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The Microbial Quality and Safety of Blenderised Enteral Nutrition Formula: A Systematic Review

The use of blenderised enteral nutrition formula (ENF) is on the increase globally. However, concerns remain regarding the microbial quality and safety of blenderised ENF compared with standard recommendations and commercial ENF. Aim: This was a systematic review which sought to compare the microbia...

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Autores principales: Ojo, Omorogieva, Adegboye, Amanda Rodrigues Amorim, Ojo, Osarhumwese Osaretin, Wang, Xiaohua, Brooke, Joanne
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7766503/
https://www.ncbi.nlm.nih.gov/pubmed/33371227
http://dx.doi.org/10.3390/ijerph17249563
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author Ojo, Omorogieva
Adegboye, Amanda Rodrigues Amorim
Ojo, Osarhumwese Osaretin
Wang, Xiaohua
Brooke, Joanne
author_facet Ojo, Omorogieva
Adegboye, Amanda Rodrigues Amorim
Ojo, Osarhumwese Osaretin
Wang, Xiaohua
Brooke, Joanne
author_sort Ojo, Omorogieva
collection PubMed
description The use of blenderised enteral nutrition formula (ENF) is on the increase globally. However, concerns remain regarding the microbial quality and safety of blenderised ENF compared with standard recommendations and commercial ENF. Aim: This was a systematic review which sought to compare the microbial quality of blenderised ENF and commercial ENF and to evaluate the effect of storage time on blenderised ENF. Method: Four databases (Pubmed, EMBASE, PSYCInfo and Google scholar) were searched for relevant articles based on the Population, Intervention, Comparator, Outcomes framework. Results: Eleven studies which met the criteria were included in the systematic review. Two major areas were identified; Microbial Quality of Blenderised ENF versus Commercial ENF; and The Effect of Storage Time on Microbial Quality of Blenderised ENF. Overall, 72.7% of the studies showed microbial contamination in blenderised ENF compared with 57.1% of commercial ENF, and the storage time was another important factor in the rates of contamination. The extent of handling or manipulation of the enteral formula was critical in determining the level of contamination. Conclusion: Preparation techniques for blenderised ENF need to be established and caregivers taught how to prepare and administer it appropriately in order to reduce contamination. Further, well-designed studies are required, which compare the microbial quality of blenderised ENF using adequate handling techniques and commercial ENF.
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spelling pubmed-77665032020-12-28 The Microbial Quality and Safety of Blenderised Enteral Nutrition Formula: A Systematic Review Ojo, Omorogieva Adegboye, Amanda Rodrigues Amorim Ojo, Osarhumwese Osaretin Wang, Xiaohua Brooke, Joanne Int J Environ Res Public Health Review The use of blenderised enteral nutrition formula (ENF) is on the increase globally. However, concerns remain regarding the microbial quality and safety of blenderised ENF compared with standard recommendations and commercial ENF. Aim: This was a systematic review which sought to compare the microbial quality of blenderised ENF and commercial ENF and to evaluate the effect of storage time on blenderised ENF. Method: Four databases (Pubmed, EMBASE, PSYCInfo and Google scholar) were searched for relevant articles based on the Population, Intervention, Comparator, Outcomes framework. Results: Eleven studies which met the criteria were included in the systematic review. Two major areas were identified; Microbial Quality of Blenderised ENF versus Commercial ENF; and The Effect of Storage Time on Microbial Quality of Blenderised ENF. Overall, 72.7% of the studies showed microbial contamination in blenderised ENF compared with 57.1% of commercial ENF, and the storage time was another important factor in the rates of contamination. The extent of handling or manipulation of the enteral formula was critical in determining the level of contamination. Conclusion: Preparation techniques for blenderised ENF need to be established and caregivers taught how to prepare and administer it appropriately in order to reduce contamination. Further, well-designed studies are required, which compare the microbial quality of blenderised ENF using adequate handling techniques and commercial ENF. MDPI 2020-12-21 2020-12 /pmc/articles/PMC7766503/ /pubmed/33371227 http://dx.doi.org/10.3390/ijerph17249563 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Ojo, Omorogieva
Adegboye, Amanda Rodrigues Amorim
Ojo, Osarhumwese Osaretin
Wang, Xiaohua
Brooke, Joanne
The Microbial Quality and Safety of Blenderised Enteral Nutrition Formula: A Systematic Review
title The Microbial Quality and Safety of Blenderised Enteral Nutrition Formula: A Systematic Review
title_full The Microbial Quality and Safety of Blenderised Enteral Nutrition Formula: A Systematic Review
title_fullStr The Microbial Quality and Safety of Blenderised Enteral Nutrition Formula: A Systematic Review
title_full_unstemmed The Microbial Quality and Safety of Blenderised Enteral Nutrition Formula: A Systematic Review
title_short The Microbial Quality and Safety of Blenderised Enteral Nutrition Formula: A Systematic Review
title_sort microbial quality and safety of blenderised enteral nutrition formula: a systematic review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7766503/
https://www.ncbi.nlm.nih.gov/pubmed/33371227
http://dx.doi.org/10.3390/ijerph17249563
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