A New Beginning

Formula Feeding

Recommendations by the Centers for Disease Control and Prevention (CDC) for safe preparation of formula and prevention of Cronobacter.

Cronobacter Infection

PREVENTION OF CRONOBACTER INFECTION In addition to the safety steps you’re already taking, extra steps can help protect your baby against Cronobacter germs. National and international authorities have different opinions on the need to follow the steps outlined. Take time to discuss When mixing powdered formula for your baby, make sure you: • Boil the water first. Let it cool to no less than 158°F (70°C) before pouring it into a clean and sterilized bottle or a feeding cup with a lid. It takes about 30 minutes for water to cool to this temperature after boiling. • Add the exact amount of formula listed in the directions on the container. Then carefully shake the bottle, rather than stirring the mixture. • Before using the bottle, make sure it’s not too hot. To cool, immediately run the prepared, tightly capped bottle under cool water or place it into an ice bath. Be careful not to let the water you’re using to cool the bottle get into the bottle or on the nipple. Before feeding your baby, test the formula’s temperature by shaking a few drops on your wrist. You don’t want it to be too hot. Cronobacter and powdered baby formula preparation with your health care provider.

Cronobacter is a very serious and rare infection caused by germs found in powdered infant formula. Powdered baby formula is not sterile. Cronobacter germs can get into powdered baby formula when it is being made in the factory. The germs can also get in the opened containers at home. Take extra precautions to protect against Cronobacter if your baby is younger than 3 months, is premature, or has a weakened immune system. Although it is rare, this infection can be deadly in newborns. Cronobacter germs can cause sepsis (a dangerous blood infection) or meningitis (swelling of the linings around the brain and spinal cord). The first symptoms of Cronobacter in a baby include a fever, poor feeding, crying, or very low energy.

If you see these symptoms, take your baby immediately to their health care provider.

Use formula within 2 hours of preparing it. If your baby doesn’t

finish the entire bottle, throw away any leftover formula. If you don’t plan to use the prepared formula right away, refrigerate it immediately. Use refrigerated formula within 24 hours.

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Chapter 10: Formula Feeding