Bacterial contaminated breast milk and necrotizing enterocolitis in preterm twins

J Hosp Infect. 1995 Oct;31(2):105-10. doi: 10.1016/0195-6701(95)90165-5.


A pair of preterm twins developed fatal necrotizing enterocolitis (NEC) in association with Staphylococcus epidermidis septicaemia after receiving contaminated expressed breast milk (EBM). S. epidermidis NEC can be associated with severe bowel inflammation, high morbidity and mortality. Breast milk is the most suitable nutrient for preterm infants but EBM should undergo regular screening for bacterial overgrowth. We urge caution before administering EBM found to be heavily contaminated with S. epidermidis to preterm infants.

Publication types

  • Case Reports

MeSH terms

  • Bacteremia / microbiology
  • Bacteremia / transmission*
  • Cross Infection / microbiology
  • Cross Infection / transmission*
  • Diseases in Twins / etiology*
  • Enterocolitis, Pseudomembranous / microbiology
  • Enterocolitis, Pseudomembranous / transmission*
  • Fatal Outcome
  • Food Handling
  • Humans
  • Infant, Newborn
  • Infant, Premature, Diseases / microbiology*
  • Infection Control
  • Male
  • Milk, Human / microbiology*
  • Staphylococcal Infections / microbiology
  • Staphylococcal Infections / transmission*
  • Staphylococcus epidermidis*