对捐赠人母乳中的污染物进行系统审查
Sionika Thayagabalu1, Nicole Cacho2, Sandra Sullivan3
1Department of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, Florida, USA.
Maternal & child nutrition
|January 25, 2024
概括
供体母乳 (DHM) 对早产婴儿至关重要,但污染是一个问题. 这次审查发现DHM中存在细菌和化学污染物,突出了对标准化安全评估的需求.
科学领域:
- 新生儿营养新生儿营养
- 食品安全 食品安全
- 公共卫生 公共卫生
背景情况:
- 供体母乳 (DHM) 建议用于早产婴儿,当母亲自己的牛奶 (MOM) 不存在时.
- 潜在的DHM污染及其对脆弱婴儿的健康影响尚不清楚.
研究的目的:
- 系统地审查和评估供体母乳中存在的污染物,用于早产和重症婴儿.
主要方法:
- 在PubMed,EMBASE,CINAHL和Web of Science的系统文献搜索.
- 选了426个出版物,其中26个手稿在应用纳入/排除标准后被纳入.
- 从全文评论中提取污染物类型 (细菌,化学,真菌,病毒) 和研究细节.
主要成果:
- 在100%的研究中发现了细菌污染物 (16/26),其中Staphylococcus和Bacillus属是最常见的.
- 在100%的研究中发现了化学污染物 (8/26),包括 perfluoroalkyl 物质,有毒金属和咖啡因.
- 病毒和真菌污染在一项研究中被确定.
结论:
- 捐赠母乳经常含有细菌和化学污染物.
- 对DHM污染物评估的标准化至关重要.
- 需要进一步的研究来确定DHM污染物对婴儿的健康影响.
相关概念视频
Development of Human Microbiota
The human microbiota begins developing at birth and undergoes continual change as we age. Infancy marks a critical period of microbial sensitivity, offering a “window of opportunity” during which beneficial microbes help mature the immune system. By age three, children typically develop a more stable and diverse microbial community. Newborns acquire microbes from their immediate environment; vaginal delivery favors maternal vaginal microbes, while cesarean births favor microbes from the skin...
Development of the Oral Microbiota
The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...


