Infant food safety

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Foodborne illness (also foodborne disease and colloquially referred to as food poisoning) [1] is any illness resulting from the food spoilage of contaminated food, pathogenic bacteria, viruses, or parasites that contaminate food. [2] Infant food safety is the identification of risky food handling practices and the prevention of illness in infants. Foodborne illness is a serious health issue, especially for babies and children. Infants and young children are particularly vulnerable to foodborne illness because their immune systems are not developed enough to fight off foodborne bacterial infections. In fact, 800,000 illnesses affect children under the age of 10 in the U.S. each year. [3] Therefore, extra care should be taken when handling and preparing their food.

Contents

Prevention

Handwashing is the first step in maintaining the safety of infant food. [4] Caregivers hands can pick up bacteria and spread bacteria to the baby. Situations in which one can encounter high levels of bacteria are:[ citation needed ]

Handwashing can remove harmful bacteria and will help to prevent foodborne illness. Instructing other children in a family on good handwashing will help to limit the spread of bacteria that cause illness. [3]

Handwashing is most effective in providing safe food for the infant during 'key times': [5]

Infant formula

Though breastfeeding helps prevent many kinds of sicknesses among infants, caregivers often choose to use infant formula. Promoting food safety in infants requires safe preparation and use. [5]

Use infant formula within two hours of preparation. If the infant does not finish the entire bottle, the remainder is thrown away. If the prepared feed is not used right away, refrigerating it immediately will slow the growth of microorganisms, however it must be used within 24 hours. [5]

Cronobacter , formerly known as Enterobacter sakazakii, is a group of bacteria that can be found in the environment. The germs can also live in dry foods, such as powdered infant formula. Anybody can get sick from Cronobacter, but the infection occurs most often in infants. Cronobacter infections are rare, but they can be deadly in newborns. Infections in infants usually occur in the first days or weeks of life. Cronobacter germs can cause dangerous blood infections (sepsis) or infections of the linings surrounding the brain and spine (meningitis). Infants two months of age and younger are most likely to develop meningitis if they get sick with Cronobacter. Infants born prematurely and infants with a lower ability to fight germs and sickness due to illness (such as HIV) or medical treatment (such as chemotherapy for cancer) are also more likely to get sick. The first symptom of Cronobacter infection in infants is usually a fever, coupled with poor feeding, crying, or very low energy. Parents or caregivers should take an infant with these symptoms to see a doctor. [5] [6]

Infection prevention

Cronobacter infections can be prevented by:

Safe infant formula preparation

Recommendations from health organizations for the preparation of infant formula are:[ citation needed ]

If soap and water are not available, use an alcohol-based hand sanitizer with at least 60% alcohol (check the product label to be sure). Hand sanitizer with at least 60% alcohol is effective in killing Cronobacter germs. But use soap and water as soon as possible afterward because hand sanitizer does not kill all types of germs and may not work as well if hands are visibly greasy or dirty.[ citation needed ]

Cronobacter can also cause diarrhea and urinary tract infections in people of all ages. The infection can be serious for older people and for people whose immune systems are weakened by other illnesses or conditions. They are also more likely to get sick. [5]

Caregivers can prepare infant formula safely by:

Heating breast milk or infant formula

There are two ways to heat bottles with disposable inserts or hard plastic, and glass bottles. A bottle can be placed under hot, running tap water until the desired temperature is reached. This should take one-to-two minutes. A bottle can be placed in a pan after the water has been heated on a stove. The pan can be removed from the heat and set the bottle in it until it is warm. It is safer to shake milk or formula to even out the temperature. Heating breast milk or infant formula in the microwave is not recommended. This results in "hot spots" that can scald a baby's mouth and throat. [8]

Cow's milk

Cow's milk by itself is not appropriate for infants less than one year old. Cow's milk does not have the correct balance of nutrients for infants to grow and develop normally, and it can cause problems with anemia and kidney function. Raw milk is never appropriate for infants – or anyone else. It should not be consumed by anyone at any time for any purpose. Raw milk can harbor dangerous microorganisms, such as Salmonella , E. coli , and Listeria , that can pose serious health risks. Most infant formula is made with cow's milk, but it has been modified and supplemented with additional nutrients. As a result, the formula is more nutritious and easier for the baby to digest than cow's milk. Other formula options include soy-based formulas and hypoallergenic (or protein hydrolysate and amino acid-based) formulas. Special formulas are available for babies who are premature or have other health problems. [4]

Sanitizing objects

Infants put anything within reach into their mouths. It is also important to keep all objects that enter baby's mouths (such as pacifiers and teethers) clean. [5] Though research into five-second rule has been done, results are inconclusive.[ citation needed ]

Solid foods

Infants are introduced to solid foods at different ages. Breast milk alone is sufficient to support optimal growth and development for approximately the first six months after birth. For very young infants water, juice, and other foods are generally unnecessary. Even when babies enjoy discovering new tastes and textures, solid foods should not replace breastfeeding, but merely complement breast milk as the infant's main source of nutrients throughout the first year. Beyond one year, as the variety and volume of solid foods gradually increase, breast milk remains an ideal addition to the child's diet. [9] Parents and caregivers can reduce choking hazards in a child's environment. Special attention should be given to food and nonfood items (e.g., candy, nuts, and coins) commonly involved in choking. Younger children are particularly at risk because of their tendency to place objects in their mouths, poor chewing ability, and narrow airways compared with those of older children. Recommendations are available to guide parents and caregivers about the types of food items that are inappropriate for children aged less than four years. Removal of nonfood choking hazards also is important for infants and children aged less than five years because approximately one third of all choking episodes involve nonfood items. [10]

Microwaving of solid foods

When baby food is microwaved in a jar it often heats unevenly. The hottest places are in the center of the foods. The coolest places are next to the glass sides, which could lead you to believe that the food is not too hot. Safe practices for microwaving food for infants are:

First aid for choking

Early and effective treatment is crucial to prevent morbidity and mortality from childhood choking. Methods taught routinely in courses on cardiopulmonary resuscitation (CPR) or first aid can be lifesaving when instituted early by trained parents and caregivers. Opening the airway quickly by ejecting the foreign body can avoid potentially severe injuries. The American Academy of Pediatrics recommends that all parents and caregivers participate in the American Heart Association's Basic Lifesaving Course or the American Red Cross' Infant/Child CPR Course. [10] To prevent infant choking, be sure your child has adequate motor skills to swallow food. [11] Do not offer babies or young children high-risk foods, such as chunks of meat, cheese, grapes, or raw vegetables, unless they are cut up into small pieces. [12] Avoid hard foods, such as nuts, seeds, and popcorn.

Commercial baby food

Infant food safety includes the evaluation of commercially prepared baby food before feeding it to a baby. Examining each jar of commercial baby food before using it and noting the position of the safety button on top of the jar will indicate whether or not the jar has been opened. Unopened baby food in jars will have a safety button that is down. A jar of baby food that is swelling, leaking, contain chipped glass is probably not safe to feed to a baby. Some baby food comes in pouches. If the pouch is leaking or swelling it may not be safe to feed to a baby. [4]

The Food and Drug administration has published the following do's and don'ts regarding commercial baby food safety:

Handwashing

  1. Wet hands thoroughly with warm water and add soap.
  2. Thoroughly scrub hands, wrists, fingernails, and in between fingers - for at least 20 seconds.
  3. Rinse, then dry hands with a clean cloth towel or use a paper towel so the germs are thrown away. [5]

When to wash

Handwashing prevents spreading infection. Washing before and after handling food, after using the bathroom, changing diapers, or handling pets. [3]

Epidemiology

Caregivers of infants less than four months old:

See also

Related Research Articles

<span class="mw-page-title-main">Infant formula</span> Manufactured food designed for feeding infants

Infant formula, also called baby formula, simply formula, baby milk or infant milk, is an ultra-processed food designed and marketed for feeding to babies and infants under 12 months of age, usually prepared for bottle-feeding or cup-feeding from powder or liquid. The U.S. Federal Food, Drug, and Cosmetic Act (FFDCA) defines infant formula as "a food which purports to be or is represented for special dietary use solely as a food for infants by reason of its simulation of human milk or its suitability as a complete or partial substitute for human milk".

<span class="mw-page-title-main">Hygiene</span> Practices performed to preserve health

Hygiene is a set of practices performed to preserve health. According to the World Health Organization (WHO), "Hygiene refers to conditions and practices that help to maintain health and prevent the spread of diseases." Personal hygiene refers to maintaining the body's cleanliness. Hygiene activities can be grouped into the following: home and everyday hygiene, personal hygiene, medical hygiene, sleep hygiene, and food hygiene. Home and every day hygiene includes hand washing, respiratory hygiene, food hygiene at home, hygiene in the kitchen, hygiene in the bathroom, laundry hygiene, and medical hygiene at home.

<span class="mw-page-title-main">Baby bottle</span> Bottle containing liquid (usually milk or formula) to nourish infant

A baby bottle, nursing bottle, or feeding bottle is a bottle with a teat attached to it, which creates the ability to drink via suckling. It is typically used by infants and young children, or if someone cannot drink from a cup, for feeding oneself or being fed. It can also be used to feed non-human mammals.

<span class="mw-page-title-main">Breast pump</span> Mechanical device used to extract milk from human breasts

A breast pump is a mechanical device that lactating women use to extract milk from their breasts. They may be manual devices powered by hand or foot movements or automatic devices powered by electricity.

<span class="mw-page-title-main">Hand washing</span> Act of cleaning ones hands

Hand washing, also known as hand hygiene, is the act of cleaning one's hands with soap or handwash and water to remove viruses/bacteria/microorganisms, dirt, grease, or other harmful and unwanted substances stuck to the hands. Drying of the washed hands is part of the process as wet and moist hands are more easily recontaminated. If soap and water are unavailable, hand sanitizer that is at least 60% (v/v) alcohol in water can be used as long as hands are not visibly excessively dirty or greasy. Hand hygiene is central to preventing the spread of infectious diseases in home and everyday life settings.

<span class="mw-page-title-main">Foodborne illness</span> Illness from eating spoiled food

Foodborne illness is any illness resulting from the contamination of food by pathogenic bacteria, viruses, or parasites, as well as prions, and toxins such as aflatoxins in peanuts, poisonous mushrooms, and various species of beans that have not been boiled for at least 10 minutes.

<span class="mw-page-title-main">Dishwashing</span> Process of cleaning cooking utensils and other items to prevent foodborne illness

Dishwashing, washing the dishes, doing the dishes, or washing up in Great Britain, is the process of cleaning cooking utensils, dishes, cutlery and other items to prevent foodborne illness. This is either achieved by hand in a sink using dishwashing detergent or by using a dishwasher and may take place in a kitchen, utility room, scullery or elsewhere.

<span class="mw-page-title-main">Breast milk</span> Milk produced by the mammary glands in the breast of a human female

Breast milk or mother's milk is milk produced by mammary glands located in the breast of a human female. Breast milk is the primary source of nutrition for newborns, containing fat, protein, carbohydrates and variable minerals and vitamins. Breast milk also contains substances that help protect an infant against infection and inflammation, whilst also contributing to healthy development of the immune system and gut microbiome.

<span class="mw-page-title-main">Baby food</span> Food made especially for infants

Baby food is any soft, easily consumed food other than breastmilk or infant formula that is made specifically for human babies between six months and two years old. The food comes in many varieties and flavors that are purchased ready-made from producers, or it may be table food eaten by the family that has been mashed or otherwise broken down.

<span class="mw-page-title-main">Campylobacteriosis</span> Medical condition

Campylobacteriosis is among the most common infections caused by a bacterium in humans, often as a foodborne illness. It is caused by the Campylobacter bacterium, most commonly C. jejuni. It produces an inflammatory, sometimes bloody, diarrhea or dysentery syndrome, and usually cramps, fever and pain.

<span class="mw-page-title-main">Similac</span>

Similac is a brand of infant formula that was developed by Alfred Bosworth of Tufts University and marketed by Abbott Laboratories. It was first released in the late 1920s, and then reformulated and concentrated in 1951. Today, Similac is sold in 96 countries worldwide.

<span class="mw-page-title-main">Hand sanitizer</span> Alternative to hand washing

Hand sanitizer is a liquid, gel or foam generally used to kill many viruses/bacteria/microorganisms on the hands. It can also come in the form of a cream, spray, or wipe. In most settings, hand washing with soap and water is generally preferred. Hand sanitizer is less effective at killing certain kinds of germs, such as norovirus and Clostridium difficile, and unlike hand washing, it cannot physically remove harmful chemicals. People may incorrectly wipe off hand sanitizer before it has dried, and some are less effective because their alcohol concentrations are too low.

<span class="mw-page-title-main">Food safety</span> Scientific discipline

Food safety is used as a scientific method/discipline describing handling, preparation, and storage of food in ways that prevent foodborne illness. The occurrence of two or more cases of a similar illness resulting from the ingestion of a common food is known as a food-borne disease outbreak. This includes a number of routines that should be followed to avoid potential health hazards. In this way, food safety often overlaps with food defense to prevent harm to consumers. The tracks within this line of thought are safety between industry and the market and then between the market and the consumer. In considering industry-to-market practices, food safety considerations include the origins of food including the practices relating to food labeling, food hygiene, food additives and pesticide residues, as well as policies on biotechnology and food and guidelines for the management of governmental import and export inspection and certification systems for foods. In considering market-to-consumer practices, the usual thought is that food ought to be safe in the market and the concern is safe delivery and preparation of the food for the consumer. Food safety, nutrition and food security are closely related. Unhealthy food creates a cycle of disease and malnutrition that affects infants and adults as well.

<span class="mw-page-title-main">Food contaminant</span> Harmful substance in food

A food contaminant is a harmful chemical or microorganism present in food, which can cause illness to the consumer.

<i>Cronobacter</i> Genus of bacteria

Cronobacter is a genus of Gram-negative, facultatively anaerobic, oxidase-negative, catalase-positive, rod-shaped bacteria of the family Enterobacteriaceae. Several Cronobacter species are desiccation resistant and persistent in dry products such as powdered infant formula. They are generally motile, reduce nitrate, use citrate, hydrolyze esculin and arginine, and are positive for L-ornithine decarboxylation. Acid is produced from D-glucose, D-sucrose, D-raffinose, D-melibiose, D-cellobiose, D-mannitol, D-mannose, L-rhamnose, L-arabinose, D-trehalose, galacturonate and D-maltose. Cronobacter spp. are also generally positive for acetoin production and negative for the methyl red test, indicating 2,3-butanediol rather than mixed acid fermentation. The type species of the genus Cronobacter is Cronobacter sakazakii comb. nov.

Infant feeding is the practice of feeding infants. Breast milk provides the best nutrition when compared to infant formula. Infants are usually introduced to solid foods at around four to six months of age.

Infant and toddler safety are those actions and modifications put into place to keep babies and toddlers safe from accidental injury and death. Many accidents, injuries and deaths are preventable.

Newborn care and safety are activities and precautions recommended for new parents or caregivers. It is an educational goal of many hospitals and birthing centers to promote newborn care and safety as parents take their infant home.

Toddler nutrition is the description of the dietary needs of toddlers aged one to two years old. Food provides the energy and nutrients that toddlers need to be healthy. An adequate intake in nutrient rich food is good nutrition. A diet lacking essential calories, minerals, fluid and vitamins could be considered 'bad' nutrition. Nutrition needs are different for toddlers. For a baby, breast milk is "best" and it has all the necessary vitamins and minerals. Toddlers typically have been weaned from breast milk and infant formula. Though infants usually start eating solid foods between 4 and 6 months of age, more and more solid foods are consumed by a growing toddler. If a food introduced one at a time, a potential allergen can be identified. Food provides the energy and nutrients that young children need to be healthy. Toddlers are learning to feed themselves and to eat new foods. They should eat a variety of foods from all the food groups. Each day, toddlers need enough nutrients, including

<span class="mw-page-title-main">Milk borne diseases</span>

Milk borne diseases are any diseases caused by consumption of milk or dairy products infected or contaminated by pathogens. Milk borne diseases are one of the recurrent foodborne illnesses—between 1993 and 2012 over 120 outbreaks related to raw milk were recorded in the US with approximately 1,900 illnesses and 140 hospitalisations. With rich nutrients essential for growth and development such as proteins, lipids, carbohydrates, and vitamins in milk, pathogenic microorganisms are well nourished and are capable of rapid cell division and extensive population growth in this favourable environment. Common pathogens include bacteria, viruses, fungi, and parasites and among them, bacterial infection is the leading cause of milk borne diseases.

References

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  7. "Cronobacter Infection and Infants". Centers for Disease Control and Prevention. 2023-02-14. Retrieved 2023-07-21.
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  12. "CDC - Child Development, infants (0-1 years) NCBDDD". cdc.gov. Retrieved 27 July 2017.