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Subject:
From:
Nan Jolly <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 4 Mar 2006 06:01:25 +0200
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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.

If the PIF that contains A sakazakii is reconstituted hygienically, it will 
simply be a growth medium for the bug.  How will that help?

Nan Jolly M.B. B.Ch. LLLL
Port Elizabeth, South Africa



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-milk
substitute. 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.

 

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