PMID: 11906581Mar 22, 2002Paper

Application of Hazard Analysis Critical Control Points system to enteral tube feeding in hospital

Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association
M R OliveiraK E Aidoo

Abstract

An HACCP system was implemented for the quality assurance of preparation, storage and delivery of enteral feeds to patients in hospital. Routine methods of feed preparation, storage and delivery to patients were studied and a flow chart was initially made. After identifying hazards, an HACCP team was assembled, a flow chart was modified and critical control points were defined using a decision tree. Control measures for each step of the process and its monitoring and corrective measures to be applied were also defined. In addition, feed samples were analysed for microbiological quality and feed storage temperatures were also recorded, before and after the implementation of the HACCP system. When the control measures were applied and monitored, the hazard was reduced. Bacterial counts in feed were reduced from 105 cfu mL-1 to < 101 cfu mL-1. The results show that contamination of enteral feed may be reduced or eliminated if a systematic approach such as HACCP is applied effectively.

References

May 1, 1988·The Journal of Hospital Infection·A Anderton, K E Aidoo
May 14, 1998·Archives of Disease in Childhood·C J PatchellI W Booth
Feb 15, 2001·The Journal of Hospital Infection·J McKinlayA Anderton
Apr 17, 2001·Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association·E P McNamaraN P Kennedy
Apr 17, 2001·Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association·P Howard, N Bowen

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Citations

May 10, 2012·Revista da Associação Médica Brasileira·Stella Marys Rigatti SilvaElza Daniel de Mello
Nov 7, 2016·JPEN. Journal of Parenteral and Enteral Nutrition·Joseph I BoullataUNKNOWN ASPEN Safe Practices for Enteral Nutrition Therapy Task Force, American Society for Parenteral and Enteral Nutrition
Mar 2, 2013·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Mark R CorkinsUNKNOWN American Society for Parenteral and Enteral Nutrition
Nov 23, 2006·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Alice N NeelyMichele M Gottschlich
Jul 20, 2007·The Proceedings of the Nutrition Society·Kevin Whelan
Mar 16, 2004·Journal of Cardiac Surgery·Inbar GatotAzai Apelbom
Nov 16, 2004·São Paulo Medical Journal = Revista Paulista De Medicina·Cláudia Nathalie PereiraJosé Luiz Gomes do Amaral
Aug 26, 2020·Environmental Science and Pollution Research International·Fatemeh SanaeiMashallah Rezakazemi

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