As a neonatologist who has used powdered formula as a fortifier for stable, growing preterm infants for over 30 years, I have never seen a case of E. Sakazakii.  We use powder to maximize the use of mothers' own milk.  Liquid must be used 1:1 with mothers' milk.  I have not used the new concentrated liquid fortifier as yet (from formula company).


Nancy E. Wight MD, IBCLC, FABM, FAAP 
Attending Neonatologist, Sharp Mary Birch Hospital for Women 
Medical Director, Sharp HealthCare Lactation Service 
San Diego, CA, USA 
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