Advantages of Sodium Hypochlorite or Sodium Dichloroisocyanurate Disinfection for Teats and Bottles in Newborn Infants' Feeding

Decontamination of breast pump milk collection kits and related items at home and in hospital: guidance from a Joint Working Group of the Healthcare Infection Society & Infection Prevention Society

“…With regard to the latter, many infants on NNUs are now much more premature than in previous years and may be more susceptible to insults involving the gut. However, Vitali et al (2008) commented that 1-2 ml of the disinfectant remaining will be considerably diluted by milk. They suggested that feeds of 40-50mls may be given to some premature infants.…”

“…Particularly for susceptible infants, sterile water where available (Vitali et al, 2008) or cooled boiled water as recommended by some manufacturers, can be used for rinsing these items. Tanks or containers for the disinfectant need to be routinely washed, rinsed and dried every day as there may be a possibility that sodium salts could accumulate on the sides of the tanks.…”

Chlorine Solutions for a Safe Method of Decontamination of Breast Pump Milk Collection Kits Before and After the Coronavirus Disease 2019 Pandemic

“…Overall, there is a real need to help non-hospitalized mothers in their means to decontaminate their milk collection equipment. There are two major methods of decontamination: a hot one consisting in boiling water in a pan for 20 min, pressure cooker for 10 min, steam, or microwave sterilizers, which constitutes by far the most widespread method of decontamination; and a cold one, not only less common but also less time-consuming and probably easier to apply, using chlorine solution (CS) (27)(28)(29). Figure 5 is an illustrated scheme of the decontamination (step by step) of a breast pump kit with CS.…”

“…THM are widespread and mildly lipophilic compounds that result from water chlorination when organic matters are present. Chronic ingestion or inhalation of THM may be dangerous because of possible toxicity and carcinogenicity of these compounds (29,39). Drinking water can contain from 10 to 100 µg/l of THM (25).…”

Decontamination of breast pump milk collection kits and related items at home and in hospital: guidance from a Joint Working Group of the Healthcare Infection Society and Infection Prevention Society

“…However, Vitali et al commented that 1e2 mL of the disinfectant remaining will be considerably diluted by milk. 17 They suggested that feeds of 40e50 mL may be given to some premature infants. As mentioned above, for newborn infants, colostrum or breast milk may be collected in much smaller amounts and as little as 1 mL may be fed to the infant if this is the total amount collected.…”