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Contamination of gastrostomy feeding systems in children in a home-based enteral nutrition program

L Bott1, M O Husson, D Guimber

  • 1Nestlé Clinical Nutrition, Noisiel, France.

Journal of Pediatric Gastroenterology and Nutrition
|October 11, 2001
PubMed

Insights

Gastrostomy feeding systems in children are frequently contaminated, especially before feeding begins. Using closed enteral feeding systems is recommended for home-based nutrition programs to prevent contamination.

Area of Science:

  • Pediatric Gastroenterology
  • Infectious Disease Control
  • Home Healthcare

Background:

  • Limited data exists on enteral feeding system contamination in pediatric gastrostomy patients.
  • No data is available for home-based care settings.

Purpose of the Study:

  • To assess the risk of microbial contamination in enteral feeding systems used by children receiving gastrostomy tube feeding at home.
  • To identify factors influencing bacterial colonization in these systems.

Main Methods:

  • Analyzed 5 sample types from 20 pediatric patients before and after enteral feeding.
  • Identified and quantified microorganisms.
  • Evaluated factors like acid suppressive therapy, feeding system type, and manipulation errors.

Main Results:

  • 85% of gastrostomy samples showed microbial overgrowth (>10(4) cfu/mL) before feeding.
  • 45% of feeding lines had overgrowth post-feeding, often with the same bacteria from the gastrostomy.
  • Closed systems remained sterile despite manipulation errors.

Conclusions:

  • Retrograde contamination of gastrostomy feeding systems is common in home care.
  • Closed enteral feeding systems are recommended to minimize contamination risk in home-based nutrition programs.
Abstract

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