Bacterial contamination of enteral nutrition in a paediatric hospital

Roy, S.; Rigal, M.; Doit, C.; Fontan, Jean; Machinot, S; Bingen, Édouard; Cézard, Jean Pierre; Brion, F.; Hankard, R.

doi:10.1016/j.jhin.2004.09.026

Cited by 19 publications

(18 citation statements)

References 19 publications

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“…Between 0% and 57% of enteral formulas prepared in the hospital and over 80% of those prepared in the home have been found to be contaminated with bacteria 39 , 67 . ‐ 69 EN preparation may include the mixing, reconstitution, or dilution of modular products and formula with sterile water, and/or pouring the formula into an administration container.…”

Section: Section 5 Procure Select/prepare Label and Dispense Enmentioning

confidence: 99%

ASPEN Safe Practices for Enteral Nutrition Therapy

Boullata

Carrera²,

Harvey

et al. 2016

J Parenter Enteral Nutr

339

531

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Enteral nutrition (EN) is a valuable clinical intervention for patients of all ages in a variety of care settings. Along with its many outcome benefits come the potential for adverse effects. These safety issues are the result of clinical complications and of process-related errors. The latter can occur at any step from patient assessment, prescribing, and order review, to product selection, labeling, and administration. To maximize the benefits of EN while minimizing adverse events requires that a systematic approach of care be in place. This includes open communication, standardization, and incorporation of best practices into the EN process. This document provides recommendations based on the available evidence and expert consensus for safe practices, across each step of the process, for all those involved in caring for patients receiving EN.

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Section: Section 5 Procure Select/prepare Label and Dispense Enmentioning

confidence: 99%

ASPEN Safe Practices for Enteral Nutrition Therapy

Boullata

Carrera²,

Harvey

et al. 2016

J Parenter Enteral Nutr

339

531

View full text Add to dashboard Cite

show abstract

“…This finding was inconsistent with the finding of Marshall and West (2006), in which diarrhea was attributed to antibiotics followed by feed composition. There is long-standing evidence that supports that contamination of EN equipment leads to diarrhea ( Matlow et al, 2003 ;Mtlow et al, 2006 ;Roy et al, 2005 ).…”

Section: Discussionmentioning

confidence: 99%

Jordanian Critical Care Nursesʼ Practices Regarding Enteral Nutrition

Hammad

Al‐Hussami

Darawad

2015

Gastroenterology Nursing

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In Jordan, there is a gap in literature regarding nurses' practices of enteral nutrition. Thus, the purpose of this study was to assess nurses' practices regarding enteral nutrition of critically ill adult patients. A descriptive, cross-sectional design was used to collect data through self-reported questionnaires and descriptive analyses were used to display the results of the study. The results revealed that some aspects of enteral nutrition practices were consistent with the current best evidences such as initiation time of enteral nutrition and backrest elevation. On the contrary, some aspects showed variations and inconsistency with current best evidences such as the amount of high gastric residual volume and its management. Nurses' practices regarding enteral nutrition were not consistent with international guidelines. This inconsistency can predispose patients to underfeeding. Enhancement of research utilization is highly recommended as well as establishing evidence-based guidelines.

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“…Especially in cats, a single can of commercial liquid diet may last for several days. Studies in people have shown that bacterial contamination can occur in enteral diets . One study of enteral diets fed to hospitalized children showed that contamination with aerobic organisms occurred in 35%–57% of samples tested, with a variety of bacterial species, including Acinetobacter, Streptococcus, Staphylococcus, Enterobacter, Enterococcus, Serratia, Bacillus, Pseudomonas , and Klebsiella .…”

Section: Introductionmentioning

confidence: 99%

Nutritional analysis and microbiological evaluation of commercially available enteral diets for cats

Prantil

Markovich

Heinze

et al. 2015

J Vet Emergen Crit Care

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Objetivo Verificar a adequação das áreas de produção e o nível de contaminação microbiana de dietas enterais utilizadas em três hospitais privados da Região Noroeste do Paraná. Métodos A análise das Boas Práticas de Preparação da Nutrição Enteral seguiu a Resolução da Diretoria Colegiada nº 63/2000, da Agência Nacional de Vigilância Sanitária, e as análises microbiológicas das 15 amostras de dietas enterais seguiram as recomendações da Resolução da Diretoria Colegiada nº 12/2001, da Agência Nacional de Vigilância Sanitária, nas quais foram pesquisados bolores e leveduras, bactérias mesófilas, coliformes a 35 e 45ºC, Estafilococos coagulase positiva, Salmonella sp. e Bacillus cereus. Resultados A maior porcentagem para as Não Conformidades foi do hospital HS (61%) e a menor do hospital HT (43,5%). Foi observada, em 100% das amostras dos hospitais HP e HT, contaminação por coliformes a 45ºC acima do padrão de referência da Resolução da Diretoria Colegiada nº 12/2001 e 60% das amostras do hospital HS apresentaram contaminação por coliformes a 35ºC acima do limite aceitável. As amostras encontravam-se dentro dos padrões para Estafilococos coagulase positiva, Salmonella sp., Bacillus cereus e bactérias mesófilas. Nos hospitais HT e HP a contaminação por bolores e leveduras estava acima do padrão permitido pela legislação. Os resultados das análises mostraram que a contaminação das dietas está relacionada ao tipo de ingrediente utilizado e ao excesso de manipulação. Nutri3.pmd 13/3/2008, 15:37 29

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Bacterial contamination of enteral nutrition in a paediatric hospital

Cited by 19 publications

References 19 publications

ASPEN Safe Practices for Enteral Nutrition Therapy

ASPEN Safe Practices for Enteral Nutrition Therapy

Jordanian Critical Care Nursesʼ Practices Regarding Enteral Nutrition

Nutritional analysis and microbiological evaluation of commercially available enteral diets for cats

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