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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