MRSA: I agree with all the commom sense advise already provided on LACTNET re 
MRSA.  We don't want to overload a preterm infant with exposure to MRSA, but 
we have to assume any infant is already colonized, so it makes no sense to 
keep a full-term infant away from a mother with MRSA.  As always, good 
handwashing is the key - both in the NICU and at home.  We have no restrictions on a mom 
(MRSA pos or neg) visiting her MRSA colonized infant in our NICU, but we do 
try to keep the baby in an isolation room, or cohorted with other MRSA pos 
infants.

New test-weighing study:  This study has many, many methodoligic flaws and 
was rejected by at least one journal before it was published in another.  There 
are several much better done studies (Meier et al) showing that test-weighing 
is a valid tool.  Paula Meier has been asked about this study so often that I 
believe she was going to write a letter to the editor about it.

Nancy
Nancy E. Wight MD, IBCLC, FABM, FAAP
Neonatologist
Medical Director, Lactation Services
Sharp Mary Birch Hospital for Women
San Diego, CA USA
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