Clinical and laboratory evaluation of a closed enteral feeding system under cyclic feeding conditions: A microbial and cost evaluation

Moffitt, Suzanne Kay; Gohman, Sharon M.; Sass, Kathy M.; Faucher, K J

doi:10.1016/s0899-9007(97)83002-x

Cited by 19 publications

(21 citation statements)

References 19 publications

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“…Several studies have shown that the risk of contamination is greater with open systems because these systems increase physical handling of EN 33 . ‐ 37 Closed systems can decrease manipulation and human contact with enteral formulas and feeding administration sets, which in turn reduces the risk of contamination 38 . ‐ 43 However, some studies have shown that open systems can be safely used when staff practice good hygiene and comply with proper handling procedures 44 .…”

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

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“…Evidence is needed to determine the best practice for 24‐hour intermittent EFS handling 10 . A study by Moffitt et al 11 documented the safety of RTH enteral formula when it is used for bolus or intermittent feeds in a residential care facility. A RTH formula is used as a “gold standard,” as there already is documentation of the microbiologic safety and cost efficiency of this modality in the literature 11 .…”

Section: Introductionmentioning

confidence: 99%

Enteral Feeding Set Handling Techniques

et al. 2016

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“…According to Anderton (2000), dried feeds with a mesophilic total viable count greater than 10 2 cfu g –1 must be rejected. A guideline on microbial levels of hospital foods published by the USFDA (1995) states that action must be taken when aerobic plate count exceeds 10 4 cfu g –1 of liquid or powdered product and Moffit et al . (1997) reported that this upper limit expressed as cfu g –1 was equivalent to cfu mL –1 enteral feed.…”

Section: Discussionmentioning

confidence: 99%

Application of Hazard Analysis Critical Control Points system to enteral tube feeding in hospital

Oliveira

Batista²,

Aidoo

2001

J Human Nutrition Diet

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An HACCP system was implemented for the quality assurance of preparation, storage and delivery of enteral feeds to patients in hospital. Routine methods of feed preparation, storage and delivery to patients were studied and a flow chart was initially made. After identifying hazards, an HACCP team was assembled, a flow chart was modified and critical control points were defined using a decision tree. Control measures for each step of the process and its monitoring and corrective measures to be applied were also defined. In addition, feed samples were analysed for microbiological quality and feed storage temperatures were also recorded, before and after the implementation of the HACCP system. When the control measures were applied and monitored, the hazard was reduced. Bacterial counts in feed were reduced from 105 cfu mL-1 to < 101 cfu mL-1. The results show that contamination of enteral feed may be reduced or eliminated if a systematic approach such as HACCP is applied effectively.

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Clinical and laboratory evaluation of a closed enteral feeding system under cyclic feeding conditions: A microbial and cost evaluation

Cited by 19 publications

References 19 publications

ASPEN Safe Practices for Enteral Nutrition Therapy

ASPEN Safe Practices for Enteral Nutrition Therapy

Enteral Feeding Set Handling Techniques

Application of Hazard Analysis Critical Control Points system to enteral tube feeding in hospital

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