Efficacy of cleaning and disinfecting infant bottle feeding by mothers in Raparin Teaching Hospital at Erbil City-Kurdistan Region

الملخص EN

Background : Safe use of infant formula is challenging in developing world settings.

Because water and sanitation infrastructure are often suboptimal in these communities, infants who are not breastfed remain at high risk of morbidity and mortality caused by diarrheal pathogens.

Objectives : The study aimed to find out the association between methods of cleaning and disinfecting bottle feeding and culture result, determine most sterilize methods by mothers.

Methods: A survey study was carried out at Raperin Teaching hospital in Erbil City Iraq/Kurdistan Region from (15-June-2015 to15-September-2015) .A convenience sample of 40 mothers were selected who used bottle feeding,(10) Mothers of each method ( boiling water, salt (Nacl),Detergent) and tap water only),Then the Then the swape was taken from the screw line of bottle after the cleaning and washing by mother and send to laboratory for culture was taken from the screw line of bottle after the cleaning and washing by mother and send to laboratory for culture.

A questionnaire was designed that composed of four parts, (Socio-demographic data of mother and their infant, some questions method of cleaning and disinfecting bottle feeing, the data were analysis by using Frequency, percentage and Chi square (SPSS, 19 ).

Results: The results found (32.5 %) of mothers were age (26-30) years old,(37.5 %) were illiterate,(45%) of them were from Urban , (82.5%)of infant have history of previous diarrhea (10 %) positive culture swap from boiling methods of cleaning and sterilizing the bottle feeding, while (90 %) positive pathogen culture swap is seen in detergent method, (100 %) was positive culture swap from both methods( tap water and salt).(35 %) of bacterial growth was E.

Coli, (17.5 %) of them was Klepssela.

pneumonia, while only (5 %) of bacteria were( Multi bacteria), Regarding the fungi (15 %) was positive (Monilia), there is highly significant association between (Culture result, Type of Bacteria, Duration of cleaning and sterilization and Type of bottle) with method of cleaning and sterilization.

Conclusions: The study concludes that method of cleaning and sterilization of bottle feeding were sterilize because there are a lot of pathogen were isolated from bottle after cleaning and sterilization by mothers and Boiling method was the most sterilize method and The study indicate that bottle feeding does not provide a safe feeding.

Recommendations : The study recommend a guideline and an educational program about method of cleaning and sterilization of bottle feeding for mothers and family must be provide to all maternal and child heath care center in Kurdistan region –Iraq, Encourage mother to use breast feeding and use glass bottle feeding instead of plastic one, because its easer to sterilize and clean.

Tap water not recommended for cleaning the bottle feeding because of poor sanitation.