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Related Experiment Videos

Enteral Feeding Set Handling Techniques.

Beth Lyman1, Maria Williams1, Janet Sollazzo1

  • 11 Children's Mercy Hospital, Kansas City, Missouri, USA.

Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition
|April 1, 2017
PubMed
Summary
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Comparing three enteral feeding set (EFS) handling methods, ready-to-hang (RTH) products showed the lowest bacterial growth and cost. Refrigerating EFS is the next best option for pediatric nutrition therapy.

Area of Science:

  • Pediatric Nutrition
  • Infection Control
  • Healthcare Logistics

Background:

  • Enteral nutrition is a common pediatric therapy.
  • Patients often use the same enteral feeding set (EFS) multiple times daily.
  • Optimizing EFS handling is crucial for patient safety and care efficiency.

Purpose of the Study:

  • To compare bacterial growth, nursing time, and costs of three EFS handling techniques.
  • To identify the safest and most effective method for managing EFS between pediatric feedings.

Main Methods:

  • Simulated three EFS handling techniques: rinsing with sterile water, refrigeration, and ready-to-hang (RTH) products.
  • Monitored bacterial growth via cultures over 24 hours.
  • Assessed nursing time and supply costs for each method.
Keywords:
bacteriaenteral nutritionfood safetyinfection controlpediatricssafetytube feeding

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Main Results:

  • Ready-to-hang (RTH) products demonstrated significantly lower bacterial growth (4.4%) compared to rinsing (11.4%) or refrigeration (10.3%).
  • RTH required the least nursing time (31.08 minutes), followed by refrigeration (35.8 minutes) and rinsing (44.8 minutes).
  • RTH also presented the lowest supply costs.

Conclusions:

  • All tested methods showed low bacterial growth, but RTH was superior in all evaluated aspects.
  • Refrigerating EFS is recommended as the second-best practice when RTH products are not feasible for pediatric patients.
  • Proper EFS handling is vital for safe and efficient enteral nutrition delivery.