Microbiological quality of enteral feeding and infant formula produced in dietary units, according to the triad of Donabedian

• Published in: Nutrición hospitalaria : organo oficial de la Sociedad Española de Nutrición Parenteral y Enteral Vol. 31; no. 5; pp. 2122 - 2130
• Main Authors: da Silva Santos, Alessandra Cedro, Coelho Araújo, Wilma Maria, C de A Akutsu, Rita de Cássia, Haack de Arruda, Adriana
• Format: Journal Article
• Language: English; Portuguese
• Published: Spain Grupo Arán 01.05.2015
• Subjects: 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; Nutrición enteral; Fórmula infantil; Enteral nutrition; Calidad microbiológica; Donabedian; Infant formula; Microbiological quality
• DOI: 10.3305/nh.2015.31.5.8582
• ISSN: 1699-5198

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.