“…16 The same conclusions have been drawn from hospitalized adults. 12,14 The systems are easier to use, require fewer manipulations and therefore decrease the risk of contamination. Nevertheless, they have some limitations in paediatric clinical practice: (1) they are unsuitable when additions must be added to the EN; (2) they do not allow control over the volume delivered as there are few different volume preparations; and (3) they do not fully prevent touch contamination.…”