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[Development of maternal milk flora during continuous enteral feeding of premature infants]
J Voirin1, X Le Coutour, D Bouglé
1Service de néonatalogie, CHU Clemenceau, Caen, France.
Unheated breast milk constitutes the main element in the premature infant's nutrition. However, it contains bacterial flora which is possibly responsible for infant pathologies. The authors find a considerable increase in the bacterial population during continuous drip-feeding of the premature infant. Aerobic flora present in the syringe are increased by 2.2 and coliforms by 28.5, sometimes resulting in highly contaminated milk at the end of the continuous drip-feeding period. To ensure bacteriological security a reduction in microbial count at the beginning of continuous enteral nutrition is necessary, without affecting the nutritive and immunological properties of breast milk.
Unheated breast milk constitutes the main element in the premature infant's nutrition. However, it contains bacterial flora which is possibly responsible for infant pathologies. The authors find a considerable increase in the bacterial population during continuous drip-feeding of the premature infant. Aerobic flora present in the syringe are increased by 2.2 and coliforms by 28.5, sometimes resulting in highly contaminated milk at the end of the continuous drip-feeding period. To ensure bacteriological security a reduction in microbial count at the beginning of continuous enteral nutrition is necessary, without affecting the nutritive and immunological properties of breast milk.