AI Article Synopsis
- The study investigated the health risks associated with home-prepared enteral tube feeding by comparing hygiene standards and microbial load across homemade, blended, and commercial formulations.* -
- Out of 96 samples analyzed, 82.3% showed unacceptable levels of bacteria, particularly in homemade and blended feedings compared to commercial options, indicating a higher contamination risk.* -
- Improvements in hygiene practices and better training for food handlers could significantly reduce contamination risk in home-prepared enteral feedings.*
Article Abstract
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.
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| http://dx.doi.org/10.1002/ncp.10577 | DOI Listing |
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Article Synopsis
- * Twelve children met the criteria for the study, with most having undergone small bowel resection; after the switch to BTF, 25% achieved enteral autonomy, and 58% showed a decrease in PN energy intake.
- * The transition to BTF did not significantly alter growth patterns or stool frequency, suggesting that BTF can be a beneficial option for older children with IF.
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