Hostname: page-component-848d4c4894-ndmmz Total loading time: 0 Render date: 2024-06-09T06:36:28.118Z Has data issue: false hasContentIssue false

The provision of bacteriologically safe infant feeds in hospitals

Published online by Cambridge University Press:  15 May 2009

M. H. Robertson
Affiliation:
Princess Alexandra Hospital, Harlow, Essex
Rights & Permissions [Opens in a new window]

Summary

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Infant feeds, to be safe, must be free from potentially pathogenic organisms but not necessarily sterile. In-bottle terminal heating is the preferred means of producing such feeds and the advantages and disadvantages of high and low pressure heating methods, including the effect upon the food value of the feeds, are discussed. The safety of a low pressure method in use in Princess Alexandra Hospital, Harlow is described. The choice of method of provision of safe feeds; terminal heating in a central milk kitchen or obtaining a commercial supply should be decided on economic grounds. Hospitals using such commercial supplies, however, should make provision for training mothers in the hypochlorite method of disinfection of bottles and teats and also ensure that their trainee nurses and midwives still receive adequate instruction in the hygiene of feed preparation.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1974

References

REFERENCES

American Hospital Association (1965). Procedures and Layout for the Infant Formula Room. Chicago.Google Scholar
Anderson, J. A. D. & Gatherer, A. (1970). Hygiene of infant feeding utensils. Practices and standards in the home. British Medical Journal ii, 20.CrossRefGoogle Scholar
Ayliffe, G. A. J., Collins, B. J. & Pettit, F. (1970). Contamination of infant feeds in a Milton milk kitchen. Lancet i, 559.CrossRefGoogle Scholar
Bolton, J. (1966). The infant formula room. British Hospital Journal and Social Services Review 76, 211.Google Scholar
British Medical Journal (1972). ii, 668.Google Scholar
Bullen, C. L. & Willis, A. T. (1971). Resistance of the breast-fed infant to gastroenteritis. British Medical Journal iii, 338.CrossRefGoogle Scholar
Cummino, J. G. (1949). Epidemic diarrhea of the newborn infant. Journal of Pediatrics 34, 711.CrossRefGoogle Scholar
Farquhar, J. W., Gould, J. C. & Schutt, W. H. (1965). A ‘cold method’ of feed preparation for newborn infants in a maternity hospital. Lancet i, 951.CrossRefGoogle Scholar
Finley, R. D., Smith, F. R. & Louder, E. A. (1948). Terminal heating of formula. infant II. Bacteriological investigation of high-pressure technique. Journal of the American Dietetic Association 24, 760.CrossRefGoogle Scholar
Gatherer, A. & Wood, N. (1966). Home standards of sterilization of infant feeding bottles and teats. Monthly Bulletin of the Ministry of Health and the Public Health Laboratory Service 25, 126.Google ScholarPubMed
Graham, R. (1961). Teats. British Medical Journal i, 1453.CrossRefGoogle Scholar
Hinton, N. A. & MacGregor, R. R. (1958). A study of infections due to pathogenic sero-groups of Escherichia coli. Canadian Medical Association Journal 79, 359.Google Scholar
Hodson, A. Z. (1949). Terminal heating of infant formula. III. Retention of heat labile nutrients. Journal of the American Dietetic Association 25, 119.CrossRefGoogle Scholar
Hughes, K. E. A., Darmady, E. M. & Drewett, S. E. (1966). Terminal disinfection of infant feeds. Journal of Clinical Pathology 19, 321.CrossRefGoogle ScholarPubMed
Hurst, A. (1968). Problems and economics of the milk kitchen. British Hospital Journal and Social Services Review 78, 337.Google Scholar
Lembcke, P. A. (1941). Imperfect sterilization of nursing nipples and formula as a possible factor in transmission of epidemic diarrhea of the newborn. American Journal of Hygiene 33, Sect. A, 42.Google Scholar
Lowe, R. H. (1947). Formula room experiment in terminal sterilization. Modern Hospital 69, 2, 48.Google ScholarPubMed
Perkins, J. J. (1956). Principles and Methods of Sterilization, Ch. 19. Springfield, Illinois; Thomas.Google Scholar
Rourke, A. J. (1947 a). Infant formulas, no. 1. Study of methods now used. Hospital, 21, no. 5, 67.Google Scholar
Rourke, A. J. (1947 b). Infant formulas, no. 2. Preparation techniques. Hospitals 21, no. 6, 66.Google Scholar
Schenkweiler, L., Hixon, H. H., Paxon, C. S., Clark, J. R., Berke, M. & Hosford, R. F. (1960). Six administrators look at infant formula costs. Hospitals 34, 44.Google Scholar
Smith, F. R., Finley, R. D., Wright, H. J. & Louder, E. A. (1948). Terminal heating of infant formula. I. Bacteriological investigation of low-pressure technique. Journal of the American Dietetic Association 24, 755.CrossRefGoogle ScholarPubMed
Strachan, I. G. (1964). A central milk kitchen. Nursing Times 60, 496.Google ScholarPubMed
Tomlin, E., Tomkin, R. W. & Dorward, I. G. (1966). The infant formula room. British Hospital Journal and Social Services Review 76, 817.Google Scholar
Wright, J. (1951). Bacterial flora and bacterial counts of infants‘ bottle feeds. British Medical Journal ii, 138.CrossRefGoogle Scholar