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Bacteriological quality control in human milk-banking.

A Lucas, C D Roberts

    British Medical Journal
    |January 13, 1979
    PubMed
    Summary
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    Sterilizing milk collection vessels and pasteurizing donor human milk significantly reduces bacterial contamination. This ensures a safe, high-quality banked milk product while preserving beneficial properties.

    Area of Science:

    • Microbiology
    • Public Health
    • Neonatal Nutrition

    Background:

    • Banked human milk is crucial for neonatal care.
    • Bacterial contamination poses risks to infant health.
    • Standardization of collection and processing is vital.

    Purpose of the Study:

    • To assess the bacteriological quality of donated human milk.
    • To evaluate the impact of hypochlorite sterilization of collection vessels.
    • To determine the efficacy of Holder pasteurization on bacterial reduction.

    Main Methods:

    • Analysis of bacterial counts in pooled human milk.
    • Comparison of milk collected in sterile vs. non-sterile vessels.
    • Assessment of pasteurization's effect on microbial load.

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    Main Results:

    • Hypochlorite sterilization significantly reduced bacterial counts (pathogens and non-pathogens).
    • Sterile collection vessels increased the likelihood of achieving a sterile product post-pasteurization.
    • Pasteurization eliminated potential pathogens but not all organisms of unlikely pathogenicity.

    Conclusions:

    • Combined hypochlorite sterilization and accurate pasteurization yield bacteriologically safe banked human milk.
    • This process retains protective properties of raw milk.
    • Attention to both collection vessel sterility and pasteurization is key for safe donor milk.