Mime-Version: |
1.0 |
Sender: |
|
Subject: |
|
From: |
|
Date: |
Thu, 19 Jul 2007 15:34:37 -0400 |
Content-Type: |
text/plain; charset="windows-1252" |
Content-Transfer-Encoding: |
quoted-printable |
Reply-To: |
|
Parts/Attachments: |
|
|
Hi!
Our NICN Neo's have decided that our NEC rates may be linked to pumped
(MOM) breastmilk, (ARGH!!). They have started to culture milk stored in the
freezer of "suspect" infants. (signs of "feeding intolerance"). My understanding
is that they have isolated Klebsiella and Acetinobactor from as least one
cultured specimen and told the mothers that they could no longer use their
milk. As senior lactation consultant I am arranging a meeting with all
the "stake holders" to at least approach this in a more "scientific" manner. My
feeling is that we need to first get a accurate culture of the moms' milk (as
opposed to stored milk) Aren't these 2 organisms often associated with
comtaminants and implicated in poor hand washing? I have searched the
archives and found some good info. I am wondering what the current best
practice procedure for collection of a milk specimen is. I remember reading
about Betadine, and hand expression, but I can't seem to lay my hands on
that info right now. Other questions I have are; how are other NICN's telling
moms the clean pump parts, and how are you cleaning the pumps in the
hospital pump room. (We average about 400-600+ pumping sessions per
month in our lactation room.) I know that the implicated organisms
are "baddies" and we need to investigate this further but are any of you doing
routine milk culturing or have you been involved in a situation such as this?
We could sure use any input on how to proceed.
Thanks So Much!
Holly McSpadden, IBCLC
***********************************************
Archives: http://community.lsoft.com/archives/LACTNET.html
Mail all commands to [log in to unmask]
To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or [log in to unmask])
To unsubscribe: unsubscribe lactnet or ([log in to unmask])
To reach list owners: [log in to unmask]
|
|
|