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SA Home Parental Nutrition Unit - ICCU at Flinders Medical Centre

The South Australian Home Parenteral Nutrition (SA HPN) Unit was formed by the amalgamation of HPN services provided by Associate Professors A Vedig and L Worthley at Flinders Medical Centre in the early 1990’s. 

The SA HPN Unit receives state-wide patient referrals for intestinal failure requiring HPN. The service includes management of long term intravenous catheters, customisation of parenteral nutrition solutions, logistics of home delivery, management of complications of nutritional efficiency and long term parenteral nutrition and symptom control in conjunction with referring medical team. 

The SA HPN Unit is one of the busiest HPN units in Australia with 16 patients, August 2018 (10 per million  population). The casemix includes patients with short bowel syndrome, chronic obstruction and intestinal dysmotility due to causes such as Crohn’s disease, vascular insufficiency, surgery and malignancy.

Research interests

  • Prevention of catheter related blood stream infections

  • Vitamin D metabolism and osteoporosis in HPN patients

  • Micronutrient and trace elements in provision of HPN

  • Quality of life in HPN patients

  • Hospital length of stay on parenteral nutrition

Publications

Clinical classification of adult patients with chronic intestinal failure due to benign disease: An international multicenter cross-sectional survey  

An international study of the quality of life of adult patients treated with home parenteral nutrition  

A prospective study of catheter-related complications in HPN patients  

Gentamicin-citrate locks reduce catheter infections in home parenteral nutrition patient  

Staff

Dr Andrew Holt - Director SA HPN Unit
Margie O’Callaghan - Unit Coordinator and Member, AuSPEN
Dr Evan Everest - Senior Intensive Care Consultant
Dr Steven Galluccio - Senior Intensive Care Consultant

Contact details

Telephone: (08) 8204 4308

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