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Date: | Sat, 4 Mar 2006 06:01:25 +0200 |
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Has it been found that this organism is added to the PIF when it is
reconstituted? I understood that the powder actually contained the
bacterium in the can before reconstitution.
If the PIF that contains A sakazakii is reconstituted hygienically, it will
simply be a growth medium for the bug. How will that help?
Nan Jolly M.B. B.Ch. LLLL
Port Elizabeth, South Africa
From the upcoming April 1st issue of Clinical Infectious Diseases
2006;42:996-1002:
Enterobacter sakazakii: An Emerging Pathogen in Powdered Infant Formula
D. Drudy, N. R. Mullane, T. Quinn, P. G. Wall,2 and S. Fanning
Enterobacter sakazakii represents a significant risk to the health of
neonates. This bacterium is an
emerging opportunistic pathogen that is associated with rare but
life-threatening cases of
meningitis, necrotizing enterocolitis, and sepsis in premature and full-term
infants. Infants aged
<28 days are considered to be most at risk. Feeding with powdered infant
formula (PIF) has been
epidemiologically implicated in several clinical cases. Infants should be
exclusively breast-fed for
the first 6 months of life, and those who are not should be provided with a
suitable breast-milk
substitute. PIF is not a sterile product; to reduce the risk of infection,
the reconstitution of
powdered formula should be undertaken by caregivers using good hygienic
measures and in
accordance with the product manufacturer's food safety guidelines.
Sounds like a good reference to use for the risk management of powdered
formula giveaways and
for powdered formula use in general.
Laurie Shornick, Ph.D.
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