Nutritional Support: Best Practices for Pediatric Blood and Marrow Transplant Patients (226)

11:00 am – 12:00 pm Saturday, September 17
Nutrition is vital for children to grow and thrive. This is especially important in children with conditions requiring blood and marrow transplantation (BMT) who receive prolonged, intensive therapy requiring optimal overall health and nutritional status (Baumgartner, 2017). Chemotherapy is associated with nausea, vomiting, diarrhea, poor appetite, taste changes, mucositis, and increased catabolic demands (McMillen et al., 2020). Malnutrition rates in the pediatric oncology/BMT population range from 6 to 50% (McMillen et al, 2020), and this can have significant consequences.
Malnutrition during BMT can increase morbidity and mortality by increasing the risk of acute graft-versus-host-disease (GVHD) of the gut, infection rates, rates of non-relapse mortality, and is associated with decreased progression-free survival (Hirose et al, 2019; Kerby et al, 2018). Although enteral nutrition support is recommended as the first line to address pediatric malnutrition (Becker et al., 2015), parenteral nutrition has historically been the default in the BMT population (McMillen et al, 2020). This session will provide education on nutritional screening, the pros and cons of various types of nutritional support, tips and tricks for feeding tubes, and an example of a nutritional support algorithm to improve the implementation of this information into the standard of care. Although focused on the BMT population, this information is relevant to all children with various hematologic and oncologic conditions.