Operating of human milk banks in Poland – practical recommendations

Wesołowska, Aleksandra; Pawlus, Beata; Bernatowicz-Łojko, Urszula; Borszewska−Kornacka, Maria Katarzyna

doi:10.31350/postepyneonatologii/2018/1/pn2018003

Cited by 4 publications

(8 citation statements)

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“…EMBA recommends that donor human milk (DHM before pasteurization should contain ≤ 10 5 CFU/mL non-pathogenic organisms and no pathogens for each DHM sample during the recruitment of donors [ 15 ]. In our RHMB, the total number of bacteria in the sample was <10 5 CFU/mL, the number of coagulase-positive staphylococci was <10 4 CFU/mL, and the number of coliform bacteria was <10 3 CFU/mL [ 14 ]. The standards adopted by the RHMB were exceeded by 31 women in the first stage but only by 7 women in repeated studies.…”

Section: Discussionmentioning

confidence: 99%

“…The Regional Human Milk Bank, according to the internal recommendation, set the total number of bacteria in the sample as <10 5 CFU/mL as the basic milk standard, the number of coagulase-positive staphylococci as <10 4 CFU/mL, and the number of coliform bacteria as <10 3 CFU/mL [ 14 ]. The research was carried out on 139 samples of human milk donated by 96 candidates for human milk donation.…”

Section: Methodsmentioning

confidence: 99%

“…Regional Human Milk Banks (RHMBs) are institutions that have been operating in Poland since 2012. Currently, there are 16 such institutions in large Polish cities, to which honorary human milk donors donate surplus milk [ 14 ]. the European Milk Bank Association (EMBA) gives some recommendations for principles of operation of such facilities in Europe [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

“…However, every European country has significantly divergent practices regarding optimal testing regimes, either before or after pasteurization, and detailed, consistent HMB guidelines are lacking even within countries. In Poland, every RHMB is affiliated with the Human Milk Bank Foundation, which, in association with experts appointed by the Chief Sanitary Inspector, has published guidelines in order to regulate operations of RHMB [ 14 , 15 , 16 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

“…If a donor fails the initial recruitment, her qualification is determined by a positive result from the newly taken sample. Donated milk after holder pasteurization (62.5 °C, 30 min) must be microbiologically clean; then, milk is kept in the freezer until distribution (up to 3 months) [ 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

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Microbiological Quality of Milk Donated to the Regional Human Milk Bank in Warsaw in the First Four Years of Activity

et al. 2022

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As the survival rate for preterm infants increases, more emphasis is placed on improving health-related quality of life through optimal nutritional management. Human Milk Banks (HMBs) provide bioactive nutrients and probiotic microorganisms to premature newborns, especially in the first year of life. Donated milk screening and selection of potential donors ensures the quality and microbiological safety of the donated milk. Therefore we reviewed the basic characteristics of donors and the amounts and contamination of breast milk donated to the Regional Human Milk Bank (RHMB) in Warsaw. In four years, the RHMB collected 1445.59 L of milk, of which 96.60% was distributed among hospitalised infants. Additionally, breastmilk from donor candidates (139 samples from 96 women) was tested at least once in the first year of lactation. First analyses showed that 18 women’s milk samples were microbiologically pure, and 78 samples had one or more species of commensal and/or potentially pathogenic bacteria. In human milk samples from 31 women, the bacteria level was above the standard required by the RHMB; therefore, donors were re-educated, and further samples were tested. Most women followed the recommendations on hygienic expression and storage of milk before transfer to the RHMB. Our analysis will help to increase the accessibility and quality of raw donor milk and to meet the needs of more newborns.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%