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

Omorogieva Ojo, Amanda Rodrigues Amorim Adegboye, Osarhumwese Osaretin Ojo, Xiaohua Wang and Joanne Brooke
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Omorogieva Ojo: Faculty of Education, Health and Human Sciences, School of Health Sciences, University of Greenwich, Avery Hill Campus, Avery Hill Road, London SE9 2UG, UK
Amanda Rodrigues Amorim Adegboye: Faculty of Health and Life Sciences, School of Nursing, Midwifery and Health, Coventry University Priory Street, Coventry CV1 5FB, UK
Osarhumwese Osaretin Ojo: South London and Maudsley NHS Foundation Trust, University Hospital, Lewisham High Street, London SE13 6LH, UK
Xiaohua Wang: The School of Nursing, Soochow University, Suzhou 215006, China
Joanne Brooke: Faculty of Health, Education and Life Sciences, Ravensbury House, Birmingham City University, City South Campus, Birmingham B15 3TN, UK

IJERPH, 2020, vol. 17, issue 24, 1-12

Abstract: 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.

Keywords: microbial quality; microbial safety; blenderised enteral nutrition formula; enteral nutrition formula; aerobic plate count; coliform (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:17:y:2020:i:24:p:9563-:d:465573

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