Caracterização de riscos microbiologicos na administração de dietas enterais em um hospital público de Goiânia, Goiás
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2015-03-31
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Universidade Federal de Goiás
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Enteral nutrition therapy englobes all the procedures for maintenance and recovery of patients who are unable to be fed orally by the offer of enteral feeding. Is associated with many types of complications by pathogenic microorganisms that may lead to development of nosocomial infections. The aim of this study was characterize microbiologic risks in the administration of enteral feeding formulas at a teaching-hospital in Brazil. Is a cross-sectional study, where were obtained 280 samples at total: 140 of enteral feeding formulas before and after the administration and 140 of filtered water before and after rinsing the delivery sets. In the enteral feeding formulas coliforms at 35ºC and Escherichia coli was enumerated. The water analysis included enumeration of heterotrophic bacteria and detection of Pseudomonas aeruginosa, coliforms at 35ºC and Escherichia coli. For the results interpretation Brazilian legislation for enteral feeding and water was used. To check the compliance of administration procedures according to legislation, a check list was fill in the moment of delivery set change. The enumeration of coliforms at 35ºC was over the limits of legislation in 75% of the enteral feeding samples after administration. No presence of E. coli was detected neither in enteral feeding or water samples. In the water samples analyzed, presence of coliforms at 35ºC was founded in 98% and Pseudomonas aeruginosa in 88% after rinse the delivery sets. By the checklist was possible to observe that the legislation recommendations were not fulfilled in the totality. Through this study was possible to have a perspective of the major attention that has to be given to administration procedures and the prevention measures to minimize risks of pathogenic microorganisms so that way reduce the incidence of nosocomial infections.
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TABOADA, M. I. S. Caracterização de riscos microbiologicos na administração de dietas enterais em um hospital público de Goiânia, Goiás. 2015. 72 f. Dissertação (Mestrado em Nutrição e Saúde) - Universidade Federal de Goiás, Goiânia, 2015.