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[医院处理的肠内营养制剂的微生物学评估]

[Microbiologic evaluation of enteral diets handled in a hospital].

作者信息

Lima Ana Raquel da Costa, Barros Luciana Machado, Rosa Monique Silveira, Cardonha Angela Maria Soares, Dantas Maria Amélia Marques

机构信息

Curso de Nutrição da UFRN, Natal-RN.

出版信息

Acta Cir Bras. 2005;20 Suppl 1:47-50.

Abstract

PURPOSE

To evaluate the microbiological quality of open enteral feeding system manipulated in a specialized hospital in oncology in the city of Natal-RN.

METHODS

20 samples of industrialized enteral feeding in open system had been analyzed. The searched microrganisms had been: Bacillus cereus, total coliforms, Escherichia coli, Salmonella sp, Clostridium sulfite reducer, mesophilic aerobic bacteria and coagulase positive Staphylococci. The methodology used for accomplishment of the microbiological analyses was the praised one for the Food and Drug Administration--FDA.

RESULTS

It was evidenced total coliforms, Escherichia coli and mesophilic aerobic bacteria contamination in 25%, 10% and 20% of the analyzed samples, respectively. It was not identified the presence of Bacillus cereus, Salmonella sp, Clostridium sulfite reducer, and coagulase positive Staphylococci in none of the analyzed samples.

CONCLUSION

The gotten results show that the enteral feedings are in unsatisfactory hygienic-sanitary conditions, evidencing the necessity of a bigger control in the manipulation of the same ones.

摘要

目的

评估在纳塔尔- RN市一家肿瘤专科医院中操作的开放式肠内营养系统的微生物质量。

方法

对20份开放式工业化肠内营养样本进行了分析。检测的微生物有:蜡样芽孢杆菌、总大肠菌群、大肠杆菌、沙门氏菌属、亚硫酸盐还原梭菌、嗜温需氧菌和凝固酶阳性葡萄球菌。用于完成微生物分析的方法是美国食品药品监督管理局(FDA)认可的方法。

结果

分别在25%、10%和20%的分析样本中检测到总大肠菌群、大肠杆菌和嗜温需氧菌污染。在所有分析样本中均未检测到蜡样芽孢杆菌、沙门氏菌属、亚硫酸盐还原梭菌和凝固酶阳性葡萄球菌的存在。

结论

所得结果表明肠内营养制剂的卫生条件不令人满意,证明有必要对其操作进行更严格的控制。

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