Qualidade higiênico-sanitária de formulações ministradas a neonatos

Detalhes bibliográficos
Autor(a) principal: Nienov, Ana Talita
Data de Publicação: 2009
Outros Autores: Macedo, Maíra Bidart de, Felix, Carolina Rodrigues, Soares, Daniela Fernandes Ramos, Moreira, Ângela Nunes, Silva, Pedro Eduardo Almeida da
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Institucional da FURG (RI FURG)
Texto Completo: http://repositorio.furg.br/handle/1/3151
Resumo: Premature babies hospitalized at the Neonatal Intensive Care Units, particularly those with low weight and that are not allowed to be normally fed, often need nutritional support of Infant Formulas (IF). These formulas, when contaminated, can be the source of nosocomial infections, the most probable way of contamination being the inadequate handling and storage of these formulas. Evaluate the Hygienic-Sanitary quality and the susceptibility profi le of the bacteria isolated from Ifs prepared in the lactary in the city of Rio Grande-RS to antimicrobial agents. IF samples were collected during 6 months by hospital employees working in the morning (Group A)and afternoon (group B) shifts, totalizing 72 analyzed samples. The Most Probable Number method (MPN/ml) was utilized to measure the amount of thermo-resistant and total coliforms. For mesophilic microorganisms the number of Colony-forming Units (CFU/ml) was counted. Also, samples were cultured in Blood and MacConkey Agar media and the isolates were identifi ed by 16S rRNA sequencing and submitted to antibiogram by the Kirby-Bauer method. The samples from groups A and B presented, respectively, 88.9% and 55.5% of contamination by total coliforms and 61.1% e 38.8% by thermo-resistant coliforms. Concerning the count of mesophilic microorganisms, groups A and B presented, respectively, 69.4% and 52.7% of the samples with results above the allowed limit. The identifi ed microorganisms were Escherichia coli, Acinetobacter spp., Pseudomonas spp. and Enterobacter spp. The antimicrobial susceptibility test showed that all isolates presented resistance to at least three tested antimicrobials and that all of the isolates were resistant to tetracycline and one of them was also resistant to a carbapenem (imipinem).
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spelling Nienov, Ana TalitaMacedo, Maíra Bidart deFelix, Carolina RodriguesSoares, Daniela Fernandes RamosMoreira, Ângela NunesSilva, Pedro Eduardo Almeida da2013-02-25T19:47:36Z2013-02-25T19:47:36Z2009NIENOV, Ana Talita et al. Qualidade higiênico-sanitária de formulações ministradas a neonatos. Nutrire, v. 34, n. 2, p. 127-138, 2009. Disponível em: <http://files.bvs.br/upload/S/1519-8928/2009/v34n2/a127-138.pdf>. Acesso em: 17 set. 2012.http://repositorio.furg.br/handle/1/3151Premature babies hospitalized at the Neonatal Intensive Care Units, particularly those with low weight and that are not allowed to be normally fed, often need nutritional support of Infant Formulas (IF). These formulas, when contaminated, can be the source of nosocomial infections, the most probable way of contamination being the inadequate handling and storage of these formulas. Evaluate the Hygienic-Sanitary quality and the susceptibility profi le of the bacteria isolated from Ifs prepared in the lactary in the city of Rio Grande-RS to antimicrobial agents. IF samples were collected during 6 months by hospital employees working in the morning (Group A)and afternoon (group B) shifts, totalizing 72 analyzed samples. The Most Probable Number method (MPN/ml) was utilized to measure the amount of thermo-resistant and total coliforms. For mesophilic microorganisms the number of Colony-forming Units (CFU/ml) was counted. Also, samples were cultured in Blood and MacConkey Agar media and the isolates were identifi ed by 16S rRNA sequencing and submitted to antibiogram by the Kirby-Bauer method. The samples from groups A and B presented, respectively, 88.9% and 55.5% of contamination by total coliforms and 61.1% e 38.8% by thermo-resistant coliforms. Concerning the count of mesophilic microorganisms, groups A and B presented, respectively, 69.4% and 52.7% of the samples with results above the allowed limit. The identifi ed microorganisms were Escherichia coli, Acinetobacter spp., Pseudomonas spp. and Enterobacter spp. The antimicrobial susceptibility test showed that all isolates presented resistance to at least three tested antimicrobials and that all of the isolates were resistant to tetracycline and one of them was also resistant to a carbapenem (imipinem).Los recién nacidos prematuros hospitalizados en Unidades de Cuidados Intensivos, principalmente aquellos con bajo peso y poca habilidad para alimentarse naturalmente, necesitan el soporte nutricional de preparados para lactantes (PL). Los PL, cuando contaminados, son fuente de infecciones hospitalaria, siendo la manipulación y el almacenamiento inadecuados las causas más frecuentes de los brotes de infección. Evaluar la calidad higiénico-sanitaria y el perfi l de susceptibilidad a los antimicrobianos de bacterias aisladas en PL. Las muestras se recogieron durante el período de 6 meses con dos grupos de trabajo: matutino (Grupo A) y vespertino (grupo B) del lactario del hospital,totalizando 72 muestras analizadas. Se realizó el recuento de número más probable (NMP / ml) de termotolerantes y coliformes totales y el recuento de unidades formadoras de colonias (UFC / ml) de los microorganismos mesófi los. Las muestras fueron cultivadas en Agar Sangre y MacConkey Agar y los aislados fueron identifi cados por la secuenciación del 16S rRNA y sometidos al antibiograma por el método Kirby-Bauer. Las muestras de los grupos A y B, presentaron, 88,9 y 55,5% y 61,1 y 38,8% de contaminación por coliformes totales y coliformes termotolerantes respectivamente. En cuanto a los mesófi los el recuento de microorganismos de los grupos A y B, presento, respectivamente, 69,4 y 52,7% de las muestras con valores arriba del límite permitido. Los microorganismos identificados fueron Escher ichia col i , Acinetobacter spp., Pseudomonas spp. y Enterobacter spp. El antibiograma mostró que los aislados presentaban resistencia por lo menos a tres de los antimicrobianos, todos fueron resistentes a tetraciclina y uno de ellos también fue resistente a un carbapenem (imipinem).Prematuros que se encontram em Unidades de Tratamento Intensivo Neonatal,particularmente aqueles com baixo peso e com difi culdades para receber a alimentação natural,necessitam frequentemente de suporte nutricional por meio de fórmulas infantis (FI). As FI, quando contaminadas, podem ser fontes de infecção hospitalar, sendo a manipulação e o armazenamento inadequados os prováveis meios de contaminação. O estudo objetivou avaliar a qualidade higiênico-sanitária e o perfil de suscetibilidade aos antimicrobianos das bactérias isoladas em FI preparadas no lactário de um hospital da cidade de Rio Grande-RS. Amostras de FI reconstituídas por lactaristas do turno da manhã (grupo A) e da tarde (grupo B) foram coletadas durante 6 meses, totalizando 72 amostras analisadas. Foi realizada a contagem do Número Mais Provável (NMP/ml) de coliformes totais e termotolerantes e a contagem das Unidades Formadoras de Colônias (UFC/ml) de microrganismos mesófi los. Além disso, amostras foram semeadas em Ágar Sangue e MacConkey e os isolados foram identifi cados por meio de sequenciamento do 16S rRNA e submetidos ao antibiograma através de método de Kirby-Bauer. As amostras dos grupos A e B apresentaram, respectivamente, 88,9 e 55,5% de contaminação por coliformes totais e 61,1 e 38,8% por coliformes termotolerantes. Na contagem de microrganismos mesófilos, os grupos A e B apresentaram, respectivamente, 69,4 e 52,7% das amostras com contagem acima do limite permitido. Os microrganismos identificados foram Escherichia coli, Acinetobacter spp., Pseudomonas spp. e Enterobacter spp. O teste de suscetibilidade antimicrobiana mostrou que todos os isolados apresentavam resistência a pelo menos três antimicrobianos testados e que todos foram resistentes à tetraciclina e um também foi resistente a um carbapenem (imipinem).porInfant formulaContaminationAntimicrobial resistanceFórmula infantilContaminaciónResistencia antimicrobianaContaminaçãoResistência antimicrobianaQualidade higiênico-sanitária de formulações ministradas a neonatosHygienic-sanitary quality of infant formulas given to neonatesinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FURG (RI FURG)instname:Universidade Federal do Rio Grande (FURG)instacron:FURGORIGINALQualidade higiênico-sanitária de formulações ministradas a neonatos.pdfQualidade higiênico-sanitária de formulações ministradas a neonatos.pdfapplication/pdf579065https://repositorio.furg.br/bitstream/1/3151/1/Qualidade%20higi%c3%aanico-sanit%c3%a1ria%20de%20formula%c3%a7%c3%b5es%20ministradas%20a%20neonatos.pdf114152ad7eb2cd5ec9c2f14874c8e7c1MD51open accessLICENSElicense.txtlicense.txttext/plain; charset=utf-81678https://repositorio.furg.br/bitstream/1/3151/2/license.txtd3be63d3b3eee02729709361dac69efeMD52open access1/31512022-10-25 14:30:01.943open accessoai:repositorio.furg.br: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ório InstitucionalPUBhttps://repositorio.furg.br/oai/request || http://200.19.254.174/oai/requestopendoar:2022-10-25T17:30:01Repositório Institucional da FURG (RI FURG) - Universidade Federal do Rio Grande (FURG)false
dc.title.pt_BR.fl_str_mv Qualidade higiênico-sanitária de formulações ministradas a neonatos
dc.title.alternative.pt_BR.fl_str_mv Hygienic-sanitary quality of infant formulas given to neonates
title Qualidade higiênico-sanitária de formulações ministradas a neonatos
spellingShingle Qualidade higiênico-sanitária de formulações ministradas a neonatos
Nienov, Ana Talita
Infant formula
Contamination
Antimicrobial resistance
Fórmula infantil
Contaminación
Resistencia antimicrobiana
Contaminação
Resistência antimicrobiana
title_short Qualidade higiênico-sanitária de formulações ministradas a neonatos
title_full Qualidade higiênico-sanitária de formulações ministradas a neonatos
title_fullStr Qualidade higiênico-sanitária de formulações ministradas a neonatos
title_full_unstemmed Qualidade higiênico-sanitária de formulações ministradas a neonatos
title_sort Qualidade higiênico-sanitária de formulações ministradas a neonatos
author Nienov, Ana Talita
author_facet Nienov, Ana Talita
Macedo, Maíra Bidart de
Felix, Carolina Rodrigues
Soares, Daniela Fernandes Ramos
Moreira, Ângela Nunes
Silva, Pedro Eduardo Almeida da
author_role author
author2 Macedo, Maíra Bidart de
Felix, Carolina Rodrigues
Soares, Daniela Fernandes Ramos
Moreira, Ângela Nunes
Silva, Pedro Eduardo Almeida da
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Nienov, Ana Talita
Macedo, Maíra Bidart de
Felix, Carolina Rodrigues
Soares, Daniela Fernandes Ramos
Moreira, Ângela Nunes
Silva, Pedro Eduardo Almeida da
dc.subject.por.fl_str_mv Infant formula
Contamination
Antimicrobial resistance
Fórmula infantil
Contaminación
Resistencia antimicrobiana
Contaminação
Resistência antimicrobiana
topic Infant formula
Contamination
Antimicrobial resistance
Fórmula infantil
Contaminación
Resistencia antimicrobiana
Contaminação
Resistência antimicrobiana
description Premature babies hospitalized at the Neonatal Intensive Care Units, particularly those with low weight and that are not allowed to be normally fed, often need nutritional support of Infant Formulas (IF). These formulas, when contaminated, can be the source of nosocomial infections, the most probable way of contamination being the inadequate handling and storage of these formulas. Evaluate the Hygienic-Sanitary quality and the susceptibility profi le of the bacteria isolated from Ifs prepared in the lactary in the city of Rio Grande-RS to antimicrobial agents. IF samples were collected during 6 months by hospital employees working in the morning (Group A)and afternoon (group B) shifts, totalizing 72 analyzed samples. The Most Probable Number method (MPN/ml) was utilized to measure the amount of thermo-resistant and total coliforms. For mesophilic microorganisms the number of Colony-forming Units (CFU/ml) was counted. Also, samples were cultured in Blood and MacConkey Agar media and the isolates were identifi ed by 16S rRNA sequencing and submitted to antibiogram by the Kirby-Bauer method. The samples from groups A and B presented, respectively, 88.9% and 55.5% of contamination by total coliforms and 61.1% e 38.8% by thermo-resistant coliforms. Concerning the count of mesophilic microorganisms, groups A and B presented, respectively, 69.4% and 52.7% of the samples with results above the allowed limit. The identifi ed microorganisms were Escherichia coli, Acinetobacter spp., Pseudomonas spp. and Enterobacter spp. The antimicrobial susceptibility test showed that all isolates presented resistance to at least three tested antimicrobials and that all of the isolates were resistant to tetracycline and one of them was also resistant to a carbapenem (imipinem).
publishDate 2009
dc.date.issued.fl_str_mv 2009
dc.date.accessioned.fl_str_mv 2013-02-25T19:47:36Z
dc.date.available.fl_str_mv 2013-02-25T19:47:36Z
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dc.identifier.citation.fl_str_mv NIENOV, Ana Talita et al. Qualidade higiênico-sanitária de formulações ministradas a neonatos. Nutrire, v. 34, n. 2, p. 127-138, 2009. Disponível em: <http://files.bvs.br/upload/S/1519-8928/2009/v34n2/a127-138.pdf>. Acesso em: 17 set. 2012.
dc.identifier.uri.fl_str_mv http://repositorio.furg.br/handle/1/3151
identifier_str_mv NIENOV, Ana Talita et al. Qualidade higiênico-sanitária de formulações ministradas a neonatos. Nutrire, v. 34, n. 2, p. 127-138, 2009. Disponível em: <http://files.bvs.br/upload/S/1519-8928/2009/v34n2/a127-138.pdf>. Acesso em: 17 set. 2012.
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