Comparative analyses of holder pasteurization vs. HTST pasteurization for donor milk: a cost-minimization study applicable to human milk banks
Abstract Background High-temperature short-time (HTST) pasteurization (72–75 °C, 15 s) is an alternative treatment to traditional Holder pasteurization (HoP) (62ºC, 30 min) for donor milk. HTST pasteurization guarantees the milk’s microbiological safety and retains more of its biologically and nutri...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-04-01
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| Series: | International Breastfeeding Journal |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13006-023-00557-1 |
| _version_ | 1797845781106917376 |
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| author | Diana Escuder Vieco Jorge Arenas Vidal Paula Rojas García Marino J Gónzález Nadia Raquel García Lara Carmen Rosa Pallás Alonso |
| author_facet | Diana Escuder Vieco Jorge Arenas Vidal Paula Rojas García Marino J Gónzález Nadia Raquel García Lara Carmen Rosa Pallás Alonso |
| author_sort | Diana Escuder Vieco |
| collection | DOAJ |
| description | Abstract Background High-temperature short-time (HTST) pasteurization (72–75 °C, 15 s) is an alternative treatment to traditional Holder pasteurization (HoP) (62ºC, 30 min) for donor milk. HTST pasteurization guarantees the milk’s microbiological safety and retains more of its biologically and nutritionally active compounds, but the cost of implementing this technology for a human milk bank is unknown. Methods A cost-minimization study was carried out on the facilities of a regional human milk bank in a public hospital. Total production costs (fixed plus variables) were quantified using HTST pasteurization and HoP in three hypothetical scenarios: (1) costs of the first 10 L of pasteurized milk in a newly opened milk bank; (2) costs of the first 10 L of pasteurized milk in an active milk bank; and (3) costs using the maximum production capacity of both technologies in the first two years of operation. The following costs were analyzed: health care professionals, equipment and software, external services, and consumables. Results In scenario 1, the total production costs were € 228,097.00 for the HTST method versus € 154,064.00 for the HoP method. In scenario 2, these costs were similar (€ 6,594.00 for HTST pasteurization versus € 5,912.00 for HoP). The cost of healthcare professionals was reduced by more than half when pasteurization was carried out by the HTST method versus the Holder method (€ 84.00 and € 191.00, respectively). In scenario 3, the unit cost of milk pasteurized by the HTST method decreased from the first to the second year by 43.5%, while for the HoP method, it decreased by 30%. Conclusions HTST pasteurization requires a high initial investment in equipment; however, it provides a significant minimization of production costs in the long term, pasteurizes large quantities of donor milk per working day and achieves a more efficient management of the time of the health care professionals in charge of the bank’s operation compared to HoP. |
| first_indexed | 2024-04-09T17:44:29Z |
| format | Article |
| id | doaj.art-f995ec8e4a074b168033ad2e0d4e3f80 |
| institution | Directory Open Access Journal |
| issn | 1746-4358 |
| language | English |
| last_indexed | 2024-04-09T17:44:29Z |
| publishDate | 2023-04-01 |
| publisher | BMC |
| record_format | Article |
| series | International Breastfeeding Journal |
| spelling | doaj.art-f995ec8e4a074b168033ad2e0d4e3f802023-04-16T11:26:18ZengBMCInternational Breastfeeding Journal1746-43582023-04-011811810.1186/s13006-023-00557-1Comparative analyses of holder pasteurization vs. HTST pasteurization for donor milk: a cost-minimization study applicable to human milk banksDiana Escuder Vieco0Jorge Arenas Vidal1Paula Rojas García2Marino J Gónzález3Nadia Raquel García Lara4Carmen Rosa Pallás Alonso5Servicio de Neonatología, Banco Regional de Leche Materna, Hospital Universitario 12 de Octubre, Instituto de Investigación i+12BioSerentia GroupDepartment of Economics, University of La RiojaDepartment of Economics, University of La RiojaServicio de Neonatología, Banco Regional de Leche Materna, Hospital Universitario 12 de Octubre, Instituto de Investigación i+12Servicio de Neonatología, Instituto de Investigación i+12, Banco Regional de Leche Materna, Hospital Universitario 12 de Octubre, Universidad Complutense de MadridAbstract Background High-temperature short-time (HTST) pasteurization (72–75 °C, 15 s) is an alternative treatment to traditional Holder pasteurization (HoP) (62ºC, 30 min) for donor milk. HTST pasteurization guarantees the milk’s microbiological safety and retains more of its biologically and nutritionally active compounds, but the cost of implementing this technology for a human milk bank is unknown. Methods A cost-minimization study was carried out on the facilities of a regional human milk bank in a public hospital. Total production costs (fixed plus variables) were quantified using HTST pasteurization and HoP in three hypothetical scenarios: (1) costs of the first 10 L of pasteurized milk in a newly opened milk bank; (2) costs of the first 10 L of pasteurized milk in an active milk bank; and (3) costs using the maximum production capacity of both technologies in the first two years of operation. The following costs were analyzed: health care professionals, equipment and software, external services, and consumables. Results In scenario 1, the total production costs were € 228,097.00 for the HTST method versus € 154,064.00 for the HoP method. In scenario 2, these costs were similar (€ 6,594.00 for HTST pasteurization versus € 5,912.00 for HoP). The cost of healthcare professionals was reduced by more than half when pasteurization was carried out by the HTST method versus the Holder method (€ 84.00 and € 191.00, respectively). In scenario 3, the unit cost of milk pasteurized by the HTST method decreased from the first to the second year by 43.5%, while for the HoP method, it decreased by 30%. Conclusions HTST pasteurization requires a high initial investment in equipment; however, it provides a significant minimization of production costs in the long term, pasteurizes large quantities of donor milk per working day and achieves a more efficient management of the time of the health care professionals in charge of the bank’s operation compared to HoP.https://doi.org/10.1186/s13006-023-00557-1Donor milkCost-minimization analysisPasteurizationHuman milk banksOpportunity cost |
| spellingShingle | Diana Escuder Vieco Jorge Arenas Vidal Paula Rojas García Marino J Gónzález Nadia Raquel García Lara Carmen Rosa Pallás Alonso Comparative analyses of holder pasteurization vs. HTST pasteurization for donor milk: a cost-minimization study applicable to human milk banks International Breastfeeding Journal Donor milk Cost-minimization analysis Pasteurization Human milk banks Opportunity cost |
| title | Comparative analyses of holder pasteurization vs. HTST pasteurization for donor milk: a cost-minimization study applicable to human milk banks |
| title_full | Comparative analyses of holder pasteurization vs. HTST pasteurization for donor milk: a cost-minimization study applicable to human milk banks |
| title_fullStr | Comparative analyses of holder pasteurization vs. HTST pasteurization for donor milk: a cost-minimization study applicable to human milk banks |
| title_full_unstemmed | Comparative analyses of holder pasteurization vs. HTST pasteurization for donor milk: a cost-minimization study applicable to human milk banks |
| title_short | Comparative analyses of holder pasteurization vs. HTST pasteurization for donor milk: a cost-minimization study applicable to human milk banks |
| title_sort | comparative analyses of holder pasteurization vs htst pasteurization for donor milk a cost minimization study applicable to human milk banks |
| topic | Donor milk Cost-minimization analysis Pasteurization Human milk banks Opportunity cost |
| url | https://doi.org/10.1186/s13006-023-00557-1 |
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