Is breast milk collected at home suitable for raw consumption by neonates in Brazilian public neonatal intensive care units?

Is breast milk collected at home suitable for raw consumption by neonates in Brazilian public neonatal intensive care units?

Author Rozolen, Claudia Dardes de Almeida Castanho Autor UNIFESP Google Scholar
Goulart, Ana Lucia Autor UNIFESP Google Scholar
Kopelman, Benjamin Israel Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract This study was designed to verify if breast milk collected at home is appropriate for raw consumption by neonates in a Brazilian public neonatal intensive care unit (NICU). From May 1998 to February 2000, microbiological characteristics of breast milk samples collected at home were analyzed. the milk samples were considered appropriate for raw consumption if mesophilic bacteria count was < 2500 CFU/mL and potential pathogens were not detected. of 90 milk samples collected from 32 mothers of hospitalized neonates, 36 (40%) were rejected because of potentially pathogenic bacteria (72.2%), mesophilic bacteria count >= 2500 CFU/mL ( 13.9%), and both conditions (13.9%). the most frequent nonpathogenic and potentially pathogenic bacteria isolated were Staphylococcus coagulase negative and Klebsiella pneumoniae, respectively. Using univariate analysis, demographic, socioeconomic, educational, and house characteristics were not found to be associated with milk contamination. Breast milk collected at home may not be appropriate for raw consumption in Brazilian NICUs. Pasteurization could improve its microbiological quality. Further studies are needed.
Keywords human milk bank
human milk
breast milk
microbiological quality
Staphylococcus coagulase negative
Klebsiella pneumoniae
Language English
Date 2006-11-01
Published in Journal of Human Lactation. Thousand Oaks: Sage Publications Inc, v. 22, n. 4, p. 418-425, 2006.
ISSN 0890-3344 (Sherpa/Romeo, impact factor)
Publisher Sage Publications Inc
Extent 418-425
Origin http://dx.doi.org/10.1177/0890334406293362
Access rights Closed access
Type Article
Web of Science ID WOS:000241630800011
URI http://repositorio.unifesp.br/handle/11600/29253

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