Pat has asked if the FDA has issued any warnings about E sakazakii in the  
US. If you go to the following address: 
_http://www.cfsan.fda.gov/~dms/inf-ltr3.html_ (http://www.cfsan.fda.gov/~dms/inf-ltr3.html)  you  will see the letter 
the FDA sent to all NICUs in the US warning them about the  use on powdered 
infant formulas. E sakazakii is an emerging pathogen that has  started to be 
recovered more and more in powdered infant formulas of all types.  There are 
about 5-6 law suits that have been filed in the US regarding the  unfortunate 
outcomes of infants who were infected with this organism through  powdered 
formula. One full term healthy infant I know of contracted meningitis  from the 
powdered infant formula contained in the discharge bag that was given  to the 
mother by the hospital. This baby suffered permanent brain damage. NABA  has 
written about E sakazakii at its website _www.naba-breastfeeding.org_ 
(http://www.naba-breastfeeding.org) . Some  powdered infant formula packaging has started to 
carry warnings about it not  being sterile. Given the hazards of this formula 
to all infants under the age of  4 weeks, it is always a wonder to hear 
hospitals vigorously defending their  practice of giving out commercial discharge 
bags. The Risk Management Department  in all hospitals should be put in contact 
with the lawyers who are filing the  formula law suits! 
 
Marsha Walker, RN, IBCLC
Weston, MA

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