000			02457na a2200241 4500
999			_c13248 _d13248
003			PC13248
005			20210625062812.0
008			130622s2013 xxx||||| |||| 00| 0 eng d
040			_cH12O
041			_aeng
100			_aChaves Sánchez, Fernando _978 _eMicrobiología y Parasitología
100			_aCruz Bértolo, Javier de la _91783 _eEpidemiología Clínica
100			_aEscuder Vieco, Diana _91856 _b _eNeonatología
100			_aGarcía Lara, Nadia Raquel _91852 _eNeonatología
100			_aPallás Alonso, Carmen Rosa _91008 _eNeonatología
100			_aVázquez Román, Sara _91427 _eNeonatología
245	0	0	_aDetermination of Dornic Acidity as a Method to Select Donor Milk in a Milk Bank. _h[artículo]
260			_bBreastfeeding Medicine, _c2013
260			_c2013
300			_a8(1):99-104.
500			_aFormato Vancouver: Vázquez-Román S, García-Lara NR, Escuder-Vieco D, Chaves-Sánchez F, De la Cruz-Bertolo J, Pallás-Alonso CR. Determination of Dornic acidity as a method to select donor milk in a milk bank. Breastfeed Med. 2013 Feb;8(1):99-104.
501			_aPMID: 23373435
504			_aContiene 30 referencias
520			_aBackground: Dornic acidity may be an indirect measurement of milk's bacteria content and its quality. There are no uniform criteria among different human milk banks on milk acceptance criteria. The main aim of this study is to report the correlation between Dornic acidity and bacterial growth in donor milk in order to validate the Dornic acidity value as an adequate method to select milk prior to its pasteurization. Materials and Methods: From 105 pools, 4-mL samples of human milk were collected. Dornic acidity measurement and culture in blood and McConkey's agar cultures were performed. Based on Dornic acidity degrees, we classified milk into three quality categories: top quality (acidity <4 degrees D), intermediate (acidity between 4 degrees D and 7 degrees D), and milk unsuitable to be consumed (acidity >= 8 degrees D). Spearman's correlation coefficient was used to perform statistical analysis. Results: Seventy percent of the samples had Dornic acidity under 4 degrees D, and 88% had a value under 8 degrees D. A weak positive correlation was observed between the bacterial growth in milk and Dornic acidity. The overall discrimination performance of Dornic acidity was higher for predicting growth of Gram-negative organisms. In milk with Dornic acidity of >= 4 degrees D, such a measurement has a sensitivity of 100% for detecting all the samples with bacterial growth with Gram-negative bacteria of over 10(5) colony-forming units/mL. Conclusions: The correlation between Dornic acidity and bacterial growth in donor milk is weak but positive. The measurement of Dornic acidity could be considered as a simple and economical method to select milk to pasteurize in a human milk bank based in quality and safety criteria.
710			_9446 _aServicio de Pediatría-Neonatología
710			_981 _aServicio de Microbiología y Parasitología
710			_9625 _aInstituto de Investigación imas12
856			_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/1/pc13248.pdf _ySolicitar documento
942			_n0 _2ddc _cART