Caracterização de riscos microbiologicos na administração de dietas enterais em um hospital público de Goiânia, Goiás
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFG |
Texto Completo: | http://repositorio.bc.ufg.br/tede/handle/tede/4990 |
Resumo: | Enteral nutrition therapy englobes all the procedures for maintenance and recovery of patients who are unable to be fed orally by the offer of enteral feeding. Is associated with many types of complications by pathogenic microorganisms that may lead to development of nosocomial infections. The aim of this study was characterize microbiologic risks in the administration of enteral feeding formulas at a teaching-hospital in Brazil. Is a cross-sectional study, where were obtained 280 samples at total: 140 of enteral feeding formulas before and after the administration and 140 of filtered water before and after rinsing the delivery sets. In the enteral feeding formulas coliforms at 35ºC and Escherichia coli was enumerated. The water analysis included enumeration of heterotrophic bacteria and detection of Pseudomonas aeruginosa, coliforms at 35ºC and Escherichia coli. For the results interpretation Brazilian legislation for enteral feeding and water was used. To check the compliance of administration procedures according to legislation, a check list was fill in the moment of delivery set change. The enumeration of coliforms at 35ºC was over the limits of legislation in 75% of the enteral feeding samples after administration. No presence of E. coli was detected neither in enteral feeding or water samples. In the water samples analyzed, presence of coliforms at 35ºC was founded in 98% and Pseudomonas aeruginosa in 88% after rinse the delivery sets. By the checklist was possible to observe that the legislation recommendations were not fulfilled in the totality. Through this study was possible to have a perspective of the major attention that has to be given to administration procedures and the prevention measures to minimize risks of pathogenic microorganisms so that way reduce the incidence of nosocomial infections. |
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Campos, Maria Raquel Hidalgohttp://lattes.cnpq.br/9910969694141110Borges, Liana Jaymehttp://lattes.cnpq.br/7394320393653597Tipple, Anaclara Ferreira VeigaCarvalho, Ana Clara Martins e SilvaCampos, Maria Raquel Hidalgohttp://lattes.cnpq.br/8497062407452354Taboada, Maria Izabel de Souza2015-12-04T06:49:34Z2015-03-31TABOADA, M. I. S. Caracterização de riscos microbiologicos na administração de dietas enterais em um hospital público de Goiânia, Goiás. 2015. 72 f. Dissertação (Mestrado em Nutrição e Saúde) - Universidade Federal de Goiás, Goiânia, 2015.http://repositorio.bc.ufg.br/tede/handle/tede/4990Enteral nutrition therapy englobes all the procedures for maintenance and recovery of patients who are unable to be fed orally by the offer of enteral feeding. Is associated with many types of complications by pathogenic microorganisms that may lead to development of nosocomial infections. The aim of this study was characterize microbiologic risks in the administration of enteral feeding formulas at a teaching-hospital in Brazil. Is a cross-sectional study, where were obtained 280 samples at total: 140 of enteral feeding formulas before and after the administration and 140 of filtered water before and after rinsing the delivery sets. In the enteral feeding formulas coliforms at 35ºC and Escherichia coli was enumerated. The water analysis included enumeration of heterotrophic bacteria and detection of Pseudomonas aeruginosa, coliforms at 35ºC and Escherichia coli. For the results interpretation Brazilian legislation for enteral feeding and water was used. To check the compliance of administration procedures according to legislation, a check list was fill in the moment of delivery set change. The enumeration of coliforms at 35ºC was over the limits of legislation in 75% of the enteral feeding samples after administration. No presence of E. coli was detected neither in enteral feeding or water samples. In the water samples analyzed, presence of coliforms at 35ºC was founded in 98% and Pseudomonas aeruginosa in 88% after rinse the delivery sets. By the checklist was possible to observe that the legislation recommendations were not fulfilled in the totality. Through this study was possible to have a perspective of the major attention that has to be given to administration procedures and the prevention measures to minimize risks of pathogenic microorganisms so that way reduce the incidence of nosocomial infections.Terapia de nutrição enteral compreende um conjunto de procedimentos para manutenção e recuperação do estado nutricional de pacientes incapazes de alimentarem-se por via oral, por meio da oferta de dietas enterais. Está associada a diversos tipos de complicações, dentre os quais a contaminação por micro-organismos patogênicos, que constitui causa de infecção hospitalar. O objetivo deste estudo foi caracterizar riscos microbiológicos na administração de dietas enterais. Trata-se de estudo transversal no qual se obteve 280 amostras, sendo 140 de dietas enterais, no momento anterior à sua infusão, assim como, a última porção a ser infundia antes da substituição do equipo, e, 140 amostras da água utilizada no enxague do equipo de infusão das dietas pesquisadas, antes e após esta operação. Nas dietas enterais realizou-se contagem de coliformes 35 ºC e a 45 ºC e Escherichia coli e na água, a contagem de bactérias heterotróficas, pesquisa de coliformes a 35 ºC e pesquisa de Pseudomonas aeruginosa. Para interpretação dos resultados utilizou-se os padrões microbiológicos previstos na legislação vigente no Brasil para dietas enterais e água. Aplicou-se lista de verificação para avaliar o nível de conformidade quanto à administração de dietas enterais frente à legislação sanitária vigente. A contagem de coliformes a 35ºC,acima do limite permitido, ocorreu em 75% das dietas analisadas após a sua administração e não foi detectada presença de E. coli. Nas amostras de água analisadas, foi identificada presença de coliformes totais em 97% após o enxague do equipo, além da presença de Pseudomonas aeruginosa em 91%. Pela lista de verificação foi possível observar que os procedimentos preconizados pela legislação, relativos à administração de dietas enterais, não foram atendidos em sua totalidade. Por meio deste estudo foi possível ter uma perspectiva da real atenção que deve ser dada a tais procedimentos e que medidas de prevenção mais assertivas devem ser adotadas no sentido de minimizar os riscos de transmissão de micro-organismos patogênicos para assim, reduzir a incidência de infecções oportunistas no ambiente hospitalar.Submitted by Cláudia Bueno (claudiamoura18@gmail.com) on 2015-12-03T14:35:13Z No. of bitstreams: 2 Dissertação - Maria izabel de Souza Taboada - 2015.pdf: 1496453 bytes, checksum: 1d36c254a5a661e96556cde5b7d1519d (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5)Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2015-12-04T06:49:34Z (GMT) No. of bitstreams: 2 Dissertação - Maria izabel de Souza Taboada - 2015.pdf: 1496453 bytes, checksum: 1d36c254a5a661e96556cde5b7d1519d (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5)Made available in DSpace on 2015-12-04T06:49:34Z (GMT). No. of bitstreams: 2 Dissertação - Maria izabel de Souza Taboada - 2015.pdf: 1496453 bytes, checksum: 1d36c254a5a661e96556cde5b7d1519d (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) Previous issue date: 2015-03-31application/pdfporUniversidade Federal de GoiásPrograma de Pós-graduação em Nutrição e Saúde (FANUT)UFGBrasilFaculdade de Nutrição - FANUT (RG)http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessNutrição enteralInfecção hospitalarContaminaçãoEnteral nutritionNosocomial infectionContaminationCIENCIAS DA SAUDE::NUTRICAOCaracterização de riscos microbiologicos na administração de dietas enterais em um hospital público de Goiânia, GoiásCharacterization of microbiologic risks in administration of enteral feedings in a hospital in Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis-30109707181642501066006006009028001981735587154-1073001350029933100reponame:Repositório Institucional da UFGinstname:Universidade Federal de Goiás (UFG)instacron:UFGLICENSElicense.txtlicense.txttext/plain; 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dc.title.por.fl_str_mv |
Caracterização de riscos microbiologicos na administração de dietas enterais em um hospital público de Goiânia, Goiás |
dc.title.alternative.eng.fl_str_mv |
Characterization of microbiologic risks in administration of enteral feedings in a hospital in Brazil |
title |
Caracterização de riscos microbiologicos na administração de dietas enterais em um hospital público de Goiânia, Goiás |
spellingShingle |
Caracterização de riscos microbiologicos na administração de dietas enterais em um hospital público de Goiânia, Goiás Taboada, Maria Izabel de Souza Nutrição enteral Infecção hospitalar Contaminação Enteral nutrition Nosocomial infection Contamination CIENCIAS DA SAUDE::NUTRICAO |
title_short |
Caracterização de riscos microbiologicos na administração de dietas enterais em um hospital público de Goiânia, Goiás |
title_full |
Caracterização de riscos microbiologicos na administração de dietas enterais em um hospital público de Goiânia, Goiás |
title_fullStr |
Caracterização de riscos microbiologicos na administração de dietas enterais em um hospital público de Goiânia, Goiás |
title_full_unstemmed |
Caracterização de riscos microbiologicos na administração de dietas enterais em um hospital público de Goiânia, Goiás |
title_sort |
Caracterização de riscos microbiologicos na administração de dietas enterais em um hospital público de Goiânia, Goiás |
author |
Taboada, Maria Izabel de Souza |
author_facet |
Taboada, Maria Izabel de Souza |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Campos, Maria Raquel Hidalgo |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/9910969694141110 |
dc.contributor.advisor-co1.fl_str_mv |
Borges, Liana Jayme |
dc.contributor.advisor-co1Lattes.fl_str_mv |
http://lattes.cnpq.br/7394320393653597 |
dc.contributor.referee1.fl_str_mv |
Tipple, Anaclara Ferreira Veiga |
dc.contributor.referee2.fl_str_mv |
Carvalho, Ana Clara Martins e Silva |
dc.contributor.referee3.fl_str_mv |
Campos, Maria Raquel Hidalgo |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/8497062407452354 |
dc.contributor.author.fl_str_mv |
Taboada, Maria Izabel de Souza |
contributor_str_mv |
Campos, Maria Raquel Hidalgo Borges, Liana Jayme Tipple, Anaclara Ferreira Veiga Carvalho, Ana Clara Martins e Silva Campos, Maria Raquel Hidalgo |
dc.subject.por.fl_str_mv |
Nutrição enteral Infecção hospitalar Contaminação |
topic |
Nutrição enteral Infecção hospitalar Contaminação Enteral nutrition Nosocomial infection Contamination CIENCIAS DA SAUDE::NUTRICAO |
dc.subject.eng.fl_str_mv |
Enteral nutrition Nosocomial infection Contamination |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::NUTRICAO |
description |
Enteral nutrition therapy englobes all the procedures for maintenance and recovery of patients who are unable to be fed orally by the offer of enteral feeding. Is associated with many types of complications by pathogenic microorganisms that may lead to development of nosocomial infections. The aim of this study was characterize microbiologic risks in the administration of enteral feeding formulas at a teaching-hospital in Brazil. Is a cross-sectional study, where were obtained 280 samples at total: 140 of enteral feeding formulas before and after the administration and 140 of filtered water before and after rinsing the delivery sets. In the enteral feeding formulas coliforms at 35ºC and Escherichia coli was enumerated. The water analysis included enumeration of heterotrophic bacteria and detection of Pseudomonas aeruginosa, coliforms at 35ºC and Escherichia coli. For the results interpretation Brazilian legislation for enteral feeding and water was used. To check the compliance of administration procedures according to legislation, a check list was fill in the moment of delivery set change. The enumeration of coliforms at 35ºC was over the limits of legislation in 75% of the enteral feeding samples after administration. No presence of E. coli was detected neither in enteral feeding or water samples. In the water samples analyzed, presence of coliforms at 35ºC was founded in 98% and Pseudomonas aeruginosa in 88% after rinse the delivery sets. By the checklist was possible to observe that the legislation recommendations were not fulfilled in the totality. Through this study was possible to have a perspective of the major attention that has to be given to administration procedures and the prevention measures to minimize risks of pathogenic microorganisms so that way reduce the incidence of nosocomial infections. |
publishDate |
2015 |
dc.date.accessioned.fl_str_mv |
2015-12-04T06:49:34Z |
dc.date.issued.fl_str_mv |
2015-03-31 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
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masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
TABOADA, M. I. S. Caracterização de riscos microbiologicos na administração de dietas enterais em um hospital público de Goiânia, Goiás. 2015. 72 f. Dissertação (Mestrado em Nutrição e Saúde) - Universidade Federal de Goiás, Goiânia, 2015. |
dc.identifier.uri.fl_str_mv |
http://repositorio.bc.ufg.br/tede/handle/tede/4990 |
identifier_str_mv |
TABOADA, M. I. S. Caracterização de riscos microbiologicos na administração de dietas enterais em um hospital público de Goiânia, Goiás. 2015. 72 f. Dissertação (Mestrado em Nutrição e Saúde) - Universidade Federal de Goiás, Goiânia, 2015. |
url |
http://repositorio.bc.ufg.br/tede/handle/tede/4990 |
dc.language.iso.fl_str_mv |
por |
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por |
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600 600 600 |
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9028001981735587154 |
dc.relation.cnpq.fl_str_mv |
-1073001350029933100 |
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http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
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http://creativecommons.org/licenses/by-nc-nd/4.0/ |
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openAccess |
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Universidade Federal de Goiás |
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Programa de Pós-graduação em Nutrição e Saúde (FANUT) |
dc.publisher.initials.fl_str_mv |
UFG |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Faculdade de Nutrição - FANUT (RG) |
publisher.none.fl_str_mv |
Universidade Federal de Goiás |
dc.source.none.fl_str_mv |
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