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...
Main Authors: | , , , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Frontiers Media S.A.
2021-03-01
|
Series: | Frontiers in Nutrition |
Subjects: | |
Online Access: | https://www.frontiersin.org/articles/10.3389/fnut.2021.574311/full |
id |
doaj-bd4890beaa4b4c739a620040979bacba |
---|---|
record_format |
Article |
spelling |
doaj-bd4890beaa4b4c739a620040979bacba2021-03-04T04:54:10ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2021-03-01810.3389/fnut.2021.574311574311Chlorine Solutions for a Safe Method of Decontamination of Breast Pump Milk Collection Kits Before and After the Coronavirus Disease 2019 PandemicVirginie Rigourd0Benali Mouadh1Joel Poupon2Jerome Langrand3Arnaud Goutard4Christine Droguet5Emmanuel Bille6Emmanuel Bille7Emmanuel Bille8Pierre Frange9Pierre Frange10Pierre Frange11Yasmina Bahri12David Pasquier13Alexandre Lapillonne14David Skurnik15David Skurnik16David Skurnik17Human Milk Bank, Hôpital Necker-Enfants Malades, Assistance Publique Hopitaux De Paris, Paris, FranceDepartment of Neonatology, Charles Nicolle University Hospital, Tunis, TunisiaBiological Toxicology Laboratory, Hôpital Lariboisière, Paris, FranceAntipoison Center of Paris, Service de Pharmacie, Hôpital Fernand Widal, Paris, FrancePolice Headquarters Central Laboratory, Paris, FrancePolice Headquarters Central Laboratory, Paris, FranceDepartment of Microbiology, Hôpital Necker-Enfants Malades, Assistance Publique Hopitaux De Paris, Paris, FranceINSERM U1151-Equipe 1, Institut Necker-Enfants Malades, Université de Paris, Paris, FranceInstitut Necker Enfants Malades, Université Paris Descartes, Paris, FranceInstitut Necker Enfants Malades, Université Paris Descartes, Paris, FranceHôpital Necker-Enfants Malades, Assistance Publique Hopitaux De Paris, Paris, France0EHU 7328 PACT, Imagine Institute, Institut Necker-Enfants Malades, Université de Paris, Paris, FranceHuman Milk Bank, Hôpital Necker-Enfants Malades, Assistance Publique Hopitaux De Paris, Paris, France1Watchfrog Laboratory, Genopole (France), Évry, France2Department of Neonatalogy, Hôpital Necker-Enfants Malades, Assistance Publique Hopitaux De Paris, Paris, FranceHôpital Necker-Enfants Malades, Assistance Publique Hopitaux De Paris, Paris, France3Division of Infectious Diseases, Boston Children's Hospital and Harvard Medical School, Boston, MA, United States4INSERM U1151-Equipe 1, Institut Necker Enfants Malades, Université Paris Descartes, Paris, FranceTo 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.https://www.frontiersin.org/articles/10.3389/fnut.2021.574311/fullCOVID-19breastfeedingbreast milk expressionmilk banksdecontamination |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Virginie Rigourd Benali Mouadh Joel Poupon Jerome Langrand Arnaud Goutard Christine Droguet Emmanuel Bille Emmanuel Bille Emmanuel Bille Pierre Frange Pierre Frange Pierre Frange Yasmina Bahri David Pasquier Alexandre Lapillonne David Skurnik David Skurnik David Skurnik |
spellingShingle |
Virginie Rigourd Benali Mouadh Joel Poupon Jerome Langrand Arnaud Goutard Christine Droguet Emmanuel Bille Emmanuel Bille Emmanuel Bille Pierre Frange Pierre Frange Pierre Frange Yasmina Bahri David Pasquier Alexandre Lapillonne David Skurnik David Skurnik David Skurnik Chlorine Solutions for a Safe Method of Decontamination of Breast Pump Milk Collection Kits Before and After the Coronavirus Disease 2019 Pandemic Frontiers in Nutrition COVID-19 breastfeeding breast milk expression milk banks decontamination |
author_facet |
Virginie Rigourd Benali Mouadh Joel Poupon Jerome Langrand Arnaud Goutard Christine Droguet Emmanuel Bille Emmanuel Bille Emmanuel Bille Pierre Frange Pierre Frange Pierre Frange Yasmina Bahri David Pasquier Alexandre Lapillonne David Skurnik David Skurnik David Skurnik |
author_sort |
Virginie Rigourd |
title |
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_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_sort |
chlorine solutions for a safe method of decontamination of breast pump milk collection kits before and after the coronavirus disease 2019 pandemic |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Nutrition |
issn |
2296-861X |
publishDate |
2021-03-01 |
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. |
topic |
COVID-19 breastfeeding breast milk expression milk banks decontamination |
url |
https://www.frontiersin.org/articles/10.3389/fnut.2021.574311/full |
work_keys_str_mv |
AT virginierigourd chlorinesolutionsforasafemethodofdecontaminationofbreastpumpmilkcollectionkitsbeforeandafterthecoronavirusdisease2019pandemic AT benalimouadh chlorinesolutionsforasafemethodofdecontaminationofbreastpumpmilkcollectionkitsbeforeandafterthecoronavirusdisease2019pandemic AT joelpoupon chlorinesolutionsforasafemethodofdecontaminationofbreastpumpmilkcollectionkitsbeforeandafterthecoronavirusdisease2019pandemic AT jeromelangrand chlorinesolutionsforasafemethodofdecontaminationofbreastpumpmilkcollectionkitsbeforeandafterthecoronavirusdisease2019pandemic AT arnaudgoutard chlorinesolutionsforasafemethodofdecontaminationofbreastpumpmilkcollectionkitsbeforeandafterthecoronavirusdisease2019pandemic AT christinedroguet chlorinesolutionsforasafemethodofdecontaminationofbreastpumpmilkcollectionkitsbeforeandafterthecoronavirusdisease2019pandemic AT emmanuelbille chlorinesolutionsforasafemethodofdecontaminationofbreastpumpmilkcollectionkitsbeforeandafterthecoronavirusdisease2019pandemic AT emmanuelbille chlorinesolutionsforasafemethodofdecontaminationofbreastpumpmilkcollectionkitsbeforeandafterthecoronavirusdisease2019pandemic AT emmanuelbille chlorinesolutionsforasafemethodofdecontaminationofbreastpumpmilkcollectionkitsbeforeandafterthecoronavirusdisease2019pandemic AT pierrefrange chlorinesolutionsforasafemethodofdecontaminationofbreastpumpmilkcollectionkitsbeforeandafterthecoronavirusdisease2019pandemic AT pierrefrange chlorinesolutionsforasafemethodofdecontaminationofbreastpumpmilkcollectionkitsbeforeandafterthecoronavirusdisease2019pandemic AT pierrefrange chlorinesolutionsforasafemethodofdecontaminationofbreastpumpmilkcollectionkitsbeforeandafterthecoronavirusdisease2019pandemic AT yasminabahri chlorinesolutionsforasafemethodofdecontaminationofbreastpumpmilkcollectionkitsbeforeandafterthecoronavirusdisease2019pandemic AT davidpasquier chlorinesolutionsforasafemethodofdecontaminationofbreastpumpmilkcollectionkitsbeforeandafterthecoronavirusdisease2019pandemic AT alexandrelapillonne chlorinesolutionsforasafemethodofdecontaminationofbreastpumpmilkcollectionkitsbeforeandafterthecoronavirusdisease2019pandemic AT davidskurnik chlorinesolutionsforasafemethodofdecontaminationofbreastpumpmilkcollectionkitsbeforeandafterthecoronavirusdisease2019pandemic AT davidskurnik chlorinesolutionsforasafemethodofdecontaminationofbreastpumpmilkcollectionkitsbeforeandafterthecoronavirusdisease2019pandemic AT davidskurnik chlorinesolutionsforasafemethodofdecontaminationofbreastpumpmilkcollectionkitsbeforeandafterthecoronavirusdisease2019pandemic |
_version_ |
1724232280641110016 |