Seema:  There has been some publicity in recent years on the dangers of 
using powdered infant formula for babies under 1 month old. Salmonella and 
E. sakazakii are 2 bacteria common in the environment that are killed by 
pasteurization.  Liquid formulas are pasteurized, powdered formulas are 
not.  A few minutes perusing the FDA's recall website was enough to 
convince me that powdered formula should NEVER be put into ANY baby's 
mouth.  After some searching I found a 35 page statement issued on the 9th 
of September, 2004 from the European equivalent of the USA's Food and Drug 
Administration (FDA). It was published in The EFSA Journal(2004)113, 1-35.  
The article also has a website: www.efsa.eu.int.  When I showed this 
information to our neo. director, he didn't seem real concerned as we do 
not use powdered formula in the hospital.  But what's in the free formula 
discharge bags, but a can of powdered formula?  And how many of those moms 
go home and open that can and feed their under 1 month-old infants that 
powdered formula?  Hopefully, mixed properly?
There have been a few publicized cases of babies fed powdered formulas 
nearly dying from bacterial infections traced to use of powdered formulas.

Pam Hirsch, RN,BSN,IBCLC
Clinical Lead, Lactation Services
Advocate Good Shepherd Hospital
Barrington, IL  USA

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