Ap. Grant et al., EFFECTS OF ENTERAL FEEDING PRODUCTS ON SURVIVAL FROM ESCHERICHIA-COLIPERITONITIS, The journal of trauma, injury, infection, and critical care, 37(5), 1994, pp. 778-785
Male Fischer 344 rats were orally fed one of four diets (Osmolite HN,
Alitraq, Impact, and Purina rodent chow). After 6 days, jejunal mucosa
l nitrogen content and thickness were normal in all groups. After 7 da
ys, challenge with Escherichia coli intraperitoneally demonstrated no
difference in survival for any dietary group. In a second study, acute
protein-calorie malnutrition was induced by administering 5% dextrose
orally for 10 days. Animals were refed for 7 days with one of the fou
r diets. Serum albumin concentrations and intestinal mucosal nitrogen
content and thickness returned to normal with each refeeding program.
Challenge with E. coli after 7 days of refeeding, however, again demon
strated no difference in survival for any dietary group. Specialized e
nteral feeding products, containing additional amounts of arginine, gl
utamine, glutamate, RNA, and omega-3 fatty acids, are no more effectiv
e than a standard enteral feeding product or rat chow in maintaining i
ntestinal anatomy or restoring anatomy following fasting. Furthermore,
we found no survival advantage for the specialized products following
E. coli peritonitis.