scholarly journals Microbiological Assessment of Fresh Expressed Breast Milk on Room Temperature at Dr. Soetomo Hospital Neonatal Unit

2020 ◽  
Vol 56 (1) ◽  
pp. 24
Author(s):  
Kartika Hardiani ◽  
Nur Aisiyah Widjaja ◽  
Meta Herdiana Hanindita ◽  
Roedi Irawan ◽  
Eddy Bagus Wasito
Keyword(s):  
Breast Milk ◽  
Klebsiella Pneumoniae ◽  
Room Temperature ◽  
Culture Media ◽  
Bacterial Species ◽  
Coagulase Negative Staphylococcus ◽  
Streptococcus Faecalis ◽  
Bacterial Colony ◽  
Significant Difference ◽  
Expressed Breast Milk

Expressed breast milk (EBM) has been advocated as an effective way for encouraging and maintaining lactation when the mother is separated from the baby for a while. Storing EBM at room temperature in several hours before consuming, frequently found in Indonesia. Based on WHO guidelines EBM can last for 6 to 8 hours in room temperature. But currently there hasn’t been study in tropical country especially Indonesia for the guidelines. Assesing microbiological quality of EBM on room temperature, including bacterial growth and major bacterial found on EBM for health care and society recommendations. An observational study of 30 expressed breast milk samples provided by 30 healthy women with term baby below 6 month old. EBM were collected by electric breast pump swing model. The samples were kept sterile and laid at plates for 2 hours, 4 hours and 6 hours in room temperature (26o- 32oC) and used drop plate technique on several culture media. Data was analyzed by Chi-square and paired sample T-test. Thirty of unheated fresh EBM from 30 lactating mothers were stored at room temperature, examined for the degree of bacterial contamination at 0 hour, 2 hours, 4 hours, and 6 hours. All the EBM samples were contaminated at 2 hour. There were strong correlation between 2 hours storing with 4 hours storing (p=0.004) and total colony (p=0.000). There were also significant difference between bacterial colony and the duration itself (p=0.026). Bacterial species identified was Coagulase-negative Staphylococcus (CNS), Escherichia coli, Klebsiella pneumoniae and Streptococcus faecalis, range of growth 109 cfu/ml - 63 x 109 cfu/mm3 after 6 hour of storage. Evaluation result that the EBM exposed at room temperature (30-36 0C) for more than two hour reduce the quality and do not recommended to be given to the infants because bacterial counts > 104 cfu/ml and the present of pathogens E. coli, Streptococcus faecalis and Klebsiella pneumoniae.

scholarly journals Microbiological Assessment of Fresh Expressed Breast Milk on Room Temperature at Dr. Soetomo Hospital Neonatal Unit

2021 ◽  
Vol 55 (1) ◽  
pp. 30
Author(s):  
Nur Aisyah Widjaja ◽  
Kartika Hardiyani ◽  
Meta Herdiana Hanindita ◽  
Roedi Irawan
Keyword(s):  
Breast Milk ◽  
Room Temperature ◽  
Culture Media ◽  
Bacterial Species ◽  
Microbiological Quality ◽  
Coagulase Negative Staphylococcus ◽  
Chi Square ◽  
Tropical Country ◽  
Expressed Breast Milk ◽  
Term Baby

Storing EBM at room temperature in several hours before consuming, frequently found in Indonesia. Based on Academy of Breastfeeding Medicine guidelines EBM can last for 6 to 8 hours in room temperature (25oC or 77oF). However, currently there hasn’t been study in tropical country especially Indonesia for the guidelines. This study aimed to assess microbiological quality of EBM on room temperature, including bacterial growth and major bacterial found on EBM for health care and society recommendations. An observational study of 30 expressed breast milk samples provided by 30 healthy women with term baby below 6 month old. The samples were kept sterile and laid at plates for 0 hours, 2 hours, 4 hours and 6 hours in room temperature (26°-32° C) and used drop plate technique on several culture media. Data was analyzed by Chi-square and paired sample T-test. Thirty of unheated fresh EBM from 30 lactating mothers were stored at room temperature, examined for the degree of bacterial contamination at 0 hour, 2 hours, 4 hours, and 6 hours. All the EBM samples were contaminated at 2 hour. Bacterial species identified was Coagulase-negative Staphylococcus (CNS), Escherichia coli, Klebsiella pneumoniae and Streptococcus faecalis, range of growth 109 cfu/ml-63 x 109 cfu/mm3 after 6 hour of storage. The EBM exposed at room temperature (30-36 0C) for more than two hour reduce the quality and do not recommended to be given to the infants. 

scholarly journals Microbiological Assessment of Fresh Expressed Breast Milk on Room Temperature at Dr. Soetomo Hospital Neonatal Unit

2019 ◽  
Vol 55 (1) ◽  
pp. 30
Author(s):  
Nur Aisyah Widjaja ◽  
Kartika Hardiyani ◽  
Meta Herdiana Hanindita ◽  
Roedi Irawan
Keyword(s):  
Breast Milk ◽  
Room Temperature ◽  
Culture Media ◽  
Bacterial Species ◽  
Microbiological Quality ◽  
Coagulase Negative Staphylococcus ◽  
Chi Square ◽  
Tropical Country ◽  
Expressed Breast Milk ◽  
Term Baby

Storing EBM at room temperature in several hours before consuming, frequently found in Indonesia. Based on Academy of Breastfeeding Medicine guidelines EBM can last for 6 to 8 hours in room temperature (25oC or 77oF). However, currently there hasn’t been study in tropical country especially Indonesia for the guidelines. This study aimed to assess microbiological quality of EBM on room temperature, including bacterial growth and major bacterial found on EBM for health care and society recommendations. An observational study of 30 expressed breast milk samples provided by 30 healthy women with term baby below 6 month old. The samples were kept sterile and laid at plates for 0 hours, 2 hours, 4 hours and 6 hours in room temperature (26°-32° C) and used drop plate technique on several culture media. Data was analyzed by Chi-square and paired sample T-test. Thirty of unheated fresh EBM from 30 lactating mothers were stored at room temperature, examined for the degree of bacterial contamination at 0 hour, 2 hours, 4 hours, and 6 hours. All the EBM samples were contaminated at 2 hour. Bacterial species identified was Coagulase-negative Staphylococcus (CNS), Escherichia coli, Klebsiella pneumoniae and Streptococcus faecalis, range of growth 109 cfu/ml-63 x 109 cfu/mm3 after 6 hour of storage. The EBM exposed at room temperature (30-36oC) for more than two hour reduce the quality and do not recommended to be given to the infants. 

scholarly journals Bacterial load in expressed and stored breast milk of lactating mothers in Abia state, Nigeria

2013 ◽  
Vol 13 (59) ◽  
pp. 8139-8154
Author(s):  
PO Ukegbu ◽  
◽  
AC Uwaegbute ◽  
II Ijeh ◽  
AU Ukegbu ◽  
...  
Keyword(s):  
Breast Milk ◽  
Room Temperature ◽  
Culture Media ◽  
Bacterial Load ◽  
Storage Conditions ◽  
Milk Samples ◽  
Lactating Mothers ◽  
Expressed Breast Milk ◽  
Time Periods ◽  
Considerable Period

The use of expressed breast milk has been advocated as an effective way of encouraging and maintaining lactation when the mother is separated from the baby for a while. However, prospects of storage of expressed breast milk for any considerable period of time is hindered by the possibility of bacterial contamination and growth of infectious pathogens in the stored milk. Previous research worldwide has focused on optimal conditions for storing expressed breast milk. This study investigated bacterial growth in expressed breast milk stored at two different conditions and time periods. A total of 240 randomly selected lactating mothers participated in a survey used to elicit information on their practices concerning expressed and stored breast milk. Out of this, 20 lactating mothers were willing to donate their breast milk , which was used for microbial studies. Using antiseptic procedures, breast milk samples were collected from these 20 lactating mothers by manual expression and put into sterile containers. One half was stored at room temperature (30 o C), while the other half was immersed in a container of water (26 o C) for 0, 3, 6 and 9hrs. The samples at different time periods in both storage conditions were plated on three different culture media (Nutrient agar , MacConkey agar and Chocolate agar) and incubated for 24hrs. Bacterial load was enumerated and isolates were characterized and identified. Data was analyzed using one way ANOVA and presented as frequencies, percentages means and standard deviations. Results showed that in all the culture media, bacteria l load was higher in breast milk samples stored at room temperature for up to 9hrs compared to that immersed in water (p<0 .05). However, the average colony counts were within acceptable limits (<10 4 CFU/ml). Enterococcus faecalis , Escherichia coli and Staphylococcus aureus were the predominant bacteria isolated in the breast milk samples under both storage conditions. The findings from this study revealed that storage of breast milk either at room temperature or immersed in a container of water appeared to be safe for up to 9 hours of storage in a tropical environment . Generally, the number of microbes was within levels considered acceptable in expressed breast milk .

scholarly journals EFFECTIVENESS OF CHLORHEXIDINE BATH, SALINE BATH, AND STANDARD BATH ON BACTERIAL COLONIZATION ON THE SKIN

2018 ◽  
Vol 11 (10) ◽  
pp. 330
Author(s):  
Divya Abraham ◽  
Vinitha Ravindran ◽  
Vinsley Rose ◽  
Joy Sarojini Michael
Keyword(s):  
Bacterial Colonization ◽  
Cost Effective ◽  
Colony Count ◽  
Coagulase Negative Staphylococcus ◽  
Invasive Procedures ◽  
Post Intervention ◽  
Bacterial Colony ◽  
Medical College ◽  
Significant Difference ◽  
The Difference

Objective: The main objective of the study was to determine whether bathing with 2% chlorhexidine or 0.9% saline or standard soap and water will reduce the bacterial colony count on skin effectively.Methods: Quantitative approach with experimental design and consecutive sampling was used. The study was conducted among 102 children admitted in pediatric wards of Christian Medical College, Vellore. Swabs from axilla and groin were collected at 0 h, 2 h, and 24 h of intervention to determine the bacterial colony count in subjects.Results: The results showed that, of 102 children, 73 (71.56%) of them had high axillary colony count and 69 (67.64%) of them had high groin colony count during admission. Majority 88.2% and 78% of them had colonization with coagulase-negative staphylococcus in the axilla and groin, respectively. There was no significant difference in the bacterial colony count in axilla at 2 and 24 h in all three groups. There was a significant difference in the bacterial colony count in groin at 2 h after the intervention in the chlorhexidine group, and the difference was not significant at 24 h. The colony count was not significantly different at 2 h post-intervention in saline and standard soap and water group but was statistically different in these groups at 24 h after the intervention.Conclusion: Chlorhexidine has shown to be effective for a shorter duration and it can be adopted for children who are undergoing invasive procedures and preoperatively in surgical wards while continuing routine standard bath for all children which is considered to be cost effective too.

scholarly journals Antimicrobial Activity of Phoebe lanceolata and Stephania glabra; Preliminary Screening Studies

2009 ◽  
Vol 1 (3) ◽  
pp. 662-666 ◽  
Author(s):  
D. K. Semwal ◽  
U. Rawat ◽  
A. Bamola ◽  
R. Semwal
Keyword(s):  
Klebsiella Pneumoniae ◽  
Culture Media ◽  
Bacterial Species ◽  
Stem Bark ◽  
Fungal Species ◽  
Microsporum Canis ◽  
Microsporum Gypseum ◽  
Preliminary Screening ◽  
Antibacterial And Antifungal Activities ◽  
Antibacterial And Antifungal

Ethanolic extracts of Phoebe lanceolata stem bark and Stephania glabra tubers were evaluated for their antibacterial and antifungal activities against five bacterial species, Staphylococcus aureus (along with ten hospital strains), Staphylococcus mutans, Staphylococcus epidermidis, Escherichia coli, Klebsiella pneumoniae and six fungal species Aspergillus niger, Aspergillus fumigatus, Penicillum citranum, Microsporum gypseum, Microsporum canis, Trichophyton rubrum, obtained from different culture media. The plants/parts extracts were found active against most of the tested microorganism with MIC range of 50-100µg/ml. The MIC was taken at the lower concentration where inhibition ceased. Novobiocin (15 µg/ml) and erythromycin (15 µg/ml) were used as positive controls for bacterial and fungus species respectively.  Keywords:Antimicrobial activity; Streptococcus mutans; Klebsiella pneumoniae; Microsporum gypseum; Nutrient and Sabouraud’s dextrose agar medium. © 2009 JSR Publications. ISSN: 2070-0237 (Print); 2070-0245 (Online). All rights reserved. DOI: 10.3329/jsr.v1i3.2423               J. Sci. Res. 1 (3), 662-666 (2009) 

scholarly journals Gastric emptying in preterm infants.

1994 ◽  
Vol 71 (1) ◽  
pp. F24-F27 ◽  
Author(s):  
A K Ewer ◽  
G M Durbin ◽  
M E Morgan ◽  
I W Booth
Keyword(s):  
Gastric Emptying ◽  
Breast Milk ◽  
Preterm Infants ◽  
Major Effect ◽  
Ultrasound Images ◽  
Formula Milk ◽  
Cross Sectional ◽  
Significant Difference ◽  
Expressed Breast Milk ◽  
Maximum Increment

An ultrasonic technique was used to compare gastric emptying after a feed of expressed breast milk and formula milk in a blind, cross over study of preterm infants. Fourteen infants (median gestational age 33 weeks) were studied on 46 occasions. Each infant received a nasogastric feed of either expressed breast milk or formula milk, and the alternative at the next feed. Real time ultrasound images of the gastric antrum were obtained and measurements of antral cross sectional area (ACSA) were made before the feed and then sequentially after its completion until the ACSA returned to its prefeed value. The half emptying time (50% delta ACSA) was calculated as the time taken for the ACSA to decrease to half the maximum increment. On average, expressed breast milk emptied twice as fast as formula milk: mean 50% delta ACSA expressed breast milk 36 minutes; formula milk 72 minutes. The technique was reproducible and there was no significant difference between the emptying rates of feeds of the same type for an individual infant. These data show that breast milk has a major effect on gastric emptying, which may have important implications for preterm infants who have a feed intolerance due to delayed gastric emptying.

scholarly journals Bacteriological Examination of Used Towels from Female and Male Hostel of Federal University of Lafia

2021 ◽  
pp. 28-34
Author(s):  
Naja’atu Shehu Hadi ◽  
UYI, Gerard Osuyi ◽  
Sani Bashir ◽  
Fatima Al-Mustapha Yusuf ◽  
Kabiru Abdullahi Shuaibu ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Bacterial Species ◽  
Clinical Importance ◽  
Coagulase Negative Staphylococcus ◽  
Male And Female ◽  
Warm Environment ◽  
Significant Difference ◽  
High Prevalence ◽  
Identification And Characterization

Bath towels have the ability to retain microbes, moist and warm environment offers microbes a favorable place to grow and survive. These microbes can be transmitted through direct contact with our hands and other inanimate objects within the environment. This study aimed at examining bacterial contamination of used towels. Used towels from male and female hostels at Federal University of Lafia, were assessed to determine their bacterial concentration. A total of sixteen (16) used towels were sampled, eight towels each from female and male hostels were sampled between April and May 2021. Identification and characterization of bacterial isolates was carried out using standard cultural, morphological and biochemical methods. Pseudomonas spp, Staphylococcus aureus, Klebsiella spp, Escherichia coli, Streptococcus, Micrococcus spp, Serratia sp and Coagulase Negative Staphylococcus were identified as contaminants in the towel samples analyzed. The female towels assessed in this study had the highest number of colonies with 4.39 x 109, while the male towels had the least number of colonies 3.88 x 109. Male and female towels sampled were all contaminated, but with no significant difference in the contamination rates (p>0.05). Staphylococcus aureus and coagulase-negative Staphylococcus were the most prevalent organisms isolated from male (62.5%; 5/8) and female (100%; 8/8) towels respectively. The high prevalence of diverse bacterial species is worrisome considering the epidemiology and clinical importance of the isolates, compounded by antimicrobial resistance and high mortality rate. Hence, there is need to enforce and improve hygiene practice among students. Frequent washing of towels and use of medicated soaps and disinfectants in bathing and washing water is hereby canvassed.

Assessment of Bacterial Contamination of Orthodontic Arch wire

2019 ◽  
Vol 31 (1) ◽  
pp. 48-51
Author(s):  
Suha S Hassan ◽  
Nidhal H. Ghaib ◽  
Batool H Al-Ghurabi
Keyword(s):  
Bacterial Contamination ◽  
Microbial Contamination ◽  
Ethylenediaminetetraacetic Acid ◽  
Bacterial Species ◽  
Brain Heart Infusion ◽  
Control Groups ◽  
Dental Practitioners ◽  
Significant Difference ◽  
Bacillus Spp ◽  
Droplet Transmission

Background: The microorganisms can impend the life of health care professional and particularly the dental practitioners. They can be transmitted by different ways like airborne and droplet transmission. The current study was carried out to identify whether the arch wires that received from the manufactures are free from microbial contamination and to determine the bacterial species attached to the arch wires. Materials and Methods: This study involved eighty samples, consisted of two types of arch wires (nitinol and stainless-steel) from four companies (3M, G&H, Jiscop, OrthoTechnology). These wires inserted in a plane tube that contains 10 -ml of (Tris [tris(hydroxymethyl)aminomethane] and EDTA (ethylenediaminetetraacetic acid) tris-EDTA and brain heart infusion (BHI) broth. A 0.1 ml was withdrawn from the tube and spread on agar plates. The control groups consist of 16 plane tube (8 tubes with tris-EDTA and other 8 tubes with (BHI). Results: Microbial sampling yielded growth from 5 of the 80 arch wires. The predominant bacteria that isolated were Bacillus spp. No growth was recovered from 75 of the samples and from controls. The bacteria were isolated by BHI reagent and no growth was observed by tris-EDTA reagent with statistically significant difference (P<0.05). The Bacillus spp. found only in the G&H and Jiscop companies, however, no statistically significant difference was found among them (P>0.05). With regard to the presence and distribution of bacteria according to the types of wires, the present results clarified that cases of contamination with Bacillus spp. were found in the nitinol arch wires with statistically significant difference (P<0.05). Conclusions: The results of the current study revealed low count of bacterial contamination in the two types of companies (G&H and Jiscop). Not all materials that received from the manufactures are free from contamination and an effective sterilization regimen is needed to avoid cross-contamination.

Galacto- and Fructo-oligosaccharides Utilized for Growth by Cocultures of Bifidobacterial Species Characteristic of the Infant Gut

2020 ◽  
Author(s):  
Ian Sims ◽  
GW Tannock
Keyword(s):  
Breast Milk ◽  
Bacterial Species ◽  
Bifidobacterium Longum ◽  
Well Being ◽  
Bifidobacterium Bifidum ◽  
Child Rearing ◽  
Potential Growth ◽  
Human Infants ◽  
Infant Diet ◽  
Growth Substrates

Copyright © 2020 American Society for Microbiology. Bifidobacterial species are common inhabitants of the gut of human infants during the period when milk is a major component of the diet. Bifidobacterium breve, Bifidobacterium bifidum, Bifidobacterium longum subspecies longum, and B. longum subspecies infantis have been detected frequently in infant feces, but B. longum subsp. infantis may be disadvantaged numerically in the gut of infants in westernized countries. This may be due to the different durations of breast milk feeding in different countries. Supplementation of the infant diet or replacement of breast milk using formula feeds is common in Western countries. Formula milks often contain galacto- and/or fructo-oligosaccharides (GOS and FOS, respectively) as additives to augment the concentration of oligosaccharides in ruminant milks, but the ability of B. longum subsp. infantis to utilize these potential growth substrates when they are in competition with other bifidobacterial species is unknown. We compared the growth and oligosaccharide utilization of GOS and FOS by bifidobacterial species in pure culture and coculture. Short-chain GOS and FOS (degrees of polymerization [DP] 2 and 3) were favored growth substrates for strains of B. bifidum and B. longum subsp. longum, whereas both B. breve and B. longum subsp. infantis had the ability to utilize both short- and longer-chain GOS and FOS (DP 2 to 6). B. breve was nevertheless numerically dominant over B. longum subsp. infantis in cocultures. This was probably related to the slower use of GOS of DP 3 by B. longum subsp. infantis, indicating that the kinetics of substrate utilization is an important ecological factor in the assemblage of gut communities.IMPORTANCE The kinds of bacteria that form the collection of microbes (the microbiota) in the gut of human infants may influence health and well-being. Knowledge of how the composition of the infant diet influences the assemblage of the bacterial collection is therefore important because dietary interventions may offer opportunities to alter the microbiota with the aim of improving health. Bifidobacterium longum subspecies infantis is a well-known bacterial species, but under modern child-rearing conditions it may be disadvantaged in the gut. Modern formula milks often contain particular oligosaccharide additives that are generally considered to support bifidobacterial growth. However, studies of the ability of various bifidobacterial species to grow together in the presence of these oligosaccharides have not been conducted. These kinds of studies are essential for developing concepts of microbial ecology related to the influence of human nutrition on the development of the gut microbiota.

Efficacy of sucrose verses expressed breast milk for pain among neonates receiving vaccination, in india

2017 ◽  
Vol 8 (2) ◽  
Author(s):  
MRS. SUJATHA S ◽  
DR. REBECCA SAMSON ◽  
DR. BRIDGITTE AKILA ◽  
DR. SUNDARE SAN
Keyword(s):  
Breast Milk ◽  
Expressed Breast Milk
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