Pros, cons and potential risks of on-site decontamination methods used on neonatal units for articles indirectly associated with infant feeding, including breast pump collection kits and neonatal dummies

Abstract

We discuss the pros, cons and potential risks of on-site decontamination methods used on neonatal units for articles indirectly associated with infant feeding, such as breast pump collection kits and neonatal dummies (pacifiers, comforters or soothers). Some practical recommendations are made and areas requiring further review are indicated. For neonatal units, decontamination methods involving use of chlorine-releasing disinfectants or domestic steam-producing equipment should be reassessed. They would not be considered acceptable on intensive care units for adult patients.

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

“…This can also occur if incorrect techniques are used, such as inadequate pre-cleaning, failure to fully disassemble equipment, incomplete submerging of articles and "topping-up" of disinfectant tanks instead of washing them out and using fresh disinfectant daily (Atkinson, 2001;Gilks et al, 2012;Gransden et al, 1986;Jones et al, 2001;Moloney et al, 1987;Thom et al, 1970). Use of such chemical disinfectants may also give a false sense of security and distract attention from thorough initial washing (Atkinson, 2001).…”

“…A variety of processes may be used to decontaminate the kits but all of them have some drawbacks or risks (Doxtator and Zoutman, 2006;Gilks et al, 2007Gilks et al, , 2012. Also, the levels of decontamination required may vary according to a number of circumstances.…”

A Milk Pump as a Source for SpreadingAcinetobacter baumanniiin a Neonatal Intensive Care Unit

“…2 Although some women prefer hand expression and some of them use their own equipment, the most common practice is using hospital-grade pumps. 2 When a pump is used by multiple mothers, despite each mother being given a new sterile collection kit, bacterial contamination of the pumping equipment can still occur; which may result in outbreaks in hospital settings. 3 Acinetobacter baumannii is a Gram-negative coccobacillus that has emerged as a troublesome pathogen causing institutional outbreaks.…”

“…2 Since receiving own mother's milk is widely considered as a part of hospital care for a sick or preterm infant, mothers of patients are encouraged to express and collect their milk. 2 Although some women prefer hand expression and some of them use their own equipment, the most common practice is using hospital-grade pumps.…”

“…2 Since receiving own mother's milk is widely considered as a part of hospital care for a sick or preterm infant, mothers of patients are encouraged to express and collect their milk. 2 Although some women prefer hand expression and some of them use their own equipment, the most common practice is using hospital-grade pumps. 2 When a pump is used by multiple mothers, despite each mother being given a new sterile collection kit, bacterial contamination of the pumping equipment can still occur; which may result in outbreaks in hospital settings.…”