Research of trends in ensuring the needs of medical organizations in enteral nutrition products

DOI: https://doi.org/10.29296/25419218-2023-07-06
Issue: 
7
Year: 
2023

K.E. Kirpikova, D.S. Gritsanenko, Yu.G. Ilinova, E.O. Trofimova
Saint Petersburg State Chemical and Pharmaceutical University (SPCPU), Professor Popov str., 14, St. Petersburg, 197022, Russian Federation

Introduction. High importance of enteral nutrition food products (ENP) as a means of providing nutritional support to patients of various profiles, it makes it relevant to form an idea of the current state of consumption of this type of product in medical organizations of the North-Western Federal District (NWFD). Objective: to study the state and trends of ensuring the needs of medical organizations in PET, including the sources of covering this need. Material and methods. The sources of information were data on contracts concluded for 2016–2021, posted in the unified information system in the field of procurement, and data from the Unified Register of Certificates of State Registration of Products. Results. In the structure of general purchases of ENP by medical organizations of the North-Western Federal District for 2016–2021, 43% were products for siping (oral) use, 20% – intended for administration through a tube, 36% – for mixed intake. Mixtures with a liquid form of release and with a standard functional purpose prevail. The share of specialized (metabolic-oriented) mixtures for the entire period under review was 30%. The growth rates of purchases of standard ENP outpaced the general dynamics of specialized mixtures, with the exception of ENP for diabetic patients and those suffering from respiratory insufficiency, which can be associated with the COVID-19 epidemic. In 2021, the volume of purchases of ENP amounted to 673.6 thousand units, twice exceeding the level of 2016. 85% of the need for ENP was met at the expense of products of foreign origin, 15% – Russian. More than a third of the supplied ENP are products of B.Braun (Germany). Conclusion. Reducing risks while ensuring the need for nutritional support for patients within the framework of medical care necessitates overcoming import dependence in the supply of ENP.
Keywords: 
therapeutic nutrition
enteral nutrition products
provision of the needs of medical organizations
procurement for state and municipal needs
procurement structure.
References: 
  1. Shestopalov A.E. Enteral nutrition – the basis of therapeutic interventions in various diseases. Jeffektivnaja farmakoterapija. Onkologija, Gematologija i Radiologija, 2010, 1: 16–9 (in Russian).
  2. Stec V.V., Polovnikov S.G., Zhuravlev A.G., Shestopalov A.E. Nutritional and metabolic correction in the intensive therapy of peritonitis. Rany i ranevye infekcii. 2016; 3 (1): 25–31. DOI: 10.17 650/2408-9613-2016-3-1-25-31 (in Russian).
  3. Yan X.X., Zhang X., Ai H., Wang D., Song K.Y. Changes of intestinal mucosal barrier function and effects of early enteral nutrition in patients with severe organophosphorus poisoning. Zhonghua Yi Xue Za Zhi. 2019; 99 (6): 442–6. DOI: 10.3760/cma.j.issn.0376-2491.2019.06.012.
  4. Belkin A.A., Lejderman I.N., Petrikov S.S., Titova Ju.V. Nutritional support in neurology and neurosurgery. V kn.: Hubutija M.Sh., Popova T.S., Saltanov A.I. (red.) Parenteral'noe i jenteral'noe pitanie: nacional'noe rukovodstvo. Moskva: GJeOTAR-Media, 2014; 21: 401–18 (in Russian).
  5. Boshkoev Zh.B., Dzhuzumalieva K.S., Altuhova I.G., Umuralieva M.I., Jesengulova Ch.B. Early enteral nutrition in a complex of intensive care. Medicina Kyrgyzstana. 2018; 5: 41–3 (in Russian).
  6. Lejderman I.N., Grican A.I., Zabolotskih I.B., Krylov K.Ju., Lebedinskij K.M., Mazurok V.A. i dr. Metabolic monitoring and nutritional support in prolonged mechanically ventilated (MV) patients. Clinical guidelines. Anesteziologija i reanimatologija. 2019; 4: 5–19. DOI: 0.17116/anaesthesiology20190415. (in Russian).
  7. Parent B., Seaton M., O’Keefe G.E. Biochemical Markers of Nutrition Support in Critically Ill Trauma Victims. J. Parenter Enteral Nutr. 2018; 42 (2): 335–42. DOI: 10.1177/0148607116671768.
  8. Petrova M.V., Krylov K.Ju., Shestopalov A.E., Sergienko A.D., Jakovleva A.V., Muradjan K.R. i dr. The Peculiarities of Enteral Nutrition in Patients with Prolonged State of Unconsciousness. Trudnyj pacient. 2018; 16 (5): 32–4 (in Russian).
  9. Lee J.C., Williams G.W., Kozar R.A., Kao L.S., Mueck K.M., Emerald A.D. et al. Multitargeted Feeding Strategies Improve Nutrition Outcome and Are Associated with Reduced Pneumonia in a Level 1 Trauma Intensive Care Unit. J. Parenter Enteral Nutr. 2018; 42 (3): 529–37. DOI: 10.1177/0148607117699561.
  10. Narogan M.V., Rjumina I.I., Grosheva E.V. Basic principles of enteral feeding in premature infants. Rossijskij vestnik perinatologii i pediatrii. 2014; 3: 120–8 (in Russian).
  11. Kirpikova K.E. Analysis of the state of resource provision of medical organizations of the Russian Federation with specialized food products of enteral nutrition. «Molodaja farmacija – potencial budushhego», XII vserossijskaja nauchnaja konferencija studentov i aspirantov s mezhdunarodnym uchastiem (12; 2022; Sankt-Peterburg). Sbornik materialov konferencii=Proceeding of the conference «Molodaja farmacija – potencial budushhego», 14 marta – 18 aprelja 2022 g. Sankt-Peterburg : Izd-vo SPHFU, 2022; 1362 [14] (in Russian).
  12. Smetanina D.Ja. Problems of identification of enteral nutrition food products in the public procurement system. «Molodaja farmacija – potencial budushhego», XI vserossijskaja nauchnaja konferencija studentov i aspirantov s mezhdunarodnym uchastiem (11; 2021; Sankt-Peterburg). Sbornik materialov konferencii=Proceeding of the conference «Molodaja farmacija – potencial budushhego», 15 marta – 23 aprelja 2021 g.: v. 2 t. T. 2. Sankt-Peterburg: Izd-vo SPHFU, 2021; 450 [22] (in Russian)