LinkedIn

 آمار

تعداد نشریات20
تعداد شماره‌ها1,149
تعداد مقالات10,518
تعداد مشاهده مقاله45,415,570
تعداد دریافت فایل اصل مقاله11,291,389
Moazen, Mahsa, Rahmdel, Samane, Abdollahzadeh, Seyedeh Maryam, Ranjbar Zahedani, Maryam, Mazloomi, Seyed Mohammad. (1393). Microbiological Quality of Commercial Enteral Feedings used in Two Public Hospitals in Shiraz, Iran. سامانه مدیریت نشریات علمی, 2(2), 49-53.
Mahsa Moazen; Samane Rahmdel; Seyedeh Maryam Abdollahzadeh; Maryam Ranjbar Zahedani; Seyed Mohammad Mazloomi. "Microbiological Quality of Commercial Enteral Feedings used in Two Public Hospitals in Shiraz, Iran". سامانه مدیریت نشریات علمی, 2, 2, 1393, 49-53.
Moazen, Mahsa, Rahmdel, Samane, Abdollahzadeh, Seyedeh Maryam, Ranjbar Zahedani, Maryam, Mazloomi, Seyed Mohammad. (1393). 'Microbiological Quality of Commercial Enteral Feedings used in Two Public Hospitals in Shiraz, Iran', سامانه مدیریت نشریات علمی, 2(2), pp. 49-53.
Moazen, Mahsa, Rahmdel, Samane, Abdollahzadeh, Seyedeh Maryam, Ranjbar Zahedani, Maryam, Mazloomi, Seyed Mohammad. Microbiological Quality of Commercial Enteral Feedings used in Two Public Hospitals in Shiraz, Iran. سامانه مدیریت نشریات علمی, 1393; 2(2): 49-53.

Microbiological Quality of Commercial Enteral Feedings used in Two Public Hospitals in Shiraz, Iran

Journal of Health Sciences & Surveillance System
مقاله 2، دوره 2، شماره 2، تیر 2014، صفحه 49-53    اصل مقاله (348.33 K)
نوع مقاله: Original Articles
نویسندگان
Mahsa Moazen1؛ Samane Rahmdel2؛ Seyedeh Maryam Abdollahzadeh1؛ Maryam Ranjbar Zahedani1؛ Seyed Mohammad Mazloomi* 3
1Department of Nutrition, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
2Department of Food Hygiene and Public Health, School of Veterinary Medicine, Shiraz University, Shiraz, Iran
3Department of Food Hygiene and Quality Control, School of Nutrition and Food Sciences, Nutrition and Food Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
چکیده
Background: Although enteral feeding solutions are used to reduce the morbidity and mortality in many malnourished and hospitalized patients, microbial contamination of these products may lead to severe infections, especially in immune suppressed ones. The aim of this study was to evaluate the microbiological quality of commercial enteral feedings in two hospital settings in Shiraz. Methods: Twenty commercial enteral feedings were collected immediately after preparation and then homogenized and serially diluted on the same day. MPN methods were used to evaluate the total viable count and Escherichia coli count. They were also tested for total coliform (pour plate method) and the presence of coagulase positive staphylococci. The results were compared with standard limits. Results: All samples had a total viable count lower than 104 colony forming units (CFU) per g (the maximum recommended level of FDA standard).For all enteral feedings, coliform counts were not detectable (<10 CFU/g).Escherichia coli counts were also lower than those of Brazilian legislation (<3 CFU/g). Coagulase positive staphylococci were recovered just from one sample (5%). Conclusion: Freshly prepared commercial enteral feeding samples h ad a cceptable m icrobial q uality. S uch p roducts are considered to be more acceptable than hospital prepared ones. However, further steps involved in the preparation and administration of commercial feedings can be sources of microbial contamination. Thus implementation of hygienic practices and monitoring procedures during preparation and administration can be suggested.
کلیدواژه‌ها
Enteral Nutrition؛ Bacterial counts؛ Escherichia coli؛ Staphylococcus
مراجع
  1. Jalali M, Sabzghabaee AM, Badri SS, Soltani HA,
  2. Maracy MR. Bacterial contamination of hospitalprepared
  3. enteral tube feeding formulas in Isfahan,
  4. Iran. J Res Med Sci 2009; 14(3): 149-56.
  5. Desport JC, Mounier M, Preux PM, Makabakayele K,
  6. Camus A, Gayaud JP, et al. Evaluation of the microbial
  7. safety of a new 1.5 L enteral feeding diet reservoir
  8. system. ClinNutr 2004; 23(5): 983-8.
  9. Roy S, Rigal M, Doit C, Fontan JE, Machinot S, Bingen E, et al. Bacterial contamination of enteral nutrition in
  10. a paediatric hospital. J Hosp Infect 2005; 59(4): 311-6.
  11. Oliviera MH, Bonelli R, Aidoo KE, Batista CRV.
  12. Microbiological quality of reconstituted enteral
  13. formulations used in hospitals. Nutrition 2000; 16(9):
  14. -33.
  15. Mokhalalati JK, Druyan ME, Shott SB, Comer
  16. GM. Microbial, nutritional and physical quality of
  17. commercial and hospital prepared tube feedings in
  18. Saudi Arabia. Saudi Med J 2004; 25(3): 331-41.
  19. Patchell CJ, Anderton A, Holden C, MacDonald
  20. A, George RH, Booth IW. Reducing bacterial
  21. contamination of enteral feeds. Arch Dis Child 1998;
  22. (2): 166-8.
  23. Carvalho M, Moraist T, Amaral F, Sigulem D. Hazard
  24. analysis and critical control point system approach in
  25. the evaluation of environmental and procedural sources
  26. of contamination of enteral feedings in three hospitals.
  27. J Parenter Enteral Nutr 2000; 24(5): 296-303.
  28. Oie S, Kamiya A, Hironaga K, Koshiro A. Microbial
  29. contamination of enteral feeding solution and its
  30. prevention. Am J Infect Control 1993; 21(1): 34-8.
  31. Sullivan MM, Sorreda-Esguerra P, Santos EE, Platon
  32. BG, Castro CG, Idrisalman ER, et al. Bacterial
  33. contamination of blenderized whole food and
  34. commercial enteral tube feedings in the Philippines.
  35. J Hosp Infect 2001; 49(4): 268-73.
  36. Feng P, Weagant SD, Grant MA, Burkhardt W.
  37. Enumeration of Escherichia coli and the coliform
  38. bacteria. Food and Drug Administration; c2002
  39. [updated 2013 Feb; cited 2013 May]. Available from:
  40. http://www.fda.gov/Food/FoodScienceResearch/
  41. LaboratoryMethods/ucm064948.htm
  42. Institute of Standards and Industrial Research of
  43. Iran. Microbiology of food and animal feeding stuffs-
  44. Horizontal method for the enumeration of coagulase
  45. –positive Staphylococci (Staphylococcus aureus and
  46. other species) - part 3: Detection and MPN technique
  47. for low numbers. Tehran, Iran 2006; Number 6806-3.
  48. US Food and Drug Administration. Food composition,
  49. standards, labeling and economics: compliance
  50. program guidance manual. In: Compliance program
  51. guidance manual. USA; 2006.program 7321.002.
  52. Borges LJ, Campos MRH, Andre MCDPB, Serafini AB.
  53. Microbiological quality and phenotypic characterization
  54. of microorganisms isolated from enteral feeding, food
  55. handlers and environments of two public Brazilian
  56. hospitals. J Food Saf 2010; 31(1): 125-31.
  57. Fagerman KE. Microbiologic monitoring of enteral
  58. nutrient solutions overdue in the United States. Am J
  59. Infect Control 1992; 20(6): 330-1.
  60. Anderton A. Bacterial contamination of enteral feeds
  61. and feeding systems. ClinNutr 1993; 12: S16-S32.
  62. Bastow MD, Greaves P, Allison SP. Microbial
  63. contamination of enteral feeds. Hum Nutr: ApplNutr
  64. ; 36(3): 213-7.
  65. Moghadam AD, Chabok SY, Ramezani F, Leili
  66. EK, Rahimi V. Evaluation of nutritional quality and
  67. microbial contamination of enteral feeding solutions
  68. in hospitalized patients referred to neurosurgical ICU
  69. of Poursina Hospital in Rasht. Pajoohandeh J 2010;
  70. (5): 213-9. (In Persian)
  71. Lopes KRR, Streit IB, Luchese RH, Ayub MAZ.
  72. Evaluation of the microbial contamination of hospitalmade
  73. enteral feedings.AlimNutr 1997; 8(1): 75-82.
  74. Jay JM, Loessner MJ, Golden DA. Modern food
  75. microbiology. 7th ed. New York: Springer; 2005.
آمار
تعداد مشاهده مقاله: 1,907
تعداد دریافت فایل اصل مقاله: 874


سامانه مدیریت نشریات علمی. قدرت گرفته از سیناوب