Nutrition care is vital, particularly in patients with infections. Below are COVID-19 nutrition support resources from ASPEN and our clinical and industry partners. We are providing these important resources to everyone for free. To support and join ASPEN in our mission to improve patient care by advancing the science and practice of clinical nutrition, please consider becoming a member.
Updated October 7, 2022. Bookmark this page and check back regularly for updates and new content.
Recommendations | Enteral Nutrition | Parenteral Nutrition | Educational Resources
Journal Articles | Patient Stories | ASPEN in the News
Recommendations from ASPEN and Other Professional Organizations
- Feeding the Patient with Obesity in the Critical Care Setting: A Case-Based Application
- Dietary Supplements in the Time of COVID-19, National Institutes of Health Office of Dietary Supplements
- Nutritional management of individuals with obesity and COVID-19: ESPEN expert statements and practical guidance, ESPEN Endorsed Recommendation
- Caring for Critically Ill Children With Suspected or Proven Coronavirus Disease 2019 Infection, Recommendations by the Scientific Sections’ Collaborative of the European Society of Pediatric and Neonatal Intensive Care
- Recomendaciones de la Academia Nacional de Medicina de Colombia sobre Alimentación y Nutrición frente a la infección por SARSCoV2- COVID-19, Academia Nacional de Medicina de Colombia
- Ethical Framework for Nutrition Support Resource Allocation During Shortages: Lessons From COVID‐19, Nutrition in Clinical Practice, June 2020, Barrocas et al.
- What Can I Eat at Home After Being in the Hospital with COVID-19, Canadian Malnutrition Taskforce and Canadian Nutrition Society. In French
- What Can I Eat at Home After Being in the Intensive Care Unit with COVID-19, Canadian Malnutrition Taskforce and Canadian Nutrition Society. In French
- ASPEN Report on Nutrition Support Practice Processes with COVID-19: The First Response, ASPEN, May 2020. In Spanish
- Nutrition Therapy in the Patient with COVID-19 Disease Requiring ICU Care, ASPEN. In Spanish
- Nutrition and Hydration: Key Weapons in the Fight Against COVID-19, ASPEN Recommendations for Non-ICU COVID-19 Patients. In Spanish
- Nutrition and Hydration: Quick Facts for COVID-19 Patients, ASPEN Recommendations for Non-ICU COVID-19 Patients. In Spanish
- ESPEN Expert Statements and Practical Guidance for Nutritional Management of Individuals with SARS-CoV-2 Infection, Clinical Nutrition, April 2020, Barazzoni R et al.
- Declaraciones de Expertos ESPEN Y Orientación Práctica para el Manejo Nutricional de Individuos con Infección SARS-CoV-2, Clinical Nutrition, April 2020, Barazzoni R et al.
- British Association for Parenteral and Enteral Nutrition COVID-19 Resources, BAPEN
- Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Pediatric Critically Ill Patient, JPEN 2017 Vol 41, Issue 5, Nilesh M. Mehta, MD et al.
- Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient, JPEN 2016 Vol 40, Issue 2, Stephen A. McClave MD et al.
Enteral Nutrition (EN)
- ASPEN EN Care Pathway: Steps and resources for managing critically ill adult patients requiring enteral nutrition (EN), starting at needs assessment through transition out of the ICU.
- Managing EN Supplies During Increased Demand: Suggestions and information on potential enteral supply challenges.
- Supply News from EN Industry: These updates from our industry partners are for information only. ASPEN does not endorse these statements and suggests you contact the industry partner with any questions.
Parenteral Nutrition (PN)
Managing PN Supply During Increased Demand: Some clinicians have reported an increased use of multi-chamber bag parenteral nutrition (MCB-PN) products as they require fewer pharmacy resources to prepare and those resources are being used elsewhere for other pharmacy acute care services. Here is information on MCB-PN:
*This is for information only. ASPEN does not endorse these products.
FDA Provides Compounding Flexibility
According to ASHP, the Food and Drug Administration (FDA) announced clarifications for compounding of drugs in shortage and compounding in hospitals. Specifically, FDA announced that it will not enforce the one-mile radius requirement from the agency's 2016 Hospital and Health System Compounding Draft Guidance. This clarification was not time-limited and it is anticipated to remain in effect after the national emergency ends. FDA also clarified which drugs it designates as not "commercially available," meaning that these drugs can be compounded by 503A and 503B pharmacies. FDA further noted that it would not be enforcing the 5% limit on interstate distribution of compounded drugs until after the draft Memorandum of Understanding takes effect.
ISMP Newsletter: Anticipated Shortage of Smart Infusion Pumps
PPE Practices for Sterile Compounding During COVID-19: FDA Guidance
Supply News from PN Industry: These updates from our industry partners are for information only. ASPEN does not endorse these statements and suggests you contact the industry partner with any questions.
Educational Resources on COVID-19 and Nutrition
- Webinar on February 23: COVID-19 happened. Now what? The pandemic's legacy on our relation with proteins. Register
Speaker: Sylvain Charlebois, PhD. Hosted by the Canadian Nutrition Society
- Webinar on March 17: COVID-19, Nutrition and Lifestyle Factors in the Canadian Population. Register
Speakers: Stéphanie Chevalier, RD, PhD; Didier Brassard, RD, MSc, PhD(c); Moderator: Daiva Neilsen, PhD. Hosted by the Canadian Nutrition Society
- Learning from COVID-19: The Value of Nutrition Across the Care Spectrum, Joint webinar with ASPEN, BAPEN, and CNS
- Management of food allergies & related allergic conditions during the COVID-19 pandemic and beyond, brought to you by Nutricia North America
- FPIES (Food Protein-Induced Enterocolitis Syndrome) in the time of COVID-19, brought to you by Nutricia North America
- COVID-19: What's Next. Preparing for the Second Wave, presented by SCCM and sponsoring societies. September 11-12, 2020.
- Nutritional Management in Care Homes and Learnings from COVID-19, sponsored by Nutricia
- Managing Nutrition Support for Critically Ill COVID-19 Patients ( Recording) ( Slides), ASPEN and SCCM
- Nutritional Rehabilitation After Covid-19 Infection: Homeward-Bound After Hospital Discharge, Hosted by EFAD, sponsored by Nutricia
- Nutrition Care of the COVID-19 Patient Series, Abbott Nutrition Health Institute
- SARS-CoV-2 Nutrition: An Evolving Perspective, Nestlé Nutrition Institute
- Nutrition of the Critically Ill COVID-19 Patient - Making it Simple, European Society of Intensive Care Medicine
- Strategies for the nutritional management of COVID-19 patients post-ICU, Nutricia
- Managing nutrition support for COVID-19 ICU patients, Nutricia
- Nutritional Management of COVID-19 Patients Webinar Series, Nutricia ANZ and Dietitian Connection
- Feeding the Critically Ill COVID-19 Patient Webinar Series, Fresenius Kabi
- Helping Empower Recovery - the Online Series (HERO), Baxter
- Enteral Nutrition in the ICU: COVID 19 Challenges, Nestlé Nutrition Institute
- Infusion Therapy - Conserving Supplies in the Age of COVID-19: An ECRI lab webcast
- Virtual JPEN Issue: Nutrition Care of Critically Ill Patients With COVID-19
- Virtual NCP Issue: Nutrition Support and Implications for COVID-19
- Association between phase angle and adverse clinical outcomes in hospitalized patients with COVID-19: A systematic review First published: NCP 06 August 2022
- Impact of malnutrition on clinical outcomes in patients diagnosed with COVID-19 First published: JPEN 07 June 2022
- Severe acute respiratory syndrome coronavirus 2 antibody prevalence in adult patients with short bowel syndrome—A German multicenter cross-sectional study First published: JPEN 26 May 2022. Journal of Parenteral and Enteral Nutrition, Volume 46, Issue 6.
- Energy expenditure in COVID-19 mechanically ventilated patients: A comparison of three methods of energy estimation First published: JPEN 08 May 2022.
- Nutrition risk assessed by Nutritional Risk Screening 2002 is associated with in-hospital mortality in older patients with COVID-19 First published: NCP 30 April 2022. Nutrition in Clinical Practice, Volume 37, Issue 3.
- Severe acute respiratory syndrome coronavirus 2 antibody prevalence in adult patients with short bowel syndrome—A German multicenter cross-sectional study First Published: JPEN 26 May 2022
- Energy requirements for critically ill patients with COVID-19 First Published: NCP 12 March 2022
- Increased nutrition risk at admission is associated with longer hospitalization in children and adolescents with COVID-19 First Published: NCP 28 February 2022
- Intravenous vitamin C use and risk of severity and mortality in COVID-19: A systematic review and meta-analysis First Published: NCP 11 February 2022
- Specific nutritional and metabolic characteristics of COVID-19 persistent critically ill patients First Published: JPEN, 19 January 2022
- A high neutrophil to lymphocyte ratio at ICU admission is associated with nutritional risk in COVID-19 patients First Published: JPEN, 27 December 2021
- Case presentation and panel discussion: Nutrition issues in cancer First PublishedJPEN, 13 December 2021
- Phase angle and overhydration are associated with post-extubating dysphagia in patients with COVID-19 discharged from the ICU First Published: NCP, 7 October 2021
- Barriers to Nutritional Therapy in the Critically Ill Patient with COVID-19 Disease First Published: JPEN, 5 September 2021
- Protein requirements for critically ill ventilator-dependent patients with COVID-19 First Published: NCP, 1 September 2021
- Physical recovery of COVID-19 pneumosepsis intensive care survivors compared with non-COVID pneumosepsis intensive care survivors during post–intensive care hospitalization: The RECOVID retrospective cohort study First Published: JPEN, 3 August 2021
- Low phase angle is associated with 60-day mortality in critically ill patients with COVID-19 First Published: JPEN, 22 July 2021
- Clinical significance of prognostic nutrition index in hospitalized patients with COVID-19: Results from single-center experience with systematic review and meta-analysis First Published: NCP, 16 July 2021
- Use of telehealth in home nutrition support: Challenges and advantages First Published: NCP, 10 July 2021
- Medical nutrition therapy for patients with malnutrition post–intensive care unit discharge: A case report of recovery from coronavirus disease 2019 (COVID-19) First Published: NCP, 10 July 2021
- Sarcopenic dysphagia following COVID-19 infection: A new danger First Published: NCP, 23 June 2021
- Practical considerations of developing and conducting a successful telehealth practice in response to COVID-19 First Published: NCP, 22 June 2021
- An examination of gastrointestinal absorption using the acetaminophen absorption test in critically ill patients with COVID-19: A retrospective cohort study First Published: NCP, 8 June 2021
- Performing nutrition assessment remotely via telehealth First Published: NCP, 8 June 2021
- Fluoroscopic placement of nasojejunal feeding tubes in COVID-19 patients in the prone position First Published: JPEN, 22 May 2021
- Malnutrition is associated with hyperinflammation and immunosuppression in COVID-19 patients: A prospective observational study First Published: NCP, 12 May 2021
- Nutrition care practice patterns for patients with COVID-19—A preliminary report First Published: JPEN, 17 March 2021
- Modified minimal-contact COVID-19 workflow allows for safe, remote parenteral nutrition prescribing in non–critically ill patients First Published, JPEN, 10 March 2021
- Nutrition evaluation and management of critically ill patients with COVID-19 during post–intensive care rehabilitation First Published: JPEN, 5 March 2021
- Nutrition Support in Patients With Acute Respiratory Distress Syndrome COVID-19 First Published: NCP, 5 March 2021
- Early Enteral Nutrition in Mechanically Ventilated Patients With COVID-19 Infection First Published: NCP, 2 March 2021
- Nutrition Therapy in COVID-19 Is Not That Simple First Published: JPEN, 25 February 2021
- Ethical Aspects of Artificially Administered Nutrition and Hydration: An ASPEN Position Paper First Published: NCP, 22 February 2021
- COVID-19 infection in patients with intestinal failure: UK experience First Published: JPEN, 14 February 2021
- Response to “High-Fat Diet, Hypertriglyceridemia, Hyperlipidemic Acute Pancreatitis: Don't Forget Novel Coronavirus–Induced Acute Pancreatitis” First Published: NCP, 12 February 2021
- Enteral Nutrition Safety With Advanced Treatments: Extracorporeal Membrane Oxygenation, Prone Positioning, and Infusion of Neuromuscular Blockers First Published: NCP, 29 December 2020
- Association Between Low Zinc Levels and Severity of Acute Respiratory Distress Syndrome by New Coronavirus SARS-CoV-2 First Published: NCP, 23 December 2020
- Indirect Calorimetry in Critically Ill Patients With COVID-19: More Questions Than Answers First Published: JPEN, 26 November 2020
- An International Survey of Clinicians’ Experience Caring for Patients Receiving Home Parenteral Nutrition for Chronic Intestinal Failure During the COVID-19 Pandemic First published: JPEN, 25 November 2020
- Clinical Nutrition Research and the COVID-19 Pandemic: A Scoping Review of the ASPEN COVID-19 Nutrition Taskforce First published: JPEN, 23 October 2020
- Nutrition Support During Prone Positioning: An Old Technique Reawakened by COVID-19 First published: NCP, 23 October 2020
- Use of Continuous Glucose Monitoring to Assess Parenteral Nutrition–Induced Hyperglycemia in an Adult Patient With Severe COVID‐19 First published: JPEN, 21 October 2020
- PEG Tube Placement in COVID‐19 patients: A Multidisciplinary Approach Published as an accepted article in Digestive Endoscopy, 16 October 2020
- Nutrition Therapy in Critically Ill Patients With Coronavirus Disease 2019 First published: JPEN, 27 May 2020
- Challenges of Maintaining Optimal Nutritional Status in COVID‐19 Patients in Intensive Care Settings First published: JPEN, 16 August 2020
- Evaluation of Nutrition Risk and Its Association With Mortality Risk in Severely and Critically Ill COVID‐19 Patients First published: JPEN, 01 July 2020
- Nutrition Status Affects COVID‐19 Patient Outcomes First published: JPEN, 01 July 2020
- Hypermetabolism and Coronavirus Disease 2019 First published: JPEN, 19 June 2020
- Relevant Nutrition Therapy in COVID‐19 and the Constraints On Its Delivery by a Unique Disease Process First published: NCP, 12 August 2020
- Gastrointestinal Manifestations of COVID‐19: Impact on Nutrition Practices First published: NCP, 15 July 2020
- ASPEN Report on Nutrition Support Practice Processes With COVID‐19: The First Response, First published: NCP, 16 July 2020
- Ethical Framework for Nutrition Support Resource Allocation During Shortages: Lessons From COVID‐19 First published: NCP, 03 June 2020
ASPEN in the News