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Infection control during parenteral nutrition therapy
JPEN. Journal of Parenteral and Enteral Nutrition
|November 1, 1985
Summary
Parenteral nutrition (PN) therapy supports an anabolic state but risks infectious complications. Strict adherence to aseptic techniques and infection control protocols is crucial for patient safety during PN administration.
Area of Science:
- Clinical Nutrition
- Infectious Diseases
- Medical Device Management
Background:
- Parenteral nutrition (PN) therapy is vital for patients with impaired nitrogen balance.
- PN therapy is associated with a significant risk of infectious complications.
- Sources of infection include cannula contamination, infusate contamination, and system breaches.
Purpose of the Study:
- To review the causes and mechanisms of infectious complications associated with parenteral nutrition.
- To outline strategies for preventing and controlling infections in patients receiving PN therapy.
- To highlight the need for further research, including controlled clinical trials.
Main Methods:
- Literature review of existing studies on PN-related infections.
- Analysis of factors contributing to cannula-related infections.
- Synthesis of current infection control practices and recommendations.
Main Results:
- Infections can originate from various points in the PN system, including the cannula, wound, and infusate.
- Host susceptibility, insertion techniques, cannula material, and system misuse influence infection risk.
- Effective infection control involves stringent quality control, aseptic techniques, and proper site care.
Conclusions:
- Minimizing PN-related infections requires a multifaceted approach focusing on sterility, aseptic technique, and system integrity.
- An organized, protocol-driven team significantly reduces infectious complications.
- Further well-designed clinical trials are needed to refine PN therapy and reduce associated risks.