Microbiological quality of enteral feeding and infant formula produced in dietary units, according to the triad of Donabedian.
OBJECTIVE
Microbial contamination of enteral feeding and infant formulas can result in a risk of worsening of the clinical condition of the patients, who are already weakened and susceptible to pathogens. The objective was to evaluate aspects of the management of quality hygienic - sanitary of enteral feeding and infant formulas in hospitals, focusing on the structure, process and outcome.


METHODS
An observational, descriptive, prospective, with quantitative and qualitative variables study was done. The survey was conducted for 12 months and 227 samples of enteral feeding and 176 of infant formula were collected in Nutrition and Dietetic Services of Health Secretary / Federal District. In evaluating the operating conditions, the Tool 2 was applied to: Enteral Nutrition Preparation. Data were analyzed from the unified Donabedian's triad for evaluation of health services.


RESULTS
The results obtained with the Tool 2 demonstrated that the Storage Block complies with legal requirements. Moreover, Dressing Block is a risk factor for the contamination. From the 403 samples, 56% corresponded to samples of Enteral Nutrition and 44% to samples of Infant Formulas. The data indicate that from 227 samples of Enteral Nutrition, 6.2% were in disagreement with the legislation, while from 176 samples of Infant Formulas, 4.6% were also in disagreement with the legislation.


CONCLUSIONS
The ineffective implementation of the sanitary and hygienic requirements during the preparation results in a microbiologically unsafe product to patients in debilitated health state, and the count of mesophilic microorganisms can be a good indicator of microbiological safety.
Secretary of Health State - Federal District.. alejandracedar@yahoo.com.br.
Alessandra Cedro
AC
da Silva Santos
Department of Nutrition. University of Brasilia. Brazil.. wilma.araujo@terra.com.br.
Wilma Maria
WM
Coelho Araújo
Department of Nutrition. University of Brasilia. Brazil.. rita.akutsu@gmail.com.
Rita de Cássia
Rde C
C de A Akutsu
Secretary of Health State - Federal District.. adrianahaack@hotmail.com.
Adriana
A
Haack de Arruda
D001938:Brazil; D004045:Dietary Services / Q000592:standards*; D004750:Enteral Nutrition; D005516:Food Microbiology; D059022:Food Safety; D005526:Food, Formulated / Q000382:microbiology*; D006801:Humans; D007223:Infant; D041943:Infant Formula / Q000382:microbiology*; D011446:Prospective Studies; D011795:Surveys and Questionnaires