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Date: | Thu, 27 Dec 2012 12:22:43 -0500 |
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Colleagues:
Although there have been a very few case reports of infants with
enterobacter sakazakeii infection, presumably from contamination of the powdered
formula, the whole issue of the "danger" of powdered formula and powdered
fortifiers has been way overblown.
Although I would wish that no infant, child or adult die from foods or
medications, it happens, and it is not always preventable. It is typical of
USA thinking that "some-one" has to be to blame and the huge number of
lawsuits over ridiculous things testifies to this. We tend to lose sight of the
big picture and the public health implications when we make blanket
statements like "no infant less than 2 months old should receive powdered
formula", especially in the USA where our water is clean and plentiful.
In 30 years as a neonatologist I have never seen a case of sepsis,
meningitis, NEC or other infection due to a powdered formula/fortifier
contaminant. I have seen 3 infants die of NEC/sepsis due to pathogens in the mothers'
milk. Should I ban human milk?
Nancy
Nancy E. Wight MD, IBCLC, FABM, FAAP
Neonatologist, San Diego Neonatology, Inc.
Medical Director, Sharp HealthCare Lactation Services
Sharp Mary Birch Hospital for Women and Newborns
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