Emerging Resistance to Mycoplasma pneumoniae and Its Association With Malnutrition

at a large regional hospital on ECMO and was diagnosed on admission with severe malnutrition due to inadequate intake.She received enteral nutrition (EN) support for 52 days until she could tolerate a regular diet.A screening for micronutrient deficiencies found no deficiencies as the patient complied with her supplementation regimen after her sleeve gastrectomy.Results: Clinical guidelines recommend that patients with a history of bariatric surgery are evaluated and treated for nutrition deficiencies.Indirect calorimetry (IC) is recommended to determine energy needs; without IC, a bodyweight-based simplistic formula can be used for patients on ECMO.The patient received 25 calories/kilogram with 1.5-2.0grams/kilogram of protein while on ECMO; indirect calorimetry was performed when she was stable.The patient received >85% of her estimated calorie and protein needs during hospitalization.Conclusions: Patients within 1 year of metabolic surgery are at risk for malnutrition and micronutrient deficiencies if not taking recommended supplements and must be appropriately screened and assessed considering their surgical history for nutrition risks during critical illness.