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Date: | Thu, 4 Nov 2004 09:23:34 EST |
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Thanks to Valerie and Phyllis for responding to my post on MRSA and breast
milk.
Valerie you question whether or not the MRSA in the breast milk caused the
MRSA sepsis and so do I. As you suggest (so eloquently!), we need to question it
until the methods for it's apparent determination (by Terashita etal) are
clearer.
I wrote; " As for MRSA and breast milk, the fact is that premies fed MRSA
contaminated
breast milk via NG tubes have developed MRSA sepsis"
This is factual. MRSA is a contaminant, it doesn't belong in breast milk
regardless of how well the breast's own "bioreactor" (great word!) works to
modulate its effects.
There WAS an article published
riginal Articles
Transmission of Methicillin-Resistant Staphylococcus aureus to Preterm
Infants Through Breast Milk
Vol. 25 No. 9 September 2004
Priya Behari, MD; Janet Englund, MD; Grace Alcasid, MPH, MT(ASCP); Sylvia
Garcia-Houchins, CIC; Stephen G. Weber, MD, MSc
not listing Terashita as an author, in the journal of "infection control and
hospital epidemiology". It suggests that because
the MRSA isloates demonstrate "identical banding patterns" -the breast milk
is the source BUT I don't have access to the full text.....Does anyone out
there?
sorry that that link to the UK article wasn't correct. I wanted to share it
because my impression was that the hospital responded somewhat hysterically to
MRSA wound infection in the Mum by isolating her, her breast milk and her
family from the baby(an "older" premie) and unit. Is this a hint of things to
come? We need to be prepared to advocate for families .
Lynn Shea Rn,Bsn,Ibclc
formerly Franklin, Ma-now Lakewood Ranch , FL- (1week!)
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