What is MRSA?

> [Original Message]
> From: LACTNET automatic digest system <[log in to unmask]>
> To: <[log in to unmask]>
> Date: 10/18/2006 12:00:37 AM
> Subject: LACTNET Digest - 17 Oct 2006 (#2006-1151)
>
> There is 1 message totalling 56 lines in this issue.
>
> Topics of the day:
>
>   1. MRSA in breastmilk
>
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> Date:    Tue, 17 Oct 2006 20:57:09 -0700
> From:    "Phyllis Adamson, IBCLC, RLC" <[log in to unmask]>
> Subject: Re: MRSA in breastmilk
>
> At MIHS/MMC, we do couplet care when MRSA is involved and mom is still an
inpatient. We do place them in their own room, away from other couplets.
And we do encourage direct BFing &/or pumping and feeding mom's EBM to her
own baby and they are both treated for the infection. Standard Contact
Precautions are always used. 
>
> If we have more than one MRSA infant, we house them together, away from
non-infected infants. If mother is not infected, she must also glove and
gown, just like the nurses when they handle the babies. What I can't say
is: considering Contact Precautions, can mom directly breastfeed, or must
she only pump and bottlefeed?
>
> Yes, baby has already been exposed because of the pregnancy. There may be
MRSA in the milk, possibly from a breast infection, but there are also
antibodies in the milk to protect baby. I don't think there has been a case
of baby getting MRSA via its own mother's milk.
>
> If mom can visit and hold her baby, she can breastfeed and/or provide her
breast milk. Why replace it with something that has NO anti-infective
factors?
>
> We also had a mother who developed MRSA after a C/S and her baby was in
Level II. We had her pumping and providing her milk, but she could not
visit in the nursery as a protection for the other babies. Her baby was in
an isolette and was handled with Contact Precautions and fed mom's EBM as
it was delivered from her room.
>
> Phyllis
>
> ---- BRENDA PHIPPS <[log in to unmask]> wrote: 
> > Hello,
> > 
> > In my SCN we had a newborn transported in by air from another community
on 
> > the Navajo reservation. Mother had a history of being treated for MRSA
in 
> > 7/06, while pregnant. Infant at one day old was showing signs of
respiratory 
> > distress and infection (labs are pending). The NNP and neonatologist
have 
> > decided that this infant must be fed formula until mother's labs come
back 
> > normal - the reason being that MRSA can be transmitted to the infant
via 
> > breastmilk.
> > 
> > I am thinking that this infant has already been exposed, and that this
is 
> > completely unnecessary. Please any other feedback on how to talk to
these 
> > HCPs would be greatly appreciated.
> > 
> > Brenda Phipps, BS, IBCLC
> > 
>  
> --
> Phyllis Adamson, IBCLC, RLC
> Glendale, AZ.
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> End of LACTNET Digest - 17 Oct 2006 (#2006-1151)
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