Evidence map›Paper›PMID 38268226›Full record

SynthesisMaternal & child nutrition2024

A systematic review of contaminants in donor human milk.

Sionika Thayagabalu, Nicole Cacho, Sandra Sullivan, John Smulian, Adetola Louis-Jacques, Marie Bourgeois, Henian Chen, Wasana Weerasuriya, Dominick J Lemas

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Maternal & child nutrition, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
2.3field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Sionika ThayagabaluDepartment of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, Florida, USA.ORCID 0009-0009-7754-0375
Nicole CachoDepartment of Pediatrics, Division of Neonatology, University of California, Davis, California, USA.
Sandra SullivanEnvision Healthcare, HCA Florida North Florida Hospital, Gainesville, Florida, USA.
John SmulianDepartment of Obstetrics and Gynecology, College of Medicine, University of Florida, Gainesville, Florida, USA.
Adetola Louis-JacquesDepartment of Obstetrics and Gynecology, College of Medicine, University of Florida, Gainesville, Florida, USA.
Marie BourgeoisDepartment of Public Health, University of South Florida, Tampa, Florida, USA.ORCID 0000-0001-8610-1109
Henian ChenDepartment of Public Health, University of South Florida, Tampa, Florida, USA.
Wasana WeerasuriyaDepartment of Public Health, University of South Florida, Tampa, Florida, USA.
Dominick J LemasDepartment of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, Florida, USA.
University of South Florida · USUniversity of Florida · USUniversity of Florida Health · USUniversity of California, Davis · US

Funding

Using social networks to map and evaluate team science across CTSA hubsUL1TR001427 · NCATS · UNIVERSITY OF FLORIDA · PI MITCHELL, DUANE A. · 2015 to 2024
$37.2M
Human milk metabolomics and microbe-host interactions associated with pediatric obesityK01DK115632 · NIDDK · UNIVERSITY OF FLORIDA · PI LEMAS, DOMINICK JOSEPH · 2019 to 2023
$831k
NCATS NIH HHS UL1 TR001427NIDDK NIH HHS K01 DK115632NIDDK NIH HHS K01DK115632NIOSH CDC HHS T42 OH008438
6 · The paper itself

Abstract

Donor human milk (DHM) from a milk bank is the recommended feeding method for preterm infants when the mother's own milk (MOM) is not available. Despite this recommendation, information on the possible contamination of donor human milk and its impact on infant health outcomes is poorly characterised. The aim of this systematic review is to assess contaminants present in DHM samples that preterm and critically ill infants consume. The data sources used include PubMed, EMBASE, CINAHL and Web of Science. A search of the data sources targeting DHM and its potential contaminants yielded 426 publications. Two reviewers (S. T. and D. L.) conducted title/abstract screening through Covidence software, and predetermined inclusion/exclusion criteria yielded 26 manuscripts. Contaminant types (bacterial, chemical, fungal, viral) and study details (e.g., type of bacteria identified, study setting) were extracted from each included study during full-text review. Primary contaminants in donor human milk included bacterial species and environmental pollutants. We found that bacterial contaminants were identified in 100% of the papers in which bacterial contamination was sought (16 papers) and 61.5% of the full data set (26 papers), with the most frequently identified genera being Staphylococcus (e.g., Staphylococcus aureus and coagulase-negative Staphylococcus) and Bacillus (e.g., Bacillus cereus). Chemical pollutants were discovered in 100% of the papers in which chemical contamination was sought (eight papers) and 30.8% of the full data set (26 papers). The most frequently identified chemical pollutants included perfluoroalkyl substances (six papers), toxic metal (one paper) and caffeine (one paper). Viral and fungal contamination were identified in one paper each. Our results highlight the importance of establishing standardisation in assessing DHM contamination and future studies are needed to clarify the impact of DHM contaminants on health outcomes.

Indexed as

Milk BanksMilk, HumanBacteriaEnvironmental PollutantsFemaleFood ContaminationHumansInfant, NewbornInfant, PrematureEnvironmental Pollutantsbreast milkcontaminantsdonor milk

Identifiers

PMID38268226
PMCPMC10981490
OpenAlexW4391226459

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.