Thanks to Valerie and Phyllis for responding to my post on MRSA and breast 
milk.
Valerie you question whether or not the MRSA in the breast milk caused the 
MRSA sepsis and so do I. As you suggest (so eloquently!), we need to question it 
until the methods for it's apparent determination (by Terashita etal) are 
clearer.   
I wrote; " As for MRSA and breast milk, the fact is that premies   fed MRSA 
contaminated
breast milk via NG tubes have developed MRSA sepsis" 
 This is factual. MRSA is a contaminant, it doesn't belong in breast milk 
regardless of how well the breast's own "bioreactor" (great word!) works to 
modulate its effects.
 There WAS an article published   
riginal Articles
Transmission of Methicillin-Resistant Staphylococcus aureus to Preterm 
Infants Through Breast Milk

  Vol. 25   No. 9   September 2004

Priya Behari, MD; Janet Englund, MD; Grace Alcasid, MPH, MT(ASCP); Sylvia 
Garcia-Houchins, CIC; Stephen G. Weber, MD, MSc

not listing Terashita as an author, in the journal of "infection control and 
hospital epidemiology". It suggests that because
the MRSA isloates demonstrate "identical banding patterns" -the breast milk 
is the source BUT I don't have access to the full text.....Does anyone out 
there?
sorry that that link to the UK article wasn't correct. I wanted to share it 
because my impression was that the hospital responded somewhat hysterically to 
MRSA wound infection in the Mum by isolating her, her breast milk and her 
family from the baby(an "older" premie) and unit. Is this a hint of things to 
come? We need to be prepared to advocate for families .

Lynn Shea Rn,Bsn,Ibclc
formerly Franklin, Ma-now Lakewood Ranch , FL- (1week!)

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