In 2002-2004, the US Food and Drug Administration advised health care
professionals to minimize powdered infant formula and powdered human milk
fortifier (HMF)'s preparation, feeding, and storage times and avoid feeding
them to hospitalized premature or immunocompromised neonates. Powdered
infant formula should not be given to preterm infants and especially not
mixed with breastmilk. This practice has the potential to reduce the
disease fighting components in human milk which may be needed if the
powdered formula is contaminated with Cronobacter sakazaki.
See: Health Professionals letter on *Enterobacter sakazakii* infections
associated with use of powdered (dry) infant formulas in neonatal intensive
care units. April 11, 2002. Revised October 10, 2002. Available at:
http://www.fda.gov/food/recallsoutbreaksemergencies/safetyalertsadvisories/ucm111299.htm
See also:
http://www.cdc.gov/features/cronobacter/http://wwwnc.cdc.gov/eid/article/12/8/05-1509_articlehttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC4489094/
There are better ways to help preterm infants.
Marsha Walker, RN, IBCLC
Weston, MA
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