Enteral nutrient solutions. Limiting bacterial growth. 1984

J D Paauw, and K E Fagerman, and M A McCamish, and R E Dean

Bacterial contamination of enteral nutrient solutions ( ENS ) in FFcess of food product standards is known to occur in the hospital setting. The large amounts of bacteria often given with ENS have been shown to create a reservoir for nosocomial infections, and nonpathogenic bacteria have been implicated. Patient tolerance is dependent on immune status and the bacterial load delivered to the gut. The purpose of this study was to evaluate the bacterial growth-sustaining properties of various ENS and to devise methods to limit bacterial growth. Five commercial products were prepared under sterile conditions. After inoculation with approximately 5 X 10(3) organisms/cm3 of Enterobacter cloacae, each solution was hung at room temperature for 24 hours with samples drawn at fixed intervals and plated for bacterial counts. Bacterial growth rates in Ensure, Travasorb , and Vital were markedly higher than those in Precision and Vivonex. Vivonex was noted to contain potassium sorbate (KS) used as a fungistatic agent. Recent studies have identified KS as a broad-spectrum bacteriostatic food preservative that is federally approved for this use. KS (0.03%) was added to Travasorb inoculated with 5 X 10(3) organisms/cm(3) of E. cloacae. The bacterial growth rate was reduced by 75 per cent, and the final count of 2-3 X 10(4) organisms/ml was within the federally regulated limit for milk. This study suggests that initial inoculum, growth rate, and hang time can be altered to provide a significant reduction in final bacterial counts in ENS .

UI MeSH Term Description Entries
D004750 Enteral Nutrition Nutritional support given via the alimentary canal or any route connected to the gastrointestinal system (i.e., the enteral route). This includes oral feeding, sip feeding, and tube feeding using nasogastric, gastrostomy, and jejunostomy tubes. Enteral Feeding,Force Feeding,Nutrition, Enteral,Tube Feeding,Gastric Feeding Tubes,Feeding Tube, Gastric,Feeding Tubes, Gastric,Feeding, Enteral,Feeding, Force,Feeding, Tube,Feedings, Force,Force Feedings,Gastric Feeding Tube,Tube, Gastric Feeding,Tubes, Gastric Feeding
D004754 Enterobacter Gram-negative gas-producing rods found in feces of humans and other animals, sewage, soil, water, and dairy products.
D005506 Food Contamination The presence in food of harmful, unpalatable, or otherwise objectionable foreign substances, e.g. chemicals, microorganisms or diluents, before, during, or after processing or storage. Food Adulteration,Adulteration, Food,Adulterations, Food,Contamination, Food,Contaminations, Food,Food Adulterations,Food Contaminations
D005516 Food Microbiology The presence of bacteria, viruses, and fungi in food and food products. This term is not restricted to pathogenic organisms: the presence of various non-pathogenic bacteria and fungi in cheeses and wines, for example, is included in this concept. Microbiology, Food
D005526 Food, Formulated Food and dietary formulations including elemental (chemically defined formula) diets, synthetic and semisynthetic diets, space diets, weight-reduction formulas, tube-feeding diets, complete liquid diets, and supplemental liquid and solid diets. Diet, Chemically Defined,Diet, Elemental,Diet, Formula,Diet, Synthetic,Dietary Formulations,Chemically Defined Diet,Synthetic Diet,Chemically Defined Diets,Dietary Formulation,Diets, Chemically Defined,Diets, Elemental,Diets, Formula,Diets, Synthetic,Elemental Diet,Elemental Diets,Foods, Formulated,Formulated Food,Formulated Foods,Formulation, Dietary,Formulations, Dietary
D013997 Time Factors Elements of limited time intervals, contributing to particular results or situations. Time Series,Factor, Time,Time Factor

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