Bacteriological analysis of donor human milk in milk bank in an Indian setting
Journal Title: Indian Journal of Child Health - Year 2017, Vol 4, Issue 1
Abstract
Background: Although human milk banking in India was started in 1984, limited data regarding bacteriological quality of milk are available. Objective: To find bacteriological contamination of milk samples in human milk bank. Methods: Retrospective analysis of milk samples from milk bank for the year 2009-2015 was done. Group A donor mothers were from postnatal or neonatal units of our hospital. Group B mothers were from milk donation camps organized at the community level. All milk samples were plated on blood agar for bacteriological analysis. Pre-pasteurized samples were analyzed for the year 2014-2015 only. Results: Total donor mothers were 3670. 1481 (40%) were from milk donation camp at the community level. 327 (9%) were preterm milk. 2.34% of post-pasteurized samples showed contamination as compared to 9.1% pre-pasteurized milk samples (p=0.002). Group A mothers showed a higher contamination rate as compared to Group B mothers in both pre-pasteurized (p<0.001) and post-pasteurized samples (p=0.006). The most common organisms isolated in pre-pasteurized samples were Gram-positive bacilli (51.89%), coagulase-negative staphylococci (CONS, 44.96%), and Gram-negative bacilli (3%). The most common organisms in post-pasteurized samples were Gram-positive bacilli (88.23%) and CONS (11.76%). No Gram-negative bacilli were isolated from post-pasteurized samples. Conclusion: Contamination rates in our study for both pre- and post-pasteurized samples are quite low as compared to other studies. Community collection of human milk was safe with regard to bacteriological contamination. Holder’s method of pasteurization is effective in reducing contamination.
Authors and Affiliations
Poonam Singh, Amita Surana, Vaishali Chaudhari
Keywords
Related Articles
- EP ID EP453421
- DOI -
- Views 111
- Downloads 0
Miliary tuberculosis in an immunocompetent adolescent
Miliary tuberculosis (TB) is a rare form of TB, seen in approximately 1-2% of all the patients with TB. It represents hematogenous dissemination of uncontrolled TB. Human immunodeficiency virus (HIV) pandemic has led to...
Efficacy and safety of racecadotril as an adjunct to oral rehydration therapy for acute watery diarrhea in children
Background: Racecadotril, an enkephalinase inhibitor with antisecretory action is a safe and effective treatment for acute diarrhea for children and adults. As an adjunct to oral rehydration therapy (ORT) in Indian child...
Identification of low birth weight babies by birth weight-independent anthropometric measures
Introduction: Birth weight (BW) is the single most important factor that affects neonatal mortality and infant and childhood morbidity. Most of the deliveries in rural areas are conducted at home, often by traditional bi...
Poland syndrome: Atypical presentation and review of literature
Poland syndrome is a rare congenital disorder with absent or hypoplastic pectoralis major and hand anomalies. Dextroposition, female predisposition, and the left-sided anomalies in Poland syndrome are rarely reported in...
Study of prenatal, natal, and neonatal risk factors associated with autism
Introduction: Autism spectrum disorder is one of the common developmental disabilities. Underlying autism etiology is most likely polygenic but environmental factors may also contribute. Obstetrical and neonatal risk fac...