Home-Prepared Enteral Tube Feeding: Evaluation of Microbiological Contamination, Hygiene, and the Profile of the Food Handler.

Autor: Galindo CO; Graduate Program in Food and Nutrition, Federal University of Paraná, Curitiba, Paraná, Brazil., Beux MR; Graduate Program in Food and Nutrition, Federal University of Paraná, Curitiba, Paraná, Brazil., da Costa RL; Graduate Program in Food and Nutrition, Federal University of Paraná, Curitiba, Paraná, Brazil., Uniat KC; Department of Nutrition, Health Sciences Sector, Federal University of Paraná, Curitiba, Paraná, Brazil., Leobet J; Department of Nutrition, Health Sciences Sector, Federal University of Paraná, Curitiba, Paraná, Brazil., Ferreira SMR; Graduate Program in Food and Nutrition, Federal University of Paraná, Curitiba, Paraná, Brazil., Medeiros CO; Department of Nutrition, Health Sciences Sector, Federal University of Paraná, Curitiba, Paraná, Brazil., Schieferdecker MEM; Department of Nutrition, Health Sciences Sector, Federal University of Paraná, Curitiba, Paraná, Brazil., Stangarlin-Fiori L; Department of Nutrition, Health Sciences Sector, Federal University of Paraná, Curitiba, Paraná, Brazil.
Jazyk: angličtina
Zdroj: Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition [Nutr Clin Pract] 2021 Jun; Vol. 36 (3), pp. 704-717. Date of Electronic Publication: 2020 Sep 25.
DOI: 10.1002/ncp.10577
Abstrakt: Background: Little is known about the risk to patients' health when using home-prepared enteral tube feeding. The objective of this study was to explore the differences in hygiene conditions and microbial load of different types of home-prepared enteral tube feeding and explore associations between those differences and food handlers' characteristics.
Methods: We evaluated 96 enteral formulations, considering 3 types used by adult patients: homemade enteral preparations (HEPs), blended enteral preparations (BEPs), and commercial enteral formulas (CEFs). Enteral formulations were collected from homes and microbiologically analyzed. Hygiene criteria were assessed using a checklist, applied during the handling stages. The profile of the food handler was reviewed using a questionnaire.
Results: 82.3% (79/96) exceeded acceptable bacterial counts, which was 10³ colony-forming units per gram for aerobic mesophilic microorganisms and for total coliforms (35 °C), Escherichia coli, Staphylococcus sp, and Staphylococcus coagulase-positive, if present in the enteral formulations. The number of inadequate samples was higher in HEPs and BEPs than in CEFs. Considering the hygiene criteria, the home-prepared enteral tube feedings did not differ significantly. There was a significant difference among hygiene conditions considering the variables "monthly family income" and "food training."
Conclusion: Regardless of the type of enteral formulations used by patients, when handled at home, there was a risk of contamination. However, contaminants present in enteral formulations can be easily controlled with improvements in hygiene measures as well as with greater guidance and control during the handling stages.
(© 2020 American Society for Parenteral and Enteral Nutrition.)
Databáze: MEDLINE
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