Bacterial contamination of blenderized whole food and commercial enteral tube feedings in the Philippines

Sullivan, Mary M.; Sorreda-Esguerra, Pearl; Santos, Emanuel Ernesto Fernandes; Platon, B.; Castro, Cynthia G; Idrisalman, E R; Chen, N R; Shott, Susan; Comer, Gail M.

doi:10.1053/jhin.2001.1093

Cited by 48 publications

(76 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Previous studies have also demonstrated contamination of enteral feeding by coliforms. Research conducted in the Philippines (Sullivan et al. 2001) found 38.0% of the samples contaminated by these microorganisms.…”

Section: Resultsmentioning

confidence: 99%

Microbiological Quality and Phenotypic Characterization of Microorganisms Isolated From Enteral Feeding, Food Handlers and Environments of Two Public Brazilian Hospitals

Borges

Campos

André

et al. 2010

Journal of Food Safety

View full text Add to dashboard Cite

This work aimed to evaluate the microbiological conditions of enteral feeding, water, powder module and personnel samples obtained from two public hospitals in Goiânia/GO, Brazil. The Escherichia coli and Staphylococcus aureus strains isolated were submitted to antibiogram for phenotypic characterization. The S. aureus strains isolated were grouped into six phenotypic profiles (A–F). There was no correlation among strains isolated from diet and handlers samples. The E. coli strains were grouped into four phenotypic profiles (A–D). The E. coli phenotypes A and C showed the same susceptibility profile for microorganisms isolated from handlers and diets, suggesting a relationship among those isolates. Seven S. aureus and 12 E. coli isolates were resistant to two or more antibiotics. The diets presented unsatisfactory sanitary‐hygienic conditions in the hospitals evaluated because 47 samples (58.8%) from the first hospital and 30 samples (37.5%) from the second hospital were above the limits established by Brazilian legislation. PRACTICAL APPLICATIONS Enteral nutrition is a very important mechanism to provide support to health‐compromised patients, so the microbiological quality of this product is essential to guarantee its safety. This study emphasizes the importance of monitoring the enteral diet microbiological quality and the factors associated with its contamination. The study highlights the use of antibiogram as an instrument to correlate strains in order to help the identification of the probable origin of final product contamination.

show abstract

Section: Resultsmentioning

confidence: 99%

Microbiological Quality and Phenotypic Characterization of Microorganisms Isolated From Enteral Feeding, Food Handlers and Environments of Two Public Brazilian Hospitals

Borges

Campos

André

et al. 2010

Journal of Food Safety

View full text Add to dashboard Cite

show abstract

“…Sources of feed contamination are ingredients (e.g., nonsterile water or raw fruits or vegetables) and personnel, due to inadequate hand washing or improper preparation or handling of the feeds (39). Contamination can also occur during feed manipulation such as dilution and reconstitution or can be associated with the equipment used such as blenders, refrigerators, and improperly washed utensils (39).…”

Section: Discussionmentioning

confidence: 99%

“…Contamination can also occur during feed manipulation such as dilution and reconstitution or can be associated with the equipment used such as blenders, refrigerators, and improperly washed utensils (39). Various methods have been suggested to reduce microbial contamination, including priming the feeding set with an alcohol-treated metal tray, spraying the bottle opener and bottle top with 70% alcohol, wearing nonsterile disposable gloves, and filling the feeding reservoir with enough feed for only 4 h rather than 24 h and then changing the feeding reservoir set at the end of each feeding session (35).…”

Section: Discussionmentioning

confidence: 99%

Formulation of a Nasogastric Liquid Feed and Shelf-Life Extension Using Gamma Radiation

Hajare

Gautam

Nair

et al. 2014

Journal of Food Protection

View full text Add to dashboard Cite

Nasogastric liquid feed formulation (NGLF) was developed for immunocompromised patients who are vulnerable targets of pathogenic assault. NGLF consisted of cereals, pulses, vegetables, and milk powder to provide balanced nutrients; however, the shelf life was only a few hours because this product was highly prone to microbial contamination and proliferation due to its high water content and rich nutrients. Postpreparation storage and distribution was very difficult, even at chilled temperatures. To overcome this problem, the NGLF was irradiated at various doses (2.5 to 10 kGy). Gamma irradiation at 10 kGy reduced the microbial load to nondetectable levels, and the product could be stored up to 1 month without any detectable increase in microbial load. The sensory evaluation did not indicate differences between the nonirradiated fresh, irradiated fresh, and stored samples. Nutritional quality in terms of total carbohydrates, dietary fiber, proteins, calories, vitamins A and C, and the micronutrients calcium, iron, and zinc was not affected by irradiation. NGLF also possessed antimutagenic potential against ethylmethanesulphonate-induced mutagenesis in Escherichia coli cells as evaluated by the rifampin resistance assay. This property of NGLF remained unchanged even after exposure to a 10-kGy dose of gamma radiation. Thus, irradiated NGLF seemed to be a safe and wholesome food for immunocompromised patients.

show abstract

“…Além disso, há necessidade de um controle rígido das condições higiênicas no preparo, acondicionamento e administração dos alimentos 15,18 . Dietas artesanais apresentaram alto grau de contaminação mesmo quando preparadas em ambiente hospitalar 19,20 .…”

Section: N T R O D U ç ã Ounclassified

Qualidade nutricional e microbiológica de dietas enterais artesanais padronizadas preparadas nas residências de pacientes em terapia nutricional domiciliar

2013

View full text Add to dashboard Cite

QUALIDADE DE DIETAS ENTERAIS ARTESANAIS | 205Rev. Nutr., Campinas, 26(2):205-214, mar./abr., 2013 Revista de Nutrição 1 Artigo elaborado a partir da tese de VFN Santos, intitulada "Dieta enteral não industrializada para pacientes em terapia nutricional domiciliar: parâmetros físicos, químicos e nutricionais, efeito sobre a antropometria e índices bioquímicos, reprodutibilidade na preparação domiciliar e qualidade microbiológica". R E S U M O ObjetivoAvaliar as propriedades físico-químicas, microbiológicas e nutricionais de dietas enterais artesanais padronizadas preparadas nos domicílios de pacientes em terapia nutricional domiciliar. MétodosForam desenvolvidas duas formulações de dietas enterais (F1=1,2kcal/mL e F2=1,5kcal/mL), elaboradas com maltodextrina (155/155g), concentrado proteico de soro de leite (30/15g) e óleos vegetais (30/60g) dissolvidos em água (q.s.p.1000mL). Os cuidadores receberam os ingredientes e as medidas padrão e foram orientados quanto ao preparo e às boas práticas de manipulação. O estudo teve duração de quatro meses, e amostras das dietas preparadas nos domicílios de 33 pacientes foram coletadas e analisadas no início e no final deste período. As amostras foram avaliadas quanto à sua adequação percentual em relação aos valores prescritos de macronutrientes e energia, bem como aos padrões microbiológicos estabelecidos pela legislação vigente. ResultadosAs dietas formuladas (Formulação 1/Formulação 2) apresentaram os seguintes teores de macronutrientes, energia e osmolalidade: água -73,5/70,0%; proteína -4,4/6,0%; lipídeo -4,3/6,6%; carboidrato -16,9/16,4%; energia -120/150kcal/100mL; osmolalidade -440/450mOsm/kg.H 2 O. As variações nas adequações percentuais das amostras domiciliares foram menores que 20,0% tanto na primeira quanto na última amostragem. As

show abstract

Bacterial contamination of blenderized whole food and commercial enteral tube feedings in the Philippines

Cited by 48 publications

References 20 publications

Microbiological Quality and Phenotypic Characterization of Microorganisms Isolated From Enteral Feeding, Food Handlers and Environments of Two Public Brazilian Hospitals

Microbiological Quality and Phenotypic Characterization of Microorganisms Isolated From Enteral Feeding, Food Handlers and Environments of Two Public Brazilian Hospitals

Formulation of a Nasogastric Liquid Feed and Shelf-Life Extension Using Gamma Radiation

Qualidade nutricional e microbiológica de dietas enterais artesanais padronizadas preparadas nas residências de pacientes em terapia nutricional domiciliar

Contact Info

Product

Resources

About