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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

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 Organiza...

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Autores principales: Rigourd, Virginie, Mouadh, Benali, Poupon, Joel, Langrand, Jerome, Goutard, Arnaud, Droguet, Christine, Bille, Emmanuel, Frange, Pierre, Bahri, Yasmina, Pasquier, David, Lapillonne, Alexandre, Skurnik, David
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7969643/
https://www.ncbi.nlm.nih.gov/pubmed/33748168
http://dx.doi.org/10.3389/fnut.2021.574311
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author Rigourd, Virginie
Mouadh, Benali
Poupon, Joel
Langrand, Jerome
Goutard, Arnaud
Droguet, Christine
Bille, Emmanuel
Frange, Pierre
Bahri, Yasmina
Pasquier, David
Lapillonne, Alexandre
Skurnik, David
author_facet Rigourd, Virginie
Mouadh, Benali
Poupon, Joel
Langrand, Jerome
Goutard, Arnaud
Droguet, Christine
Bille, Emmanuel
Frange, Pierre
Bahri, Yasmina
Pasquier, David
Lapillonne, Alexandre
Skurnik, David
author_sort Rigourd, Virginie
collection PubMed
description 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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spelling pubmed-79696432021-03-19 Chlorine Solutions for a Safe Method of Decontamination of Breast Pump Milk Collection Kits Before and After the Coronavirus Disease 2019 Pandemic Rigourd, Virginie Mouadh, Benali Poupon, Joel Langrand, Jerome Goutard, Arnaud Droguet, Christine Bille, Emmanuel Frange, Pierre Bahri, Yasmina Pasquier, David Lapillonne, Alexandre Skurnik, David Front Nutr Nutrition 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. Frontiers Media S.A. 2021-03-04 /pmc/articles/PMC7969643/ /pubmed/33748168 http://dx.doi.org/10.3389/fnut.2021.574311 Text en Copyright © 2021 Rigourd, Mouadh, Poupon, Langrand, Goutard, Droguet, Bille, Frange, Bahri, Pasquier, Lapillonne and Skurnik. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Nutrition
Rigourd, Virginie
Mouadh, Benali
Poupon, Joel
Langrand, Jerome
Goutard, Arnaud
Droguet, Christine
Bille, Emmanuel
Frange, Pierre
Bahri, Yasmina
Pasquier, David
Lapillonne, Alexandre
Skurnik, David
Chlorine Solutions for a Safe Method of Decontamination of Breast Pump Milk Collection Kits Before and After the Coronavirus Disease 2019 Pandemic
title Chlorine Solutions for a Safe Method of Decontamination of Breast Pump Milk Collection Kits Before and After the Coronavirus Disease 2019 Pandemic
title_full Chlorine Solutions for a Safe Method of Decontamination of Breast Pump Milk Collection Kits Before and After the Coronavirus Disease 2019 Pandemic
title_fullStr Chlorine Solutions for a Safe Method of Decontamination of Breast Pump Milk Collection Kits Before and After the Coronavirus Disease 2019 Pandemic
title_full_unstemmed Chlorine Solutions for a Safe Method of Decontamination of Breast Pump Milk Collection Kits Before and After the Coronavirus Disease 2019 Pandemic
title_short Chlorine Solutions for a Safe Method of Decontamination of Breast Pump Milk Collection Kits Before and After the Coronavirus Disease 2019 Pandemic
title_sort chlorine solutions for a safe method of decontamination of breast pump milk collection kits before and after the coronavirus disease 2019 pandemic
topic Nutrition
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7969643/
https://www.ncbi.nlm.nih.gov/pubmed/33748168
http://dx.doi.org/10.3389/fnut.2021.574311
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