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Implementation of a Bowel Protocol to Improve Enteral Nutrition and Reduce Clostridium difficile Testing
Author(s) -
J. Wanik,
Colleen Teevan,
Lynn Pepin,
Laura Andrews,
Linda Dalessio,
Jennifer Feda,
Noubar Kevorkian,
Sharon Weintraub
Publication year - 2019
Publication title -
critical care nurse
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.342
H-Index - 44
eISSN - 1940-8250
pISSN - 0279-5442
DOI - 10.4037/ccn2019304
Subject(s) - medicine , constipation , diarrhea , parenteral nutrition , clostridium difficile , enteral administration , intensive care medicine , intensive care unit , antibiotics , microbiology and biotechnology , biology
Underfeeding is common among adult patients receiving enteral nutrition. Constipation and diarrhea have been associated with low enteral nutrition volume in critically ill patients. In patients with diarrhea, Clostridium difficile is often suspected and tested for, although medications, illness, or enteral formulas are usually the cause. The use of bowel protocols to proactively address constipation, diarrhea, and inappropriate testing for hospital-onset C difficile infection, thereby improving enteral nutrition, remains unclear.

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