We verified whether an adapted formula, which presents poly-oligosacch
arides containing maltose, promotes intestinal implantation of bacteri
al microflora to the extent that breast milk does, as an epidemiologic
al link exists between newborn feeding methods and infant health. Stoo
l specimens were taken and cultured at the fourth day of life from vag
inally born neonates. Twenty-two were breast-fed and 20 were fed with
formula. In breastfed infants, the Bifidobacterium was significantly p
revalent expressed in percentage (47.6% vs 15%) and in mean bacterial
fecal counts/g (7.1 +/- 0.8 vs 5.3 +/- 0.6). Enterococci prevailed in
formula-fed infants (mean counts 6.7 +/- 0.9 vs 7.4 +/- 0.5). Of inter
est is the significant and simultaneous presence of Bifidobacteria and
Bacteroides in breast-fed infants. Our study indicates that flora wit
h a diet-dependent pattern is present from the fourth day of life. The
se results support a preference for breast feeding over formula feedin
g, even though renewed.