Pat et al...,
Thank you for your reply.  I actually came across that site when doing my
review and it was very interesting and the most helpful I have found.  The
research does state that Enterobacteriaceae can be normal flora in some
surfaces of the body (such as the gut as the that article states), but
skin is not listed as one of them.  Also, the count was higher than what I
have found as the general recommendation for normal flora in milk (100,000
per ml), so I'm still not sure how to proceed.
Any other thoughts?  I would love to hear any thoughts...Dr Wight, any
comments on what you would do?
As always thank you all for your collective knowledge and support!
Melissa Hessock RN, BSN, IBCLC
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