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Maree,
While not specific to your enquiry this guideline
available at the US Agency for Healthcare Research and Quality (AHRQ),
guideline clearing house may offer some guidance.It may also be of interest to other AICA
members overseeing issues relating to breast milk.DONOR BREAST MILK BANKS: THE OPERATION OF
DONOR MILK BANKS
http://www.guideline.gov/content.aspx?id=24107regards
Glenys
Glenys Harrington, Infection
Control Consultant |Communicable
Disease Prevention and Control | Public Health
Department of Health | Level 14 50 Lonsdale Street Melbourne Victoria 3000
Australia
t. 03 909 65094 | f. 1300 651 170 | e. glenys.harrington@health.vic.gov.au
| http://www.health.vic.gov.au/ideas
From: Maree Sommerville <MSommerville@MERCY.COM.AU> To: AICALIST@AICALIST.ORG.AU Date: 09/06/2011 09:20 AM Subject: Accidental sharing of breast milk Sent by: AICA Infexion Connexion <AICALIST@AICALIST.ORG.AU>
Dear all,
I am reviewing MHW policy on Accidental
sharing of breast milk (wrong baby to mother or expressed breast milk to
wrong baby). We would have 1 or 2 of these per year.
Our testing regime at the time
of the incident includes:
Donor
Mother:
o
HIV Abs,
Hep C Abs, Hep B sAg, CMV
o
Sample
of milk for CMV.
o
Lifestyle
risk assessment.
Recipient
Mother:
o
HIV Abs,
Hep C Abs, Hep B sAg, CMV
Recipient
Baby:
o
Saliva
and Urine for CMV
Follow
up for baby is at 3 months and 6 months
I am interested in knowing how
this compares with other organisations policies.
Should the follow up be more rigorous
if the donor mother is positive for BBV or has high risk behaviour and
if so what should it be?
If the Breast Milk has been frozen,
what difference does this make in deciding how to follow up?
There is not a lot of literature
on this subject.
The available literature discusses
the likelihood of transmitting BBV via breast milk.
Transmission
for the Hepatitis group is low via breast milk
HIV
and CMV are more likely
Looking forward to hearing from
you.
Maree
Maree Sommerville
Infection Control Nurse Consultant
Mercy Hospital for Women
163 Studley Road
Heidelberg, Victoria, 3084
Email: msommerville@mercy.com.au
Phone: 8458 4759
MOB: 0408 789 798
FAX: 8458 4751
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