J Korean Soc Parenter Enter Nutr.  2007 Dec;1(1):5-12. 10.15747/jkspen.2007.1.1.5.

Application of Hazard Analysis Critical Control Points System to Enteral Feed Preparation Using 6-sigma Strategy

• Kim SJ
• Chung HK
• Lee SM

• KMID: 1838764
• DOI: http://doi.org/10.15747/jkspen.2007.1.1.5

Abstract

PURPOSE
The administration of contaminated diets can contribute to severe infections, negative publicity of the hospital and huge financial loss. This study examined the microbiological quality of enteral feeds in order to help improve the process of the enteral feed preparation, storage, and delivery.
METHODS
The Hazard Analysis Critical Control Points (HACCP) system was implemented to control the level of microbiological contamination of enteral feeding formulations using a 6-sigma strategy, which was processed using the DMAIC method. The effectiveness of the 6-sigma activity was measured using the defect case, which is over the British standard of 102 CFU/ml in enteral feeds.
RESULTS
By performing the 6-sigma activity, the microbiological quality of enteral formulas were improved 2.20 sigma to 6.00sigma (P=0.009). There were more defect cases in the concentrated enteral feeds than the standard or diluted enteral feeds before implementing the HACCP system.
CONCLUSION
These results showed that the implementation of HACCP can help protect against microbial contamination and will be required in the near future for better quality control of enteral feeds. In addition, these results may be applicable to setting up a standard Korean microbiological control in enteral tube feeding.

Keyword

Enteral tube feeding; Microbiological control; 6-sigma; HACCP

MeSH Terms

Diet
Enteral Nutrition
Hazard Analysis and Critical Control Points*
Quality Control