Tb. Morais et al., BACTERIAL-CONTAMINATION OF THE LACTEAL CONTENTS OF FEEDING BOTTLES INMETROPOLITAN SAO-PAULO, BRAZIL, Bulletin of the World Health Organization, 76(2), 1998, pp. 173-181
Reported are the results of a study in Sao Paulo, Brazil, to evaluate
the bacterial contamination of the lacteal contents of feeding bottles
prepared in urban households of low (LSE) and high (HSE) socioeconomi
c groups, involving 100 and 32 mothers of infants, respectively. Sampl
es of the lacteal contents of the feeding bottles were cultured and th
e medians (25th and 75th percentiles) of the counts (bacteria per mi)
were significantly higher in the LSE group: mesophilic bacteria, 555 0
00 (17250-4 350 000) in the LSE group and 1615 (20-500 000) in the HSE
group; coliforms, 2400 (19-150 000) in the LSE group and 7 (0-7800) i
n the HSE group. Escherichia coli was isolated from 26% (26/100) of th
e samples from the LSE group and from 6% (2/32) of those from the HSE
group (P = 0,03). In the HSE group, higher coliform counts were associ
ated with foodhandlers other than the mother, lower levels of maternal
education, the use of pasteurized milk, and the addition of ingredien
ts other than milk. In the LSE group, feeding bottles prepared using t
ap water and those prepared for infants aged over 6 months had higher
coliform counts. In general, the feeding bottles prepared in the house
holds studied were heavily contaminated, especially in the LSE group.