Descarte de leite humano doado a Banco de Leite antes e após medidas para reduzir a quantidade de leite imprópria para consumo

Abstract

Objective: To evaluate the causes of disposal of donated human milk and the impact of the measures taken to reduce the amount of milk unsuitable for consumption. Methods:A quasi-experimental, observational, comparative study was conducted with different populations of external donors in 2006 and 2008. In 2006, a simple form was used to record the criteria for disposal of the donated milk. We also interviewed the donors to find the reason of changes in the milk. In 2008, a checklist containing comprehensive guidance for milk collection and pre-storage was handed out to the donors. Next, we continued to survey the disposal criteria after the intervention using the same form administered in 2006. A case was defined as all bottles of milk of the same donor discarded per day. Data were analyzed by calculations based on comparison of proportions for 2006 and 2008.Results: Twenty-four percent of the milk collected was discarded in 2006, while in 2008 only 10.5% of the milk was discarded. There was significant reduction in the disposal of milk for the items: cigarette odor; forgetting the milk outside the refrigerator, inside it or on its door; problems with the freezer; frequent opening of the refrigerator and freezer; expiration date; and unidentified cases. However, there was a significant increase in milk disposal for first milk collection without guidance; use of inappropriate bottle; milk transportation from work to home; and indirect guidance. Conclusions:The use of the step-by-step checklist had a positive impact on the reduction of the volume of donated milk discarded and changed the frequency of the causes of disposal, eliminating some of these causes. No conflicts of interest declared concerning the publication of this article.Suggested citation: Grazziotin AL, Grazziotin MC, Letti LA. Disposal of human milk donated to a human milk bank before and after measures to reduce the amount of milk unsuitable for consumption. J Pediatr (Rio J). 2010;86(4):290-294.

Ocorrência De Parasitas Humanos E Elementos Exógenos Em Alfaces Cultivadas Na Região De Inhumas – Goiás

“…cor, off-flavor e Acidez Dornic. Os produtos que não preencherem as especificações determinadas quantos aos aspectos sensoriais, físico-químicos e microbiológicos, deverão ser descartados(SOUZA & SILVA, 2010).Uma grande preocupação dos BHL é manter estoques de leite suficientes para atender à demanda, diminuindo o volume descartado após as análises do leite cru.Porém, o leite humano pode ser um meio de cultura para o desenvolvimento de vários micro-organismos contaminantes, pois não dispõe de barreira física que impeça a penetração destes(GRAZZIOTINI et al, 2010; SOUZA & SILVA, 2010).Um grande problema dos Bancos de Leites é o controle bacteriológico do leite doado, pois o consumo de leite humano contaminado pode causar doenças neonatais, como septicemias, meningites, pneumonias, candidíase neonatal, entre outras. Por isso, é importante o controle microbiológico do leite doado ao Banco de Leite Humano, para reduzir a incidência dessas doenças e, consequentemente, minimizar os índices de mortalidade infantil(SANTOS et al, 2016).As possíveis causas de elevação da quantidade de micro-organismos no leite humano podem estar relacionadas com as técnicas inadequadas, as condições de higiene e ao armazenamento do alimento.…”

Human milk: processing and conservation – a review

“…Considering the absence of references about the causes of milk disposal related to donors, the work of Grazziiotin, Grazziotin, and Letti (2010) highlighted the importance of tracing human milk, in order to know and combat the reasons that result in changes in milk and optimize the use of the milk received.…”

“…In Brazillian human milk banks, milk that does not reach certain specifications must be disposed directly in the sewage system without prior treatment, as provided in RDC/Anvisa n° 306/2004 (Brasil, 2004;Brasil, 2006). Grazziotin, Grazziotin, and Letti (2010) reports a volume of human milk disposal from 10.5% to 24% of the total received, with mature milk (more than 15 days postpartum) with greater volume collected and discarded in their research. Human milk banks are responsible for the collection, processing, quality control and distribution in cases of interruption of breastfeeding (Brasil, 2008;Akinbi et al, 2010).…”

O aleitamento materno de recém-nascidos prematuros após a alta hospitalar

“…Frente a esta realidade, diferentes estratégias têm sido buscadas na tentativa de contribuir para o crescimento e desenvolvimento desse grupo populacional. Destacamos, aqui, as propriedades e benefícios do leite materno devido à maior vulnerabilidade apresentada por esses recém-nascidos (3) .…”