Journal ArticleDOI
Evaluation of "Closed" vs "Open" Systems for the Delivery of Peptide-Based Enteral Diets
Reads0
Chats0
TLDR
Nonvented closed-delivery containers may be safely infused for up to 48 hours and are associated with reduced labor and contamination, and could be eliminated by extending allowable hang times.Abstract:
Background: The study was designed to quantitate factors such as preparation time, waste, and contamination associated with three different feeding systems for peptide-based diets, and to determine appropriate hang times. Methods: Intensive care unit patients were randomized to receive a peptide-based diet in 1500-mL prefilled, sterile closed-system containers (CS) infused more than 24 hours, as open systems decanted from cans (OS-Can), or as open systems mixed from powder (OS-Powder). Open-system groups were provided a 12-hour supply twice daily in commercially clean 1-L bags with preattached sets. Samples were taken for culture during preparation and after infusion. Preparation time, initial and final microbial concentrations, and total waste were quantified. Results: Preparation time was significantly shorter for CS than for OS-Can or for OS-Powder (2 minutes vs 7.5 minutes vs 13.0 minutes). Initially, 100% of the OS-Powder and 30% of the OS-Can bags were contaminated, with significant contamination ex...read more
Citations
More filters
Journal ArticleDOI
A.S.P.E.N. Enteral Nutrition Practice Recommendations
Robin Bankhead,Joseph I. Boullata,Susan Brantley,Mark R. Corkins,Peggi Guenter,Joseph Krenitsky,Beth Lyman,Norma A. Metheny,Charles Mueller,Sandra T. Robbins,Jacqueline Wessel +10 more
TL;DR: Enteral Nutrition Practice Recommendations Task Force: Robin Bankhead, CRNP, MS, CNSN, Chair; Joseph Boullata, PharmD, BCNSP; Susan Brantley, MS-RD, RD, LDN, CNSD; Mark Corkins, MD, CNSP; Peggi Guenter, PhD, RN, CNSn; Joseph Krenitsky, MS; and the A.P.S.E.N. Board of Directors.
Journal ArticleDOI
Acquisition of Clostridium difficile and Clostridium difficile-Associated Diarrhea in Hospitalized Patients Receiving Tube Feeding
TL;DR: Monitoring for C. difficile-associated diarrhea in acutely ill tube-fed patients and in a matched cohort of non-tube- fed patients in an acute care setting suggested that C.difficile may be a cause of diarrhea in tube-feeding patients.
Journal ArticleDOI
ASPEN Safe Practices for Enteral Nutrition Therapy [Formula: see text].
Joseph I. Boullata,Amy Long Carrera,Lillian Harvey,Arlene A. Escuro,Lauren Hudson,Andrew Mays,Carol McGinnis,Jacqueline Wessel,Sarita Bajpai,Mara Lee Beebe,Tamara J. Kinn,Mark Klang,Linda M. Lord,Karen Martin,Cecelia Pompeii-Wolfe,Jackie Sullivan,Abby Wood,Ainsley Malone,Peggi Guenter +18 more
TL;DR: 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.
Journal ArticleDOI
A review of the nursing care of enteral feeding tubes in critically ill adults: part I
TL;DR: Generally, there was little high quality evidence to support practice recommendations leaving significant scope for further research by nurses in the management of patients with enteral tubes.
Journal ArticleDOI
Microbial contamination of enteral feeding formulas and diarrhea.
TL;DR: Controversial formula appears to play a significant role in the etiology of diarrhea in patients receiving enteral feeding, and the other factors studied showed no significant association with the incidence of diarrhea.
References
More filters
Journal ArticleDOI
Mechanism of prevention of postburn hypermetabolism and catabolism by early enteral feeding.
Hidetaka Mochizuki,Orrawin Trocki,Lorenzo Dominioni,Kim Brackett,Stephen N. Joffe,J W Alexander +5 more
TL;DR: It is suggested that immediate postburn enteral feeding can prevent hypermetabolism via preservation of gut mucosal integrity and prevention of excessive secretion of catabolic hormones.
Journal ArticleDOI
Enteral feeds contaminated with Enterobacter cloacae as a cause of septicaemia.
TL;DR: Any suggestion of joining a disability group such as a disabled drivers' club or an amputees sports team will meet with a varied response; some are appalled at such a suggestion, while others readily join.
Journal ArticleDOI
Enteral hyperalimentation as a source of nosocomial infection
TL;DR: It is concluded that ENS may be an important source of nosocomial infection and uniform microbial criteria for ENS should be developed and methods to limit contamination should be utilized.
Journal ArticleDOI
Contaminated Enteral Nutrition Solutions as a Cause of Nosocomial Bloodstream Infection: A Study Using Plasmid Fingerprinting
Jack Levy,Yves Van Laethem,Godelieve Verhaegen,Chantal Perpête,Jean-Paul Butzler,Richard P. Wenzel +5 more
TL;DR: The results suggest that contaminated enteral nutrition solutions represent a significant cause of nosocomial sepsis and a general policy for using sterile commercially prepared solutions is suggested.
Journal ArticleDOI
Bacterial contamination of enteral feeds and feeding systems
TL;DR: Evidence is presented illustrasting the role of microbial contamination in the development of infectious complications, including bacteraemia, septicaemia, pneumonia, diarrhoea and infectious entercolitis, during preparation and administration of enteral feeds.