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. *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html