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Date: | Sat, 4 Mar 2006 13:28:02 EST |
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Recommendations for reconstituting powdered infant formula have changed, to
decrease the risk of Enterobacter sakazakii contamination in an infant's
bottle. The water is supposed to be boiled and then cooled to a temperature of
70-90 degrees C (158-194 degrees F) and then added to the formula. The organism
is heat tolerant so the hotter water is supposed to render the bacteria
harmless. However, E sakazakii is a coliform bacteria with Codex standards
allowing 1-10 coliform bacteria per gram of formula. Salmonella and Listeria are at
zero tolerance in powdered formula, but E sakazakii specifications do not yet
exist for powdered formula. I think there are 5 or 6 lawsuits in the US
regarding infant illness from powdered formula. One of these suits was from
powdered formula given out in a corporate gift bag. The contaminated formula in
the gift bag gave the baby meningitis. What a welcome to the world present.
The European Food Safety Authority has recommended that no infant under the
age of 4 weeks receive powdered infant formula. The FDA has notified NICUs not
to use powdered infant formula with preterm infants. NABA has information on
this problem at its website at _www.naba-breastfeeding.org_
(http://www.naba-breastfeeding.org) under News and Alerts. I am always intrigued that
hospital risk management departments do not ban the practice of distributing
commercial gift bags due to the hazards of the formula contained in them. The
hospital does not record the lot or batch numbers on each can and is unable to
contact mothers who receive formula that is later recalled.
Marsha Walker, RN, IBCLC
Weston, MA
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