New perspectives in human milk banks
Mother’s own milk (MOM) is the first choice in preterm infant feeding, and when it is not available or is insufficient, donor human milk (DHM) is recommended. It has been shown that feeding preterm infants with human milk is less related to major morbidities, enhances feeding tolerance and prevents...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Hygeia Press di Corridori Marinella
2015-10-01
|
| Series: | Journal of Pediatric and Neonatal Individualized Medicine |
| Subjects: | |
| Online Access: | https://www.jpnim.com/index.php/jpnim/article/view/330 |
| _version_ | 1819087894191538176 |
|---|---|
| author | Enrico Bertino Claudia Rossi Paola Di Nicola Chiara Peila Elena Maggiora Liliana Vagliano Alessandra Coscia |
| author_facet | Enrico Bertino Claudia Rossi Paola Di Nicola Chiara Peila Elena Maggiora Liliana Vagliano Alessandra Coscia |
| author_sort | Enrico Bertino |
| collection | DOAJ |
| description | Mother’s own milk (MOM) is the first choice in preterm infant feeding, and when it is not available or is insufficient, donor human milk (DHM) is recommended. It has been shown that feeding preterm infants with human milk is less related to major morbidities, enhances feeding tolerance and prevents metabolic syndrome in childhood. As The Committee on Nutrition of the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition (ESPGHAN) states, specific guidelines for Human Milk Banks (HMB) are needed to guarantee the best possible compromise between microbiological safety and nutritional/biological quality of human milk (HM).
Currently, Holder pasteurization (HoP: pasteurization process at 62.5-63°C for 30 minutes) is recommended by all international guidelines: this method inactivates bacterial and viral pathogens but it also affects some nutritional and biological properties of human milk. New methods to ameliorate the biological quality and safety of DHM are under investigation in the last years. High Pressure Processing (HPP) is a non- thermal process used in food industries: this technology inactivates pathogenic microorganisms by applying hydrostatic high pressure, however further researches are required before applying this technology in milk banking.
Ultraviolet-C irradiation (UV-C) is another non-thermal method capable of reducing vegetative bacteria in human milk and it also seems to preserve higher levels of immunological proteins than HoP.
High-temperature short-time pasteurization (HTST: flash pasteurization, 72°C for 5-15 seconds) currently is available only at industrial level, but it could represent an alternative to HoP seeming to maintain the protein profile and some of the key active components of DHM.
Further researches are needed to define the optimal treatment of DHM.
Proceedings of the 11th International Workshop on Neonatology and Satellite Meetings · Cagliari (Italy) · October 26th-31st, 2015 · From the womb to the adult
Guest Editors: Vassilios Fanos (Cagliari, Italy), Michele Mussap (Genoa, Italy), Antonio Del Vecchio (Bari, Italy), Bo Sun (Shanghai, China), Dorret I. Boomsma (Amsterdam, the Netherlands), Gavino Faa (Cagliari, Italy), Antonio Giordano (Philadelphia, USA) |
| first_indexed | 2024-12-21T21:43:23Z |
| format | Article |
| id | doaj.art-ee0b92eae37a4960b5f4d9cabcf8989e |
| institution | Directory Open Access Journal |
| issn | 2281-0692 |
| language | English |
| last_indexed | 2024-12-21T21:43:23Z |
| publishDate | 2015-10-01 |
| publisher | Hygeia Press di Corridori Marinella |
| record_format | Article |
| series | Journal of Pediatric and Neonatal Individualized Medicine |
| spelling | doaj.art-ee0b92eae37a4960b5f4d9cabcf8989e2022-12-21T18:49:18ZengHygeia Press di Corridori MarinellaJournal of Pediatric and Neonatal Individualized Medicine2281-06922015-10-0142e040222e04022210.7363/040222272New perspectives in human milk banksEnrico Bertino0Claudia Rossi1Paola Di Nicola2Chiara Peila3Elena Maggiora4Liliana Vagliano5Alessandra Coscia6Neonatal Unit, Department of Public Health and Pediatrics University of Turin, ItalyNeonatal Unit, Department of Public Health and Pediatrics University of Turin, ItalyNeonatal Unit, Department of Public Health and Pediatrics University of Turin, ItalyNeonatal Unit, Department of Public Health and Pediatrics University of Turin, ItalyNeonatal Unit, Department of Public Health and Pediatrics University of Turin, ItalyDegree in Pediatric Nursing, Department of Public Health and Pediatrics University of Turin, ItalyNeonatal Unit, Department of Public Health and Pediatrics University of Turin, ItalyMother’s own milk (MOM) is the first choice in preterm infant feeding, and when it is not available or is insufficient, donor human milk (DHM) is recommended. It has been shown that feeding preterm infants with human milk is less related to major morbidities, enhances feeding tolerance and prevents metabolic syndrome in childhood. As The Committee on Nutrition of the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition (ESPGHAN) states, specific guidelines for Human Milk Banks (HMB) are needed to guarantee the best possible compromise between microbiological safety and nutritional/biological quality of human milk (HM). Currently, Holder pasteurization (HoP: pasteurization process at 62.5-63°C for 30 minutes) is recommended by all international guidelines: this method inactivates bacterial and viral pathogens but it also affects some nutritional and biological properties of human milk. New methods to ameliorate the biological quality and safety of DHM are under investigation in the last years. High Pressure Processing (HPP) is a non- thermal process used in food industries: this technology inactivates pathogenic microorganisms by applying hydrostatic high pressure, however further researches are required before applying this technology in milk banking. Ultraviolet-C irradiation (UV-C) is another non-thermal method capable of reducing vegetative bacteria in human milk and it also seems to preserve higher levels of immunological proteins than HoP. High-temperature short-time pasteurization (HTST: flash pasteurization, 72°C for 5-15 seconds) currently is available only at industrial level, but it could represent an alternative to HoP seeming to maintain the protein profile and some of the key active components of DHM. Further researches are needed to define the optimal treatment of DHM. Proceedings of the 11th International Workshop on Neonatology and Satellite Meetings · Cagliari (Italy) · October 26th-31st, 2015 · From the womb to the adult Guest Editors: Vassilios Fanos (Cagliari, Italy), Michele Mussap (Genoa, Italy), Antonio Del Vecchio (Bari, Italy), Bo Sun (Shanghai, China), Dorret I. Boomsma (Amsterdam, the Netherlands), Gavino Faa (Cagliari, Italy), Antonio Giordano (Philadelphia, USA)https://www.jpnim.com/index.php/jpnim/article/view/330human milkdonor human milkpreterm infants feedinghuman milk bankingholder pasteurizationuv-chtst |
| spellingShingle | Enrico Bertino Claudia Rossi Paola Di Nicola Chiara Peila Elena Maggiora Liliana Vagliano Alessandra Coscia New perspectives in human milk banks Journal of Pediatric and Neonatal Individualized Medicine human milk donor human milk preterm infants feeding human milk banking holder pasteurization uv-c htst |
| title | New perspectives in human milk banks |
| title_full | New perspectives in human milk banks |
| title_fullStr | New perspectives in human milk banks |
| title_full_unstemmed | New perspectives in human milk banks |
| title_short | New perspectives in human milk banks |
| title_sort | new perspectives in human milk banks |
| topic | human milk donor human milk preterm infants feeding human milk banking holder pasteurization uv-c htst |
| url | https://www.jpnim.com/index.php/jpnim/article/view/330 |
| work_keys_str_mv | AT enricobertino newperspectivesinhumanmilkbanks AT claudiarossi newperspectivesinhumanmilkbanks AT paoladinicola newperspectivesinhumanmilkbanks AT chiarapeila newperspectivesinhumanmilkbanks AT elenamaggiora newperspectivesinhumanmilkbanks AT lilianavagliano newperspectivesinhumanmilkbanks AT alessandracoscia newperspectivesinhumanmilkbanks |