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 &amp; Infection Prevention Society

Price, Elizabeth; Weaver, Gillian; Hoffman, Peter; Jones, Michael L.; Gilks, J.; O’Brien, Valerie; Ridgway, G.L.

doi:10.1177/1757177415613566

Cited by 15 publications

(19 citation statements)

References 13 publications

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“…This study provides reassuring data about the safety of cold decontamination with CS of breast pump milk collection kit, as residual HCA or THM concentrations were well below the guidelines. Its effectiveness has been demonstrated by other studies ( 1 , 32 ). The interest to authorize and privilege its use is to limit the risk of contamination of raw milk intended to feed the most vulnerable newborns, when it is known that each stage of handling and transport can increase the risk and that the bacteriology fluctuates in such a way that the bacteriological analyses can be falsely reassuring.…”

Section: Discussionsupporting

confidence: 55%

“…The approach presented here and based on chlorine solution has an excellent antimicrobial activity against bacteria, fungi, and viruses ( 32 ). Proofs of efficacy to European norms are bactericidal activity in 5 min (EN1040) including Methicillin-resistant Staphylococcus aureus .…”

Section: Discussionmentioning

confidence: 99%

“…It is also effective on rotavirus, influenza A virus subtype H1N1, and coronavirus. CS at pH 7.2 has an effect on vegetative forms and spores of Bacillus cereus ( 30 – 32 ). Two cases of raw milk contamination were published while the breast shields were decontaminated with CS ( 33 , 34 ).…”

Section: Discussionmentioning

confidence: 99%

“…Contrary to other methods, decontamination using CS avoids heat burnings and represents the advantage of being less restrictive since the material is directly usable at the time of milk collection after being submitted to a 15-min or more soaking solution. It is also the only alternative for mothers in precarious situations without electricity in their social housing ( 1 , 32 , 47 ).…”

Section: Discussionmentioning

confidence: 99%

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

Rigourd

Mouadh²,

Poupon

et al. 2021

Front. Nutr.

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To promote breast feeding and breast pumping is essential for the most vulnerable infants even if the current coronavirus disease 2019 (COVID-19) pandemic sanitary crisis imposes more stringent hygienic measures. As recommended by the Centers for Disease Control and Prevention, World Health Organization, and Milk Bank Association, “after each pumping session, all pump part that come into contact with breast milk should be appropriately disinfected.” The present study proposed different methods than can be used and focus on the safety analysis of chlorine solution (CS) in terms of residual hypochlorous acid (HCA) and total trihalomethanes (THM). We also performed an efficacy testing of the CS approach to decontaminate the devices used to collect the milk (breast pumps and bottles). The bacteriologic results of 1,982 breast pump milk samples collected in three different settings showed a major decrease of the microbial contamination using either sterile device or decontamination with CS compared to a simple soap washing. The main messages from our study are to propose a guideline for the safe use of CS and to define situations when breast pump decontamination might be necessary: vulnerable babies for which sterile device is recommended; special circumstances, for example the current COVID-19 pandemic; special situations, for example women living in precarious conditions; or women pumping their milk at work but that would have low or no access to boiled water. Overall, cold decontamination reduced losses of milk for bacteriological reasons in human milk banks and may also be interesting to prevent horizontal contamination by virus like COVID-19.

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Section: Discussionsupporting

confidence: 55%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

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

Rigourd

Mouadh²,

Poupon

et al. 2021

Front. Nutr.

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“…They should always be air dried or dried with paper towels. 79,80 Chemical disinfectant is not ideal and if soap is not available, then boiling water is preferable. 81 Temperature.…”

Section: Composition Of Expressed Fresh Human Milkmentioning

confidence: 99%

Factors Affecting the Composition of Expressed Fresh Human Milk

Pham

Patel

Baban

et al. 2020

Breastfeeding Medicine

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Breast milk is considered the ideal and preferred feeding for all infants through the first 4-6 months of life. It provides many short and long-term benefits to the infant and mother. In the absence of breastfeeding, expressed breast milk is the best way to provide nutrition. In the United States, the majority of breastfeeding mothers express milk at some point during the course of lactation. Breast milk is a dynamic fluid and its content changes with duration of lactation and varies between and among women. Many factors such as maternal diet and medications affect the constituents of breast milk. In addition, method of breast milk expression, handling, and storage can also influence its contents.

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Sachgerechte Reinigung von Milchpumpen

Jochum

2020

Monatsschr Kinderheilkd

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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

Cited by 15 publications

References 13 publications

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

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

Factors Affecting the Composition of Expressed Fresh Human Milk

Sachgerechte Reinigung von Milchpumpen

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