🦠microbiology review

Necrotizing enterocolitis

Written by the Fiveable Content Team • Last updated August 2025
Written by the Fiveable Content Team • Last updated August 2025

Definition

Necrotizing enterocolitis (NEC) is a severe gastrointestinal disease primarily affecting premature infants, characterized by inflammation and bacterial invasion of the intestine. It can lead to devastating outcomes including bowel necrosis and systemic infection.

5 Must Know Facts For Your Next Test

  1. NEC predominantly affects premature infants due to their underdeveloped immune systems and gut flora.
  2. The exact cause of NEC is unknown, but factors like intestinal immaturity, abnormal bacterial colonization, and formula feeding are implicated.
  3. Common symptoms include abdominal distension, bloody stools, vomiting, and lethargy.
  4. Diagnosis often involves clinical assessment, radiographic imaging showing pneumatosis intestinalis (gas within the intestinal wall), and laboratory tests indicating systemic infection.
  5. Treatment may include bowel rest, antibiotics, supportive care, and in severe cases, surgical intervention to remove necrotic bowel tissue.

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