Parenteral nutrition: overview of the samples analyzed at the National Institute for
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista de Epidemiologia e Controle de Infecção |
Texto Completo: | https://online.unisc.br/seer/index.php/epidemiologia/article/view/14778 |
Resumo: | Background and objectives: Total parenteral nutrition (TPN) has great clinical importance in malnutrition treatment and prevention in patients with digestive problems. Although good practices for handling TPN are well established, contamination of these products still occurs, and this product remains listed as a higher risk drug by the Institute for Safe Medication Practices. The present study aimed to obtain an overview of the documentary data of the parenteral nutrition samples sent to the National Institute for Quality Control in Health (INCQS) of Fundação Oswaldo Cruz. Methods: This is a qualitative descriptive and quantitative study carried out based on a cross-section of TPN samples analyzed from 2000 to 2016. Results: A total of TPN 134 samples were sent during the study period. 11.20% of the samples were sent in 2001, 0.80% in 2005, 8.20% in 2006, 16.40% in 2007, 63.40% in 2013. Six samples (4.5%) were canceled and 113 submitted to sterility testing, resulting in 13.3% unsatisfactory samples. Conclusion: During the study period, four suspected events of enterobacterial contamination in TPNs administered to patients were reported, three of which have not yet been described in the scientific literature. For the safety of patients using TPN to be guaranteed, it is suggested that the norms that regulate TPN therapy be reviewed and updated, and programs to monitor the quality of these preparations should be established. |
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Parenteral nutrition: overview of the samples analyzed at the National Institute forNutrição parenteral: panorama das amostras analisadas no Instituto Nacional de Controle de Qualidade em SaúdeParenteral Nutrition. Health Surveillance. Quality Control. Contamination.Nutrição ParenteralVigilância SanitáriaControle de QualidadeContaminaçãoBackground and objectives: Total parenteral nutrition (TPN) has great clinical importance in malnutrition treatment and prevention in patients with digestive problems. Although good practices for handling TPN are well established, contamination of these products still occurs, and this product remains listed as a higher risk drug by the Institute for Safe Medication Practices. The present study aimed to obtain an overview of the documentary data of the parenteral nutrition samples sent to the National Institute for Quality Control in Health (INCQS) of Fundação Oswaldo Cruz. Methods: This is a qualitative descriptive and quantitative study carried out based on a cross-section of TPN samples analyzed from 2000 to 2016. Results: A total of TPN 134 samples were sent during the study period. 11.20% of the samples were sent in 2001, 0.80% in 2005, 8.20% in 2006, 16.40% in 2007, 63.40% in 2013. Six samples (4.5%) were canceled and 113 submitted to sterility testing, resulting in 13.3% unsatisfactory samples. Conclusion: During the study period, four suspected events of enterobacterial contamination in TPNs administered to patients were reported, three of which have not yet been described in the scientific literature. For the safety of patients using TPN to be guaranteed, it is suggested that the norms that regulate TPN therapy be reviewed and updated, and programs to monitor the quality of these preparations should be established.Justificativa e objetivos: A Nutrição Parenteral Total (NPT) possui grande importância clínica no tratamento e prevenção da desnutrição de pacientes com problemas no sistema digestório. Apesar das boas práticas de manipulação de NPT estarem bem estabelecidas, a contaminação desses produtos ainda ocorre, e esse produto permanece como um medicamento de alto risco pelo Institute for Safe Medication Practices. O presente estudo teve como objetivo obter um panorama sobre os dados documentais das amostras de nutrição parenteral encaminhadas ao Instituto Nacional de Controle de Qualidade em Saúde da Fundação Oswaldo Cruz. Métodos: Foi realizado um estudo qualitativo descritivo e quantitativo com base em um coorte transversal de amostras de NPT analisadas no período de 2000 a 2016. Resultados: Foram encaminhadas 134 amostras de NPT no período do estudo. A distribuição por ano foi: 11,20 % das amostras foram encaminhadas em 2001, 0,80 % em 2005, 8,20 % em 2006, 16,40 % em 2007, 63,40 % em 2013. Seis amostras (4,5 %) foram canceladas e 113 submetidas ao ensaio de esterilidade, resultando em 13,3 % de amostras insatisfatórias. Conclusão: No período do estudo, quatro eventos suspeitos de contaminação bacteriana por enterobactérias em NPTs administradas em pacientes foram relatados, sendo três deles ainda não descritos na literatura. Para que a segurança dos pacientes que fazem uso de NPT seja garantida, sugere-se que as normas que regulamentam a terapia com NPT sejam revisadas e atualizadas e sejam estabelecidos programas de monitoramento da qualidade dessas preparações.Unisc2020-07-07info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://online.unisc.br/seer/index.php/epidemiologia/article/view/1477810.17058/jeic.v10i3.14778Revista de Epidemiologia e Controle de Infecção; Vol. 10 No. 3 (2020)Revista de Epidemiologia e Controle de Infecção; v. 10 n. 3 (2020)2238-3360reponame:Revista de Epidemiologia e Controle de Infecçãoinstname:Universidade de Santa Cruz do Sul (UNISC)instacron:UNISCenghttps://online.unisc.br/seer/index.php/epidemiologia/article/view/14778/9303https://online.unisc.br/seer/index.php/epidemiologia/article/view/14778/9304Copyright (c) 2020 Mariana Bruno Rodrigues Benitez, Verônica Viana Vieira, Célia Maria Carvalho Pereira Araujo Romãoinfo:eu-repo/semantics/openAccessBenitez, Mariana Bruno RodriguesVieira, Verônica VianaRomão, Célia Maria Carvalho Pereira Araujo2022-08-08T12:58:04Zoai:ojs.online.unisc.br:article/14778Revistahttps://online.unisc.br/seer/index.php/epidemiologia/indexONGhttp://online.unisc.br/seer/index.php/epidemiologia/oai||liapossuelo@unisc.br|| julia.kern@hotmail.com||reci.unisc@gmail.com2238-33602238-3360opendoar:2022-08-08T12:58:04Revista de Epidemiologia e Controle de Infecção - Universidade de Santa Cruz do Sul (UNISC)false |
dc.title.none.fl_str_mv |
Parenteral nutrition: overview of the samples analyzed at the National Institute for Nutrição parenteral: panorama das amostras analisadas no Instituto Nacional de Controle de Qualidade em Saúde |
title |
Parenteral nutrition: overview of the samples analyzed at the National Institute for |
spellingShingle |
Parenteral nutrition: overview of the samples analyzed at the National Institute for Benitez, Mariana Bruno Rodrigues Parenteral Nutrition. Health Surveillance. Quality Control. Contamination. Nutrição Parenteral Vigilância Sanitária Controle de Qualidade Contaminação |
title_short |
Parenteral nutrition: overview of the samples analyzed at the National Institute for |
title_full |
Parenteral nutrition: overview of the samples analyzed at the National Institute for |
title_fullStr |
Parenteral nutrition: overview of the samples analyzed at the National Institute for |
title_full_unstemmed |
Parenteral nutrition: overview of the samples analyzed at the National Institute for |
title_sort |
Parenteral nutrition: overview of the samples analyzed at the National Institute for |
author |
Benitez, Mariana Bruno Rodrigues |
author_facet |
Benitez, Mariana Bruno Rodrigues Vieira, Verônica Viana Romão, Célia Maria Carvalho Pereira Araujo |
author_role |
author |
author2 |
Vieira, Verônica Viana Romão, Célia Maria Carvalho Pereira Araujo |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Benitez, Mariana Bruno Rodrigues Vieira, Verônica Viana Romão, Célia Maria Carvalho Pereira Araujo |
dc.subject.por.fl_str_mv |
Parenteral Nutrition. Health Surveillance. Quality Control. Contamination. Nutrição Parenteral Vigilância Sanitária Controle de Qualidade Contaminação |
topic |
Parenteral Nutrition. Health Surveillance. Quality Control. Contamination. Nutrição Parenteral Vigilância Sanitária Controle de Qualidade Contaminação |
description |
Background and objectives: Total parenteral nutrition (TPN) has great clinical importance in malnutrition treatment and prevention in patients with digestive problems. Although good practices for handling TPN are well established, contamination of these products still occurs, and this product remains listed as a higher risk drug by the Institute for Safe Medication Practices. The present study aimed to obtain an overview of the documentary data of the parenteral nutrition samples sent to the National Institute for Quality Control in Health (INCQS) of Fundação Oswaldo Cruz. Methods: This is a qualitative descriptive and quantitative study carried out based on a cross-section of TPN samples analyzed from 2000 to 2016. Results: A total of TPN 134 samples were sent during the study period. 11.20% of the samples were sent in 2001, 0.80% in 2005, 8.20% in 2006, 16.40% in 2007, 63.40% in 2013. Six samples (4.5%) were canceled and 113 submitted to sterility testing, resulting in 13.3% unsatisfactory samples. Conclusion: During the study period, four suspected events of enterobacterial contamination in TPNs administered to patients were reported, three of which have not yet been described in the scientific literature. For the safety of patients using TPN to be guaranteed, it is suggested that the norms that regulate TPN therapy be reviewed and updated, and programs to monitor the quality of these preparations should be established. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-07-07 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://online.unisc.br/seer/index.php/epidemiologia/article/view/14778 10.17058/jeic.v10i3.14778 |
url |
https://online.unisc.br/seer/index.php/epidemiologia/article/view/14778 |
identifier_str_mv |
10.17058/jeic.v10i3.14778 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://online.unisc.br/seer/index.php/epidemiologia/article/view/14778/9303 https://online.unisc.br/seer/index.php/epidemiologia/article/view/14778/9304 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Unisc |
publisher.none.fl_str_mv |
Unisc |
dc.source.none.fl_str_mv |
Revista de Epidemiologia e Controle de Infecção; Vol. 10 No. 3 (2020) Revista de Epidemiologia e Controle de Infecção; v. 10 n. 3 (2020) 2238-3360 reponame:Revista de Epidemiologia e Controle de Infecção instname:Universidade de Santa Cruz do Sul (UNISC) instacron:UNISC |
instname_str |
Universidade de Santa Cruz do Sul (UNISC) |
instacron_str |
UNISC |
institution |
UNISC |
reponame_str |
Revista de Epidemiologia e Controle de Infecção |
collection |
Revista de Epidemiologia e Controle de Infecção |
repository.name.fl_str_mv |
Revista de Epidemiologia e Controle de Infecção - Universidade de Santa Cruz do Sul (UNISC) |
repository.mail.fl_str_mv |
||liapossuelo@unisc.br|| julia.kern@hotmail.com||reci.unisc@gmail.com |
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1800218811798913024 |