Evidence map›Paper›PMID 41469539›Full record

ArticleBMC microbiology2025

Emerging microbial risks: Cronobacter sakazakii in powdered infant formula for infants under six months of age in Ethiopia.

Waktole Gobena Sima, Tesfaye Legesse, Samson Girma, Firehiwot Abera, Tigist Yohanis, Kasu Desta, Masresha Tesema

Abstract read
In one paragraph

Article in BMC microbiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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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

7 authors.

Waktole Gobena SimaEthiopian Public Health Institute, Addis Ababa, Ethiopia. wake22015@gmail.com.
Tesfaye LegesseEthiopian Public Health Institute, Addis Ababa, Ethiopia.
Samson GirmaEthiopian Public Health Institute, Addis Ababa, Ethiopia.
Firehiwot AberaEthiopian Public Health Institute, Addis Ababa, Ethiopia.
Tigist YohanisEthiopian Public Health Institute, Addis Ababa, Ethiopia.
Kasu DestaAddis Ababa University, Addis Ababa, Ethiopia.
Masresha TesemaEthiopian Public Health Institute, Addis Ababa, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPowdered infant formula is issued in instances where breastfeeding is not possible or inadequate as a substitute, but it is not a sterile product and is sometimes a vehicle for certain pathogens like Cronobacter sakazakii with neonatal deaths reported to occur in 40–80% of cases. Therefore, the aim of this study was to determine the microbial quality and safety of powdered infant formula for infants below six months of age using indicator organisms, and foodborne pathogens.

methodsA cross-sectional study was conducted on 106 Powdered Infant formula milk samples to assess the microbial safety and quality using mesophilic aerobic colony count, Enterobacteriaceae, coliforms counts and pathogens Salmonella species and Cronobacter sakazakii using ISO and NMKL-Nordval International methods.

resultsMesophilic aerobic counts were detected in 9.4% (n = 20) of the samples. Enterobacteriaceae and total coliforms were detected in 9.4% (n = 10) and 7.5% (n = 8). Cronobacter sakazakii were also detected, with a prevalence rate of 5.6% (n = 6/107), and no Salmonella species were detected in this study.

conclusionThe study on powdered infant formula (PIF) concludes that while the majority of the formulas met microbial quality and safety standards, a notable percentage contained mesophilic aerobic colonies, Enterobacteriaceae, and coliforms, with Cronobacter sakazakii present in 5.6% of them. This finding highlights a potential health risk for infants under six months, especially given the reported high mortality rate associated with Cronobacter sakazakii infections. However, no Salmonella species were detected. The results underline the importance of stringent microbial quality controls and handling practices for PIF to safeguard infant health.

Indexed as

Cronobacter sakazakiiEnterobacteriaceae InfectionsFood ContaminationInfant FormulaColony Count, MicrobialCross-Sectional StudiesEnterobacteriaceaeEthiopiaFood MicrobiologyHumansInfantInfant, NewbornPowdersSalmonellaPowdersCronobacter SakazakiiEnterobacteriaceaeMesophilic aerobic colony countPowdered infant formulaSalmonella species

Identifiers

PMID41469539
PMCPMC13049718

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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.