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A novel heat treatment protocol for human milk
Olimpia A Manzardo1, Luisa J Toll2, Katharina Müller1
1Department of Neonatology, Center for Pediatrics, Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Frontiers in Pediatrics
|November 4, 2022
Summary
High-temperature short-time (HTST) pasteurization offers a promising alternative to Holder pasteurization (HoP) for human milk, effectively reducing bacteria while better preserving bioactive components. Further optimization of HTST parameters is needed for each specific platform.
Area of Science:
- Nutritional Science
- Microbiology
- Food Science
Background:
- Human milk (HM) is crucial for premature infants but requires pasteurization for safety.
- Holder pasteurization (HoP) eliminates bacteria but degrades heat-sensitive bioactive components in HM.
- Alternative pasteurization methods are needed to balance microbial safety and nutritional integrity.
Purpose of the Study:
- To evaluate high-temperature short-time (HTST) pasteurization as an alternative to HoP for HM.
- To assess the efficacy of HTST in bacterial reduction and retention of key bioactive components (alkaline phosphatase, secretory IgA, lactoferrin).
Main Methods:
- Utilized a modified Holder pasteurization platform for batch HTST processing of HM.
- Compared bacterial reduction and bioactive component retention between HTST (81°C/5s, 62°C/5s, 72°C/5s) and HoP (62.5°C/30min).
Main Results:
- HTST at 81°C/5s demonstrated comparable bacterial elimination to HoP.
- Optimal retention of bioactive components was observed at 62°C/5s HTST, outperforming 72°C/5s and HoP.
- Significant degradation of bioactive components occurred at higher HTST temperatures and longer durations compared to HoP.
Conclusions:
- HTST pasteurization is a viable alternative to HoP for processing HM, offering improved preservation of bioactive components.
- An optimal temperature-time combination for HTST must be determined for each specific processing platform to maximize safety and nutritional value.

