Abdul Bari, M Bashir Awan, Ali Abbas Qazilbash.
Prevalence of Enterotoxigenic E. Coli in milk fed to infants through feeder bottles.
Pak Armed Forces Med J Jan ;47(2):59-61.

508 samples of milk being fed to babies through feeder bottles were collected from public places, like waiting halls of hospitals, bus stands and railway stations. Information on age, type of milk, hygienic practices observed and any disease problem with the baby, too, was recorded in each case. 18 percent of the studied infants were found to be suffering from diarrhea. These sufferers were mostly the infants who were sampled from the hospitals. Another 9% infants were reported to be suffering of some respiratory, or local ailment. Seventy percent of the infants were being fed on fresh, unprocessed but boiled buffalo or cow`s milk. Only 46 milk samples yielded E. coli on MacConkeys Agar. Their identity was confirmed by serotyping. All the isolates were examined for enterotoxin production. Four isolates were found to be positive for heat-stable enterotoxin (ST) production. Presence of high percentage of E. coli in feeders indicate poor hygienic practices observed by the mothers in bottle feeding resulting in diarrhea and poor growth rate.

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