Table 3 Investigation of the source of infection
From: Detection of Clostridium perfringens in donor milk at a human breast milk bank: a case report
Date | Incident | Results |
|---|---|---|
December 14, the breast milk donation | Re-inspection: Collection of the milk using a home breast pump and sending it for microbiological analysis | Anaerobic culture: C. perfringens at the production stage Aerobic culture: S. epidermidis |
December 16, the breast milk donation | Follow-up on the infant’s health status | According to the return visit, Symptoms of bloody stools persisted between November 19 and December 11, and there was no improvement even after the mother avoided milk protein food and AAF feeding. CMPA diagnosis was ruled out, and milk contamination was considered. Breastfeeding was discontinued. |
December 18, the breast milk donation | Second retest: Hand milking at the outpatient clinic to collect fresh milk and send it for microbiological analysis | Anaerobic culture: no bacteria or yeast-like fungi Aerobic culture: S. epidermidis |
December 23the breast milk donation | Sampling and detection of donor’s home environment | Breast pump internal: C. perfringens was detected Community soil: C. perfringens was detected Breast milk storage inside a refrigerator, at the refrigerator door handle, mother’s hand hygiene, and desktop sampling did not detect C. perfringens at the production stage |