Linda,

The one thing that concerns me is that strep is a bit unusual ( unless it is a
contaminated specimen). Most cases of mastitis are related to staph organisms.
I saw more bilat mastitis in the  early 90's before protocols were instituted to
prevent GBBS infections.  Bilat mastitis is uncommon and rare these days because
of the protocols. GBBS is a nasty infection and used to wreak havoc on
newborns.  Have you checked the CDC and Human Milk Banking Association of North
America?
They often provide good references to recommendations.
Good luck,
Colleen




________________________________
From: Linda Anderegg <[log in to unmask]>
To: [log in to unmask]
Sent: Sun, August 1, 2010 12:30:56 AM
Subject: Re: Breastmilk culture

Thanks, Mary.  I'll look in Riordan.  Colleen, I'm sorry but I don't have
any more info about this case as I was not involved.  The question was asked
by my colleague, a Neonatologist, for his wife, who is an IBCLC at another
hospital.  He is well aware of the difficulty in getting a "clean" specimen,
the probability of growing many organisms, and the likelihood that if there
actually was an organism to be concerned about that it might not even grow
due to the WBCs and macrophages in human milk.  He said he learned this
first hand by ordering cultures very early in his career when they routinely
cultured all milk in the NICU.  Does anyone know of any studies that his
wife can give to the client to give to the client's doctor that I can access
easily for him?
Linda Anderegg, BSN, RNC, IBCLC in Chicago

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