The administration of elemental diet through fine needle catheter jejunostomy is becoming a common alternative route for postoperative feedings. The current review describes a septic syndrome which has been attributed to contamination of these feedings. The authors discuss a number of patient reports, as well as the etiology of the septic-like syndrome. Recommendations for the elimination of this syndrome are made and further review of patients during the course of changes in technique is described. (Journal of Parenteral and Enteral Nutrition8:30-33, 1983)
Get full access to this article
View all access options for this article.
References
1.
Hostetler C. , Lipman T., Geraghty M., Parker R.: Bacterial safety of reconstituted continuous drip tube feeding. JPEN6:232-235, 1982
2.
Remington JS , Schimpff SC: Occasional notes: please don't eat the salads . N Engl J Med304:433-435, 1981
3.
White WT, Acuff TE, Sykes TR, et al: Bacterial contamination of enteral nutrient solution: a preliminary report. JPEN3:459-461, 1979
4.
Mandell GL, Douglas RG, Bennett JE: Principles and Practice of Infectious Diseases. Wiley Medical , New York, 1979, Part 1, pp 847-857
5.
Dixon JMS : The fate of bacteria in the small intestine . J Pathol Bact.79:131, 1960
6.
Schrager J.: The chemical composition and function of gastrointestinal mucus. Gut11:450. 1970
7.
Bodey GP, Buckley M., Sathe YS, et al: Quantitive relationships between circulating leukocytes and infection in patients with acute leukemia. Ann Intern Med64:328, 1966
8.
Hermans PE, Huizenger KA, Hoffman HN, et al: Dysgammaglobulinemia associated with nodular lymphoid hyperplasia of the small intestine. Am J Med40:78, 1966
9.
Collins FM, Carter PB: Cellular immunity in enteric disease. Am J Clin Nutr27:1424, 1974