Opinion adopted by the BIOHAZ Panel related to the microbiological risks in infant formulae and follow-on formulae
European food safety authority
http://www.efsa.eu.int/science/biohaz/biohaz_opinions/691_en.html
The Department of Health and Food Standards Agency have issued revised guidance on the preparation and storage of infant formula milk. (UK)
http://www.food.gov.uk/news/newsarchive/2005/nov/infantformulastatementnov05
However this bottle feeding leaflet for parents is rather vague, & doesn't suggest giving ready made formula to premature, immunosuppressed or newborn babies under 4 weeks of age:-(((
http://www.dh.gov.uk/assetRoot/04/12/36/20/04123620.pdf
>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.
I agree, the PIF is contaminated in the factory, so each & every unopened &
sealed pack of formula, is a potential threat to vulnerable babies (above & beyond the other known risks of infant formula)
>If the PIF that contains A sakazakii is reconstituted hygienically, it
>will simply be a growth medium for the bug. How will that help?
It's more than just being hygienic, but using freshly drawn & boiled water that is still above 70 degrees celcius, at the time of making up the feed, & also making up a fresh bottle every feed, rather than 24 hours supply in advance.
Milk made in this way will scald a babies mouth, so needs to be made up then quickly cooled down.
To realistically do this every 2-3 hours, with a hungry baby wailing in the background, is unlikely to encourage parent compliance!
With a bit of luck it may encourage some potential bottle feeders, to see how convenient bf is in comparison (forever hopeful!)
>>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-milksubstitute. 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.
Sheila Company (UK)
Health Visitor, NCT BFC & IBCLC
Sheila Company
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