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Comparison of Bacterial Contamination according to the Using Period of Feeding Bag and Disinfection Methods in Neurosurgery Intensive Care Unit Patients  

Kim, Hyun-Ju (Department of Nursing, Catholic University of Busan)
Publication Information
Journal of Korean Biological Nursing Science / v.13, no.3, 2011 , pp. 204-210 More about this Journal
Abstract
Purpose: The purpose of this study was to provide basic data for the guidelines for cleaning the feeding bags by comparing the level of contamination according to cleaning and disinfection methods when feeding tube of Neurosurgery Intensive Care Unit patients. Methods: This study was a true-experimental study, with 48 cases in total. The feeding bag of 48 patients were randomly assigned to detergent cleaning method or disinfectant decontamination method. The period of the experiment was January to July 2008, and enteral nutrition was given within 30 minutes for 2 hours, 4 times a day at 7AM, noon, 5PM, and 9PM for seven days. Feeding bags were cleaned after each feeding according to the assigned cleaning and disinfection method followed by microbial cultures on 4th and 8th day before the 7AM feeding. Results: After three and seven days of feeding and cleaning, the level of contamination was significantly lower when bags were cleaned with disinfectant than cleaning with detergent and tepid water. Conclusion: In cases where feeding bags are reused, for example, intensive care unit and home care settings, study findings indicate that cleaning bags with disinfectant is an effective way to prevent contamination of bags.
Keywords
Nasogastric feeding; Feeding bag; Bacterial contamination;
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Times Cited By KSCI : 2  (Citation Analysis)
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1 Lee, S. H., Jeong, Y. H., Choi, J. W., Choi, S. H., Kim, S. R., Kim, I. J., et al. (1999). Prevention of microbial contamination inpatients with enteral feeding. Journal of Korean Clinical Nursing Research, 4(2), 5-19.
2 Lee, E. K., Lee, H. I., Han, R. O., Park, J. H., & Choi, J. H. (2009). Quality improvement activities on cleaning and changing enteral tube feeding bags. QA Conference, Fall 2009.
3 Mahesh, C., Sriram, K., & Lakshmiprabha, V. (2000). Extended indications for enteral nutrition support. Nutrition, 16, 129-130.   DOI   ScienceOn
4 Marshall, A. P., & West, S. H. (2006). Enteral feeding in the critically ill: Are nursing practices contributing to hypocaloric feeding. Intensive and Critical Care Nursing, 22, 95-105.   DOI   ScienceOn
5 Mathus-Vliegen, E. M., Bredius, M. W., & Binnekade, J. M. (2006). Analysis of sites of bacterial contamination in an enteral feeding system. Journal of Parenteral and Enteral Nutrition, 30, 519-525.   DOI   ScienceOn
6 Oie, S., Kamiya, A., Hironaga, K., & Koshiro, A. (1993). Microbial contamination of enteral feeding solution and its prevention. American Journal of Infection Control, 21, 34-38.   DOI   ScienceOn
7 Park, M. S. (2010). Infection risks of enteral nutrition feeding bag & line. Journal of The Korean Society for Parenteral and Enteral Nutrition, 3, 19-22.
8 Park, S. M., Jeong, I. S., Chang, C. L., & Lee, Y. S. (2009). Colony counts by difierent disinfecting processes and operating time for humidifiers in an intensive care unit. Journal of Korean Biology Nursing Science, 11, 92-98.
9 Kim, S. H., & Kim, K. S. (2010). Benefit of enteral feeding. The Korean Society for Parenteral and Enteral and Enteral Nutrition, 3, 3-8.
10 Kim, Y. K., Lee, J. M., & Hong, H. S. (2009). Effect of the management of infection for methicillin resistant staphylococcus aureus at an neurosurgical intensive care unit. Journal of Korean Biology Nursing Science, 11, 114-119.
11 Korean Society for Nosocomial Infection Control. (2011). Infection control and prevention in healthcare facilities (4th ed). Seoul: Hanmi medicine.
12 Kreymann, K. G., Berger, M. M., Deutz, N. E., Hiesmayr, M., Jolliet, P., Kanzandjiev, G., et al. (2006). European society for parenteral and enteral nutrition guidelines on enteral nutrition: intensive care. Clinical Nutrition, 25, 210-223.   DOI   ScienceOn
13 Anderson, K. R., Norris, D. J., Godfrey, L. B., Avent, C. K., & Butterworth, C. E. Jr. (1984). Bacterial contamination of tube-feeding formulas. Journal of Parenteral and Enteral Nutrition, 8, 673-678.   DOI   ScienceOn
14 Urden, L. D., Stacy, K. M., & Lough, M. E. (2004). Priorities in critical care nursing (4th). Philadelphia: Mosby.
15 Valles, J., Leon, C., & Alvarez-Lerman, F. (1997). Nasocomial bacteremia in critically ill patients: a multicenter study evaluating epidemiology and prognosis. Clinical Infectious Diseases, 24, 387-395.   DOI   ScienceOn
16 Woloj, M., Tolmasky, M. E., Roberts, M. C., & Crosa, J. H. (1986). Plasmid-encoded amikacin resistance in multiresistant strains of Klebsiella. pneumoniae isolated from neonates with meningitis. Antimicrobial Agents and Chemotherapy, 29, 315-319.   DOI   ScienceOn
17 Lee, E. J., Wee, M. S., Son, Y. M., Kwon, E. J., Lee, J. L., & Choi, H. O. (1998). A study about the change period of enteral feeding equipment for enteral feeding patients. Journal of Korean Clinical Nursing Research, 3, 141-157
18 Antibiotic use and infection control protocol. (2000). Seoul, The Catholic university of St. mary's hospital.
19 Bankhead, R., Boullata, J., Brantley, S., Corkins, M., Guenter, P., Krenitsky, J., et al. (2009). Enteral nutrition practice recommendations. Journal of Parenteral Enteral Nutrition, 33, 122-167.   DOI
20 Beattie, T. K., & Anderton, A. (2001). Decanting versus sterile pre-filled nutrient containers the microbiological risks in enteral feeding. International Journal of Environmental Health Research, 11, 81-93.   DOI   ScienceOn
21 Jung, H. J., Kim, Y. J., Kim, M. J., Park, S. C., & Cho, K. H. (1995). Nasocomial infection surveillance in the intensive care unit. The Korea Society of Infectious Disease, 27, 106-117.
22 Ra, M. Y. (2010). National survey of enteral nutrition. Journal of The Korean Society for Parenteral and Enteral Nutrition, 3, 9-14.
23 Schaberg, D. R., Culver, D. H., & Gaynes, R. P. (1991). Major trends in the microbial etiology of nosocomial infection. The American Journal of Medicine, 91(3B), 72S-75S.
24 Schneider, S. M., Ratina, C., Pugliese, P., Pouget, I., Rampal, P., & Hebuterne, X. (2001). Outcome of patients treated with home enteral nutrition. Journal of Parenteral and Enteral Nutrition, 25, 203-209.   DOI   ScienceOn
25 Senior, B. M. (1983). Proteus morganii is less frequently associated with urinary tract infections than proteus mirabilis-an explanation. Journal of Medicine Microbiology, 16, 317-322.   DOI
26 Sohng, K. Y., Lee, W. S., Park, H. S., Yoon, E. J., Lee, K. Y., Hong, Y. H., et al. (2009). Fundamentals of nursing interventions and skills. Seoul: Soomoonsa.
27 Best, C. (2008). Enteral tube feeding and infection control: how safe is our practice? British Journal of Nursing, 17, 1036-1041.
28 Dobson, K., & Scott, A. (2007). Review of ICU nutrition support practices: implementating the nurse-led enteral feeding algorithm. Nursing in Critical Care, 12, 114-123.   DOI   ScienceOn
29 Fagerman, K. E. (1992). Limiting bacterial contamination of nutrient solution: 6-year history with reduction of contamination at two institutions. Nutrition in Clinical Practice, 7, 31-36.   DOI   ScienceOn
30 Health insurance review & assessment service. (2011). Cost of health insurance reimbursement. Seoul: Aram Edit.