This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Belknap, D. C. Articles by Flournoy, D.J. Search for Related Content PubMed PubMed Citation Articles by Belknap, D. C. Articles by Flournoy, D.J. Social Bookmarking                         What's this?

Microorganisms and Diarrhea in Enterally Fed Intensive Care Unit Patients

College of Nursing, University of Oklahoma Health Sciences Center

Lynda J. Davidson, M.N., R.N.

College of Nursing, University of Oklahoma Health Sciences Center

D.J. Flournoy, PH.D.

College of Medicine, University of Oklahoma Health Sciences Center, Veterans Administration Medical Center, Oklahoma City, Oklahoma

Thirty-six intensive care unit patients, receiving aseptic or manually (routine) reconstituted enteral feeding formulas, were evaluated prospectively for the relationship of microbial involvement, gastric pH, and antimicrobial therapy to diarrhea. The routine protocol group had a significantly higher incidence of bacterial contamination than the aseptic protocol group (Fisher's exact test, p < 0.05). There were no significant direct associations between isolate category (Gram-negative bacilli, Gram-positive cocci, Gram-negative cocci, yeast), gastric pH, or antimicrobials and diarrhea. However, two organisms (Group D Enterococci and yeast) were indirectly implicated in some cases of diarrhea. (Journal of Parenteral and Enteral Nutrition 14:622-628, 1990)

Journal of Parenteral and Enteral Nutrition, Vol. 14, No. 6, 622-628 (1990)
DOI: 10.1177/0148607190014006622


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				E. M. H. Mathus-Vliegen, M. W. J. Bredius, and J. M. Binnekade Analysis of Sites of Bacterial Contamination in an Enteral Feeding System JPEN J Parenter Enteral Nutr, November 1, 2006; 30(6): 519 - 525. [Abstract] [Full Text] [PDF]

				A. Skipper Closed Systems: Counterpoint Nutr Clin Pract, August 1, 2000; 15(4): 197 - 200. [PDF]

				H.-H. Homann, M. Kemen, C. Fuessenich, M. Senkal, and V. Zumtobel Reduction in Diarrhea Incidence by Soluble Fiber in Patients Receiving Total or Supplemental Enteral Nutrition JPEN J Parenter Enteral Nutr, November 1, 1994; 18(6): 486 - 490. [Abstract] [PDF]

				D. R. Wagner, M. F. Elmore, and D. M. Knoll Evaluation of "Closed" vs "Open" Systems for the Delivery of Peptide-Based Enteral Diets JPEN J Parenter Enteral Nutr, September 1, 1994; 18(5): 453 - 457. [Abstract] [PDF]

				P. G. Eisenberg Causes of Diarrhea in Tube-Fed Patients: A Comprehensive Approach to Diagnosis and Management Nutr Clin Pract, June 1, 1993; 8(3): 119 - 123. [Abstract] [PDF]

				J. W. Lampe, M. E. Effertz, J. L. Larson, and J. L. Slavin Gastrointestinal Effects of Modified Guar Gum and Soy Polysaccharide as Part of an Enteral Formula Diet JPEN J Parenter Enteral Nutr, November 1, 1992; 16(6): 538 - 544. [Abstract] [PDF]

				G. Moe Invited Review: Enteral Feeding and Infection in the Immunocompromised Patient Nutr Clin Pract, April 1, 1991; 6(2): 55 - 64. [Abstract] [PDF]