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[更换肠内营养输注装置作为预防感染并发症的关键因素]

[Enteral feeding set replacement as a key factor in preventing infectious complications].

作者信息

Arévalo Manso Juan José

机构信息

Servicio de Neurología, Unidad de Hospitalización, Hospital Universitario La Paz, Madrid.

出版信息

Rev Enferm. 2011 Sep;34(9):16-22.

Abstract

To know variables facilitating bacterial growth is critical and essential for nursing staff because of high risk of infectious complications associated with enteral nutrition. In this matter the frequency of delivery set changes has a great influence. The analysis of 6 papers showed a high ratio of bacterial growth to unacceptable levels in the sets after the first 24 hours. They observed that enteral tube became a reservoir and suggested that the endogenous mechanism plays an important role in the contamination of the hole set. Finally it concluded that delivery set must be replaced every 24 hours empirically The American Society for Parenteral and Enteral Nutrition (ASPEN) recommend the establishment of quality control processes to screen bacterial contamination levels in the administration of enteral feedings for health care institutions.

摘要

由于肠内营养存在感染并发症的高风险,了解促进细菌生长的变量对护理人员而言至关重要。在这方面,输注装置更换的频率有很大影响。对6篇论文的分析表明,在前24小时后,装置中细菌生长至不可接受水平的比例很高。他们观察到肠内营养管成为了一个细菌储存库,并提出内源性机制在整套装置的污染中起重要作用。最后得出结论,根据经验输注装置必须每24小时更换一次。美国肠外及肠内营养学会(ASPEN)建议医疗机构建立质量控制流程,以筛查肠内营养给药过程中的细菌污染水平。

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