We report four cases of necrotizing enterocolitis (NEC) in nine stable, growing premature infants who weighed less than 1,300 g and returned to community hospitals. The onset of NEC was within 60 hours of transport, suggesting that transport and early feeding after transport may have been contributory to NEC.

(Am J Dis Child 1983;137:563-565)