Assessment of the microbiological safety of enteral feeds when used with a prolonged feeding time

Weenk, G.H.; Unen, Ella van; Meeuwisse, J.; Ess, I. van; Hulst, J. van der

doi:10.1016/0305-4179(95)92132-v

Cited by 11 publications

(5 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…External contamination did not seem to be important. Our results confirm those of other studies, showing that industrial products can circumvent the problem of external contamination (9–17). In our study, the closed enteral containers remained sterile at the end of the period, confirming the safety of closed enteral feeding systems, even when manipulation errors occur.…”

Section: Discussionsupporting

confidence: 92%

“…Because most previous studies have considered 10 3 or 10 5 cfu/mL to be unacceptable levels of contamination (9–17), we arbitrarily defined overgrowth as a microbial load exceeding 10 4 cfu/mL.…”

Section: Discussionmentioning

confidence: 99%

“…Overgrowth was defined as microorganismal counts of more than 10 4 colony-forming units (cfu)/mL, contamination as counts of less than 10 4 cfu/mL, and sterility as the absence of microorganisms. These limits were defined arbitrarily according to previous studies (9)(10)(11)(12)(13)(14)(15)(16)(17).…”

Section: Microbiologic Analysismentioning

confidence: 99%

See 2 more Smart Citations

Contamination of Gastrostomy Feeding Systems in Children in a Home‐Based Enteral Nutrition Program

Bott,

Husson,

Guimber

et al. 2001

J. pediatr. gastroenterol. nutr.

View full text Add to dashboard Cite

BackgroundThere are few data concerning the risk of contamination of enteral feeding systems via gastrostomy in children, and none for conditions that pertain to home‐based care.MethodsTo investigate the risk of contamination of enteral feeding systems during the home‐based care of 20 children receiving gastrostomy tube feeding, five samples were taken for analysis: two samples before the enteral feeding period (gastrostomy, enteral feeding system) and three after this period (gastrostomy, distal giving set, liquid remained in container). Microorganisms were identified and counted. Different factors were studied to elucidate their role in bacterial colonization: acid suppressive therapy, gastrostomy tube or button, hanging feeding time, rate of enteral feeding, gastric pullulation and retrograde contamination, manipulation error, and use of open or closed enteral feeding systems.ResultsOvergrowth was defined as a microorganismal load exceeding 10 4 colony‐forming units (cfu)/mL. Overgrowth was present in 85% of gastrostomy samples before enteral nutrition started. Most microorganisms belonged to gastric flora. Some bacteria had an environmental origin or derived from cutaneous flora. Forty‐five percent of the lines showed overgrowth at the end of enteral nutrition period, mainly with the same microorganism found in the gastrostomy. Closed enteral bags remained sterile, even if manipulation error occurred. Duration, rate of enteral feeding, and acid suppression treatment were not risk factors for overgrowth.ConclusionsRetrograde contamination of gastrostomy feeding systems occurs frequently. The preferential use of closed enteral feeding systems is recommended for home‐based enteral nutrition programs.

show abstract

Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Contamination of Gastrostomy Feeding Systems in Children in a Home‐Based Enteral Nutrition Program

Bott,

Husson,

Guimber

et al. 2001

J. pediatr. gastroenterol. nutr.

View full text Add to dashboard Cite

show abstract

“…Completely closed non-air dependent collapsible bag system has a hang time of 24-48 h. It consists of 500 mL, 1000 mL, and 1500 mL sterile formulas [9,10]. It is sometimes called RTH.…”

Section: Closed Tube Systemmentioning

confidence: 99%

Open versus Closed Tube Feeding in Critically Ill Patients–Which is the Best?

Sewify¹,

Genena²

2017

J Nutr Food Sci

View full text Add to dashboard Cite

Although, Enteral Nutrition (EN) is a long established practice in critical care but, the ideal prescription and administration still represent a challenge. Patients admitted to intensive care unit, always receive less EN than the prescribed volume, leading to increase the risk of malnutrition, and contributing to negative hospital outcomes. Also contamination of the enteral formulations is very common and might lead to the occurrence of nosocomial infections in the form of diarrhea, bacteremia and pneumonia. EN delivery is available in two main systems: An Open System (OS) or Closed System (CS) which sometimes called a «Ready to Hang» system (RTH). Despite recognition of the importance of nutrition within the modern health agenda, evaluation of the efficacy of how such feeds are delivered (open or closed) is very limited. This review highlights current practice and areas of concern and establishes our current knowledge in this field.

show abstract

“…However, OS allows the specification of EN in terms of diet composition (volume, calories, macronutrients, and micronutrients). CS, also called ready-to-use, consists of industrialized, sterile, liquid diets packed in bags ready to be administered 8,9 . It is industrially manipulated, eliminating critical stages of the preparation process in health facilities, which reduces the risk of contamination and, therefore, infection-if properly used [10][11][12] .…”

Section: Introductionmentioning

confidence: 99%

Sistema aberto ou fechado de nutrição enteral para adultos críticos: Há diferença?

Silva

Assis

Silveira

et al. 2012

Revista da Associação Médica Brasileira

View full text Add to dashboard Cite

show abstract

Assessment of the microbiological safety of enteral feeds when used with a prolonged feeding time

Cited by 11 publications

References 20 publications

Contamination of Gastrostomy Feeding Systems in Children in a Home‐Based Enteral Nutrition Program

Contamination of Gastrostomy Feeding Systems in Children in a Home‐Based Enteral Nutrition Program

Open versus Closed Tube Feeding in Critically Ill Patients–Which is the Best?

Sistema aberto ou fechado de nutrição enteral para adultos críticos: Há diferença?

Contact Info

Product

Resources

About