Location of Repository

Review physico-chemical, microbiological and production processes of enteral nutrition administered in a hospital in southern RS

By Luciana Dieguez Ferreira Passos

Abstract

A Terapia Nutricional Enteral em pacientes hospitalizados exige comprometimento e capacita????o de todos os envolvidos nesse processo. Al??m disso, as dietas enterais devem ser seguras quanto aos aspectos nutricionais e higi??nico-sanit??rio, garantindo a recupera????o dos pacientes e a qualidade do servi??o prestado. Este estudo teve como objetivo avaliar a qualidade f??sico-qu??mica e microbiol??gica de uma dieta enteral industrializada, assim como avaliar as Boas Pr??ticas em Nutri????o Enteral de uma unidade hospitalar do sul do Rio Grande do Sul. Foi selecionada a marca da dieta enteral industrializada mais prescrita aos pacientes adultos da Cl??nica M??dica da unidade hospitalar. Essa marca foi analisada quanto a sua composi????o centesimal para compara????o com as informa????es do r??tulo, quanto a sua esterilidade comercial e quanto ao n??vel de contamina????o microbiana quando manipulada e distribu??da na unidade hospitalar. Os pontos amostrais da dieta manipulada foram analisados para mes??filos aer??bios, coliformes a 35??C e a 45??C, Escherichia coli, Estafilococos coagulase positiva, Salmonella sp., bolores e leveduras. A ??gua proveniente da torneira e do filtro do lact??rio, utilizada para hidrata????o de pacientes em Nutri????o Enteral e para o transporte das dietas, foi analisada quanto a sua potabilidade. A estrutura e os processos em Nutri????o Enteral da Unidade Hospitalar tamb??m foram analisados quanto a sua adequa????o ??s Boas Pr??ticas de Prepara????o e Administra????o em Nutri????o Enteral, que seguiu a Resolu????o da Diretoria Colegiada n?? 63/2000, da Ag??ncia Nacional de Vigil??ncia Sanit??ria. Na an??lise laboratorial da composi????o centesimal, foi encontrado um d??ficit de 31,9% de lip??deos, que influenciou nos resultados de carboidratos e calorias. O teste de esterilidade comercial das dietas enterais revelou altera????es f??sicas no produto e contagem de bolores e leveduras acima do permitido pela legisla????o espec??fica. As amostras da dieta manipulada mostraram-se dentro dos limites recomendados pela legisla????o para a maioria micro-organismos analisados, exceto para mes??filos aer??bios, bolores e leveduras. A maioria das amostras de ??gua analisadas era pot??vel, exceto uma amostra da ??gua utilizada para o transporte da dieta. O resultado da an??lise da adequa????o ??s Boas Pr??ticas de Prepara????o em Nutri????o Enteral e para as Boas Pr??ticas de Administra????o em Nutri????o Enteral foi de 59,5% e de 43,2%, respectivamente. Concluiu-se que a real composi????o de nutrientes n??o esta de acordo com a informa????o nutricional do produto, o produto encontrou-se impr??prio para consumo quando hermeticamente fechado e quando manipulado, e que a unidade hospitalar necessita de um maior controle de seus processos em Nutri????o Enteral e de adequa????es ??s legisla????es vigentes.The Enteral Nutrition Therapy in hospitalized patients requires training and commitment of everyone involved in this process. In addition, enteral feeding should be held regarding the nutritional and hygienic- sanitary aspects, ensuring the recovery of patients and quality of service. This study aimed to evaluate the physicochemical and microbiological quality of an enteral diet industrialized as well as evaluating the Enteral Nutrition Practice in a hospital in southern Rio Grande do Sul brand enteral feeding was selected industrialized most prescribed to adult patients of the Medical Clinic of the hospital. This mark was analyzed for its chemical composition for comparison with the label information, as their commercial sterility and the level of microbial contamination when handled and distributed at the hospital. The sampling points of manipulated diet were analyzed for aerobic mesophilic, coliform bacteria at 35??C and 45??C, Escherichia coli, coagulase positive staphylococci, Salmonella sp., Molds and yeasts. The water from the tap and filter lactary used for hydration of patients enteral and to transport the diets was analyzed for its potability. The structure and processes in Enteral Nutrition Unit of the Hospital were also analyzed for its suitability to Good Practice for Preparation and Administration Enteral Nutrition, which followed the Board Resolution No. 63/2000, the National Health Surveillance Agency. In laboratory analysis of the chemical composition, found a deficit of 31,9% lipids, which influence the results of carbohydrates and calories. Testing for commercial sterility of enteral diets showed physical changes in product and mold and yeast counts above those permitted by specific legislation. Samples of manipulated diet were within the limits recommended by the legislation for most micro -organisms analyzed except for mesophilic aerobic, yeasts and molds. Most of the water samples analyzed was drinking except a sample of the water used to transport the diet. The result of the analysis of compliance with Good Practice in Preparation for Enteral Nutrition and Good Management Practices in Enteral Nutrition was 59.5% and 43.2%, respectively. It was concluded that the actual nutrient composition is not according to the nutritional information on the product, the product was found unfit for consumption when tightly sealed and when manipulated, and that the hospital needs more control of its processes in Nutrition enteral and adaptations to existing laws

Topics: Nutri????o enteral, Informa????o nutricional, Qualidade dos alimentos, Alimentos formulados, Lip??deos, Enteral nutrition, Nutritional facts, Food quality, Food formulated, Lipids, CNPQ::CIENCIAS DA SAUDE::NUTRICAO
Publisher: Universidade Federal de Pelotas
Year: 2013
OAI identifier: oai:agregador.ibict.br.RI_UFPEL:oai:repositorio.ufpel.edu.br:ri/2712
Download PDF:
Sorry, we are unable to provide the full text but you may find it at the following location(s):
  • http://www.rcaap.pt/detail.jsp... (external link)
  • Suggested articles


    To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.