Trabal J, Leyes P, Hervás S, Herrera M, de Talló Forga Ma
Servei d'Endocrinologia i Nutrició, Hospital Clínic, Barcelona, Spain.
Nutr Hosp. 2008 Sep-Oct;23(5):500-4.
Diarrhea is a frequent complication associated to enteral tube feeding (ETF) and it is a frequent cause of reduction or suspension of this type of nutritional support. Our objective was to evaluate the factors associated with nosocomial diarrhea in patients receiving ETF.
The only significant factor associated with the appearance of diarrhea was antibiotic consumption, specially those patients receiving the combination of two or more antibiotics. We did not find any association between factors related to ETF, analytical parameters, nor other medications and diarrhea.
Our observational data supports the idea that ETF should not be seen as a primary cause of diarrhea, other possible causes should be considered before reducing or discontinuing ETF administration.
腹泻是肠内管饲(ETF)常见的并发症,也是这类营养支持减少或中断的常见原因。我们的目的是评估接受ETF的患者发生医院获得性腹泻的相关因素。
与腹泻发生相关的唯一显著因素是抗生素的使用,特别是那些接受两种或更多种抗生素联合使用的患者。我们未发现与ETF相关的因素、分析参数或其他药物与腹泻之间存在任何关联。
我们的观察数据支持这样一种观点,即不应将ETF视为腹泻的主要原因,在减少或停止ETF给药之前应考虑其他可能的原因。