Diarrhoea during enteral feeding in the critically ill: A comparison of feeds with and without fibre |
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Authors: | Dr. G. J. Dobb S. C. Towler |
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Affiliation: | (1) Intensive Care Unit, Royal Perth Hospital, P.O. Box X2213, 6001 Perth, Western Australia |
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Abstract: | This randomised double-blind study examined the frequency of diarrhoea in intensive care unit patients given a fibre-containing feed, Enrich, and a fibre-free feed, Ensure. A daily diarrhoea score was calculated from the frequency, volume and consistency of the stools. A score greater than 12 indicated diarrhoea, and greater than 50 severe diarrhoea. Ninety one patients met the criteria for participation: Enrich 45, Ensure 46. The groups were similar in age, sex ratio, feed volume, antibiotic usage, upper gastro-intestinal bleeding prophylaxis and plasma albumin concentrations. Diarrhoea occurred in 16 patients given Enrich and 13 given Ensure, severe diarrhoea affecting 5 and 9 respectively (NS). Forty seven of 343 (14%) Enrich feeding days and 51 of 342 (15%) Ensure feeding days were complicated by diarrhoea — severe diarrhoea: 8 and 12 feeding days (NS). We conclude soy polysaccharide (21 g/L) did not reduce diarrhoea in intensive care unit patients given enteral feeds. |
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Keywords: | Critical care Diarrhoea Enteral feeding Dietary fibre |
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