Microbiological quality of enteral feeding and infant formula produced in dietary units, according to the triad of Donabedian
Microbial contamination of enteral feeding and infant formulas can result in a risk of worsening of the clinical condition of the patients, who are already weakened and susceptible to pathogens. The objective was to evaluate aspects of the management of quality hygienic - sanitary of enteral feeding...
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Published in | Nutrición hospitalaria : organo oficial de la Sociedad Española de Nutrición Parenteral y Enteral Vol. 31; no. 5; pp. 2122 - 2130 |
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Main Authors | , , , |
Format | Journal Article |
Language | English Portuguese |
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Spain
Grupo Arán
01.05.2015
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Abstract | Microbial contamination of enteral feeding and infant formulas can result in a risk of worsening of the clinical condition of the patients, who are already weakened and susceptible to pathogens. The objective was to evaluate aspects of the management of quality hygienic - sanitary of enteral feeding and infant formulas in hospitals, focusing on the structure, process and outcome.
An observational, descriptive, prospective, with quantitative and qualitative variables study was done. The survey was conducted for 12 months and 227 samples of enteral feeding and 176 of infant formula were collected in Nutrition and Dietetic Services of Health Secretary / Federal District. In evaluating the operating conditions, the Tool 2 was applied to: Enteral Nutrition Preparation. Data were analyzed from the unified Donabedian's triad for evaluation of health services.
The results obtained with the Tool 2 demonstrated that the Storage Block complies with legal requirements. Moreover, Dressing Block is a risk factor for the contamination. From the 403 samples, 56% corresponded to samples of Enteral Nutrition and 44% to samples of Infant Formulas. The data indicate that from 227 samples of Enteral Nutrition, 6.2% were in disagreement with the legislation, while from 176 samples of Infant Formulas, 4.6% were also in disagreement with the legislation.
The ineffective implementation of the sanitary and hygienic requirements during the preparation results in a microbiologically unsafe product to patients in debilitated health state, and the count of mesophilic microorganisms can be a good indicator of microbiological safety. |
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AbstractList | Introduction and aims: Microbial contamination of enteral feeding and infant formulas can result in a risk of worsening of the clinical condition of the patients, who are already weakened and susceptible to pathogens. The objective was to evaluate aspects of the management of quality hygienic - sanitary of enteral feeding and infant formulas in hospitals, focusing on the structure, process and outcome. Methods: An observational, descriptive, prospective, with quantitative and qualitative variables study was done. The survey was conducted for 12 months and 227 samples of enteral feeding and 176 of infant formula were collected in Nutrition and Dietetic Services of Health Secretary / Federal District. In evaluating the operating conditions, the Tool 2 was applied to: Enteral Nutrition Preparation. Data were analyzed from the unified Donabedian's triad for evaluation of health services. Results: The results obtained with the Tool 2 demonstrated that the Storage Block complies with legal requirements. Moreover, Dressing Block is a risk factor for the contamination. From the 403 samples, 56% corresponded to samples of Enteral Nutrition and 44% to samples of Infant Formulas. The data indicate that from 227 samples of Enteral Nutrition, 6.2% were in disagreement with the legislation, while from 176 samples of Infant Formulas, 4.6% were also in disagreement with the legislation. Conclusion: The ineffective implementation of the sanitary and hygienic requirements during the preparation results in a microbiologically unsafe product to patients in debilitated health state, and the count of mesophilic microorganisms can be a good indicator of microbiological safety. INTRODUCTION AND AIMSMicrobial contamination of enteral feeding and infant formulas can result in a risk of worsening of the clinical condition of the patients, who are already weakened and susceptible to pathogens. The objective was to evaluate aspects of the management of quality hygienic - sanitary of enteral feeding and infant formulas in hospitals, focusing on the structure, process and outcome.METHODSAn observational, descriptive, prospective, with quantitative and qualitative variables study was done. The survey was conducted for 12 months and 227 samples of enteral feeding and 176 of infant formula were collected in Nutrition and Dietetic Services of Health Secretary / Federal District. In evaluating the operating conditions, the Tool 2 was applied to: Enteral Nutrition Preparation. Data were analyzed from the unified Donabedian's triad for evaluation of health services.RESULTSThe results obtained with the Tool 2 demonstrated that the Storage Block complies with legal requirements. Moreover, Dressing Block is a risk factor for the contamination. From the 403 samples, 56% corresponded to samples of Enteral Nutrition and 44% to samples of Infant Formulas. The data indicate that from 227 samples of Enteral Nutrition, 6.2% were in disagreement with the legislation, while from 176 samples of Infant Formulas, 4.6% were also in disagreement with the legislation.CONCLUSIONThe ineffective implementation of the sanitary and hygienic requirements during the preparation results in a microbiologically unsafe product to patients in debilitated health state, and the count of mesophilic microorganisms can be a good indicator of microbiological safety. Microbial contamination of enteral feeding and infant formulas can result in a risk of worsening of the clinical condition of the patients, who are already weakened and susceptible to pathogens. The objective was to evaluate aspects of the management of quality hygienic - sanitary of enteral feeding and infant formulas in hospitals, focusing on the structure, process and outcome. An observational, descriptive, prospective, with quantitative and qualitative variables study was done. The survey was conducted for 12 months and 227 samples of enteral feeding and 176 of infant formula were collected in Nutrition and Dietetic Services of Health Secretary / Federal District. In evaluating the operating conditions, the Tool 2 was applied to: Enteral Nutrition Preparation. Data were analyzed from the unified Donabedian's triad for evaluation of health services. The results obtained with the Tool 2 demonstrated that the Storage Block complies with legal requirements. Moreover, Dressing Block is a risk factor for the contamination. From the 403 samples, 56% corresponded to samples of Enteral Nutrition and 44% to samples of Infant Formulas. The data indicate that from 227 samples of Enteral Nutrition, 6.2% were in disagreement with the legislation, while from 176 samples of Infant Formulas, 4.6% were also in disagreement with the legislation. The ineffective implementation of the sanitary and hygienic requirements during the preparation results in a microbiologically unsafe product to patients in debilitated health state, and the count of mesophilic microorganisms can be a good indicator of microbiological safety. |
Author | C de A Akutsu, Rita de Cássia Haack de Arruda, Adriana Coelho Araújo, Wilma Maria da Silva Santos, Alessandra Cedro |
AuthorAffiliation | Health State - Federal District University of Brasilia |
AuthorAffiliation_xml | – name: University of Brasilia – name: Health State - Federal District |
Author_xml | – sequence: 1 givenname: Alessandra Cedro surname: da Silva Santos fullname: da Silva Santos, Alessandra Cedro email: alejandracedar@yahoo.com.br organization: Secretary of Health State - Federal District.. alejandracedar@yahoo.com.br – sequence: 2 givenname: Wilma Maria surname: Coelho Araújo fullname: Coelho Araújo, Wilma Maria email: wilma.araujo@terra.com.br organization: Department of Nutrition. University of Brasilia. Brazil.. wilma.araujo@terra.com.br – sequence: 3 givenname: Rita de Cássia surname: C de A Akutsu fullname: C de A Akutsu, Rita de Cássia email: rita.akutsu@gmail.com organization: Department of Nutrition. University of Brasilia. Brazil.. rita.akutsu@gmail.com – sequence: 4 givenname: Adriana surname: Haack de Arruda fullname: Haack de Arruda, Adriana email: adrianahaack@hotmail.com organization: Secretary of Health State - Federal District.. adrianahaack@hotmail.com |
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Keywords | Nutrición enteral Fórmula infantil Enteral nutrition Calidad microbiológica Donabedian Infant formula Microbiological quality |
Language | English Portuguese |
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Snippet | Microbial contamination of enteral feeding and infant formulas can result in a risk of worsening of the clinical condition of the patients, who are already... INTRODUCTION AND AIMSMicrobial contamination of enteral feeding and infant formulas can result in a risk of worsening of the clinical condition of the... Introduction and aims: Microbial contamination of enteral feeding and infant formulas can result in a risk of worsening of the clinical condition of the... |
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SubjectTerms | Brazil Dietary Services - standards Enteral Nutrition Food Microbiology Food Safety Food, Formulated - microbiology Humans Infant Infant Formula - microbiology Nutrition & Dietetics Prospective Studies Surveys and Questionnaires |
Title | Microbiological quality of enteral feeding and infant formula produced in dietary units, according to the triad of Donabedian |
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