Survey Study Assessing Attitudes and Experiences of Pediatric Registered Dietitians Regarding Blended Food by Gastrostomy Tube Feeding

Johnson, Teresa W.; Spurlock, Amy; Pierce, Leah

doi:10.1177/0884533614564996

Cited by 49 publications

(130 citation statements)

References 11 publications

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“…Although outside of our inclusion criteria, a recent study has indicated that healthcare professionals report positive experiences when using a blended diet,20 and there is some evidence highlighting clinical improvements from a blended diet in an American study 3. Here a total of 33 children with mean age of 34 months were given a pureed by gastrostomy tube diet in an attempt to improve symptoms, nutrition and hydration.…”

Section: Resultsmentioning

confidence: 99%

Blended foods for tube-fed children: a safe and realistic option? A rapid review of the evidence

Coad

Toft

Lapwood³

et al. 2016

Arch Dis Child

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With the growing number of children and young people with complex care needs or life-limiting conditions, alternative routes for nutrition have been established (such as gastrostomy feeding). The conditions of children and young people who require such feeding are diverse but could relate to problems with swallowing (dysphagia), digestive disorders or neurological/muscular disorders. However, the use of a blended diet as an alternative to prescribed formula feeds for children fed via a gastrostomy is a contentious issue for clinicians and researchers. From a rapid review of the literature, we identify that current evidence falls into three categories: (1) those who feel that the use of a blended diet is unsafe and substandard; (2) those who see benefits of such a diet as an alternative in particular circumstances (eg, to reduce constipation) and (3) those who see merit in the blended diet but are cautious to proclaim potential benefits due to the lack of clinical research. There may be some benefits to using blended diets, although concerns around safety, nutrition and practical issues remain.

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Section: Resultsmentioning

confidence: 99%

Blended foods for tube-fed children: a safe and realistic option? A rapid review of the evidence

Coad

Toft

Lapwood³

et al. 2016

Arch Dis Child

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“…BTF has continued in areas where CF is not widely available, and in limited patient populations in developed countries . However, interest in and use of BTF have recently increased substantially in developed countries and are largely driven by patients and caregivers . This development creates conflict between the desire to provide patient‐centered care and adherence to established healthcare policies.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Microbial Growth Between Commercial Formula and Blenderized Food for Tube Feeding

et al. 2018

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Background Many healthcare facilities and providers prohibit blenderized tube feeding (BTF) for patients who request it due to concerns of high microbial load. The current project compared microbial loads of a standard ready‐to‐feed polymeric commercial formula (CF), a BTF made using baby food (BTF‐BF), and a BTF prepared from blending whole food (BTF‐WF), following food safety standards expected of U.S. hospitals. Methods Three tube‐feeding formulas (CF, BTF‐BF, BTF‐WF) were prepared in a U.S. hospital and delivered in vitro to an unoccupied patient room. Samples were collected at zero hour, 2 hours, and 4 hours and compared for growth of aerobic microorganisms, Staphylococus aureus, coliforms, and Escherichia coli. The experiment was conducted in triplicate, 1 week apart. Results No S. aureus or coliform/E. coli were detected at any time point following preparation, and total bacterial count was well below acceptable limits. All 3 feeding formulas at zero hour, 2 hours, and 4 hours for each of the 3 sampling dates were acceptable for human consumption. Conclusion Judicious BTF recipe selection and adherence to safe food handling provide a safe feeding substrate equivalent to CF in the hospital setting. Due to increased use and interest in BTF by patients and their caregivers, healthcare facilities may need to reexamine their policies prohibiting BTF use.

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“…While most of these children will use commercial formulae (CF), there is an increasing interest by health professionals and carers in the use of blenderised food for tube-feeding (BFTF) 2 3. Recently, the British Dietetic Association (BDA) issued a policy statement, advising its members that BFTF is not recommended 4.…”

Section: Introductionmentioning

confidence: 99%

Dietitians' perceptions and experience of blenderised feeds for paediatric tube-feeding

et al. 2016

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Results: Of the 77 respondents, 19 were aware of professional guidelines and 63 had never received training on BFTF. Thirty-four wouldn't recommend BFTF and 11 would advise against its use; yet 43 would recommend it to supplement commercial feeds. Fifty-seven would change their perception about BFTF if there were evidence based guidelines. Fortyfour would feel confident to support a patient using BFTF. Forty-three had previous experience supporting a patient with BFTF. The main concerns perceived by dietitians, pertinent to the use of BFTF, were nutritional inadequacy (n=71), tube blockages (n=64) and increased infection risk (n=59) but these were significantly higher than those experienced by themselves in clinical practice (p<0.001 for all three). A reduction in reflux and vomiting and increased carer involvement were the main perceived and observed benefits by both dietitians and carers.

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Survey Study Assessing Attitudes and Experiences of Pediatric Registered Dietitians Regarding Blended Food by Gastrostomy Tube Feeding

Abstract: Interest in BFGT is largely parent-driven or explored as an option for children with tube feeding intolerance. Almost 80% of RDs using this feeding substrate report overall positive outcomes, but 28% indicate they want more information on using BFGT in clinical practice.

Cited by 49 publications

References 11 publications

Blended foods for tube-fed children: a safe and realistic option? A rapid review of the evidence

Blended foods for tube-fed children: a safe and realistic option? A rapid review of the evidence

Comparison of Microbial Growth Between Commercial Formula and Blenderized Food for Tube Feeding

Dietitians' perceptions and experience of blenderised feeds for paediatric tube-feeding

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