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Tue, 8 Feb 2005 07:44:02 EST |
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Kathleen asked about powdered infant formula and the recommendation of not
using it for infants under 4 weeks of age. The European Food Standards Agency
(EFSA) issued a press statement in November on the risks of Enterobacter
sakazakii and Salmonella in powdered infant formula. They recommended that all
infants under 4 weeks of age who are not breastfed should receive liquid ready
to feed formula and afterward powdered formula should be reconstituted with
water at 70 degrees C. It did not call for warning on formula can labels so
parents are kept in the dark about these contaminants. The press statement can
be found at:
_www.efsa.eu.int/press_room/press_release/696_en.html_
(http://www.efsa.eu.int/press_room/press_release/696_en.html)
Preterm and ill infants are at an even higher risk when fed powdered infant
formulas. The US Food and Drug Administration (FDA) issued a statement to all
NICUs recommending that these babies not be given powdered formulas, rather
liquid formulas were to be used. Makes a pretty strong statement about why
human milk is so important! I wonder how many NICUs in the US even know about
the FDA alert which can be found at:
_www.cfsan.fda.gov/~dms/inf-ltr3.html_
(http://www.cfsan.fda.gov/~dms/inf-ltr3.html)
NABA also has an article on this contaminant with references in its current
newsletter. One study found that 14% of 141 samples contained E sakazakii, as
powdered infant formula is not sterile (something few parents or health care
providers know).
Marsha Walker, RN, IBCLC
Weston, MA
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