Best practice guidelines for the operation of a donor human milk bank in an Australian NICU

Retention of the Immunological Proteins of Pasteurized Human Milk in Relation to Pasteurizer Design and Practice

“…Current Australian guidelines (2), as well as the Human Milk Banking Association of North America (HMBANA) and the United Kingdom Association for Milk Banking (UKAMB; 3,4), recommend that human milk should be pasteurized using the Holder Pasteurization method, whereby the monitored temperature of the human milk should not fall below 62.5°C for 30 min. It is also recommended that human milk containing a microbial load greater than 1 ϫ 10 5 colony-forming units/mL (CFU/mL), bacterial species capable of producing heat-stable enterotoxins, or any pathogens should be rejected (2)(3)(4). It is likely that, historically, these recommended pasteurization regimes were adopted from the dairy industry where these conditions were required to inactivate the most heat-resistant, nonspore-forming human pathogens, Mycobacterium tuberculosis and Coxiella burnetti (5).…”

Microbiological Surveillance of Human Milk from Milk Bank in Tertiary Care Hospital in Jaipur, India

“…As per experts a bacterial count of 10 4 CFU/ml for enterobacteriacae and S.aureus are threshold values which are in consonances with milk bank operating in other parts of world (National Institute for Health and Care Excellence, 2013;Hartmann et al, 2007).…”

Biological and Nutritional Aspects of Human Milk in Feeding of Preterm Infants

“…In many countries, HM banking is well established and standardized, and donor HM has become a health care component for preterm infants [2,46,47]. Pasteurization of HM is necessary to inactivate most of viral and bacterial agents.…”