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Hello Jane,
We operate a breast milk bank for our neonates.
The room is set up as a food preparation area and does not have any
special air handling or filters.
Food prep rooms in Victoria do not require any particular air handling.
Amongst other things the guidelines considers milk as a food. It is
included in our service wide food handling plan that we are required to
submit to the local council.
When handling the ‘food’ the staff wear hats, gowns as per food handling
protocols.
All equipment is washed in an industrial quality dish washer that can
monitor the correct temperature for thermal disinfection as per the food
plan.
Each donation of mother’s pooled milk is microbiologically tested pre
and post pasteurisation. This is done as an aseptic procedure only to
ensure no extra bacteria contaminates the milk. You will be surprised
at how much bacteria is in milk. Part of your plan will be to determine
what thresholds you will have in pre-pasteurised samples and what
triggers your decision to discard milk, even if the post pasteurisation
is clear.
In relation to air in the room: Our room is a retro fit. With all the
electrics, when the doors are closed, it can get very hot. The electric
equipment includes 2 freezers, a dishwasher, and a pasteuriser, a
computer plus a few other incidentals. It is not a large room.
Maree
Maree Sommerville
Infection Control Coordinator
Mercy Hospital for Women
________________________________
Behalf Of Jane Barnett
We’re in the process of setting up a breast milk bank for pasteurisation
of milk to be used in our neonatal unit initially. We’re following the
NICE guidelines from the UK but I’d welcome any comments/guidelines re:
whether we need to increase the air changes or filtration efficacy in
this room where it is being prepared and sampled. If anyone else has
experience of this or can assist, I’d be grateful.
Many thanks
Jane Barnett
Clinical Nurse Specialist
Infection Prevention & Control
Christchurch Women’s Hospital
Private Bag 4711, Christchurch
Infection Prevention and Control is Everyone’s Business
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