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INFANT FORMULA, PREMATURES, stage 1, hosp. use, pwd, 400g

https://unicat.msf.org/cat/product/57575
STD NFOSINFOP1O40

Valid Article

Former Code(s): NFOSINFOP1P40
Article is intended to be used with children (<12 years) ONLY.
18
Shelf life = length of time a product can remain active and effective. Short shelf life = shelf life = < 24 months
CT25
Thermosensitive codes are defined for storage and transportation temperature requirements of the products.
OC subscriptions: included in supply or field order tools (e.g. UniField)
SC subscriptions: included in supply or field tools
OC validations: approved for procurement and use by an OC for international or local orders specifying context and activity in Medical Standard Lists (MSL)

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INFANT FORMULA premature infants

Definition

Breast milk substitute intended for premature infants, for hospital use only (never to be distributed).

See the Statement on infant feeding.

Specifications

Main Composition

Partially demineralised whey, vegetable fat (or vegetable oil), skimmed milk powder, malto-dextrin, lactose, emulsifier, vitamins, minerals.

Technical specifications

Nutritional valuesper 100 ml (min - max)per 100 Kcal (min - max)
Energy (kcal)67 - 94
Lipids (g)4.4 - 6.0
Proteins (g)2.5 - 3.6
carbohydrates (gl)9 - 12.5
lactose (g)4 - 12.5
Mineralsper 100 Kcal (min - max)
Calcium (mg)123 - 185
Calcium : phosphorus (ratio)1.7 : 1 - 2 : 1
Phosphorus (mgl)82 - 109
Magnesium (mgl)6.8 - 17
Iron (mgl)1.7 - 3.0
Zinc (mg)1.1 - 1.5
Manganese (µg)6.3 - 25
Copper (µgl)100 - 250
Iodine (µg)6 - 35
Sodium (mgl)39 - 63
Potassium (mgl)60 - 160
Chloride (mg)60 - 160
Selenium (µg)1.8 - 5.0
Fluoride (µg)< 25
Vitaminsper 100 Kcal (min - max)
Retinol (Vit A) (µg RE)204 - 380
Cholecalciferol (Vit D) (IU)75 - 270
Tocopherol (Vit E) (mg αTE)2 - 8
Tocopherol (Vit E) (mg) : PUFA1 (g) (ratio)> 1.5 : 1
Phylloquinone (Vit K) (µg)4 - 25
Thiamin (Vit B1) (µg)30 - 250
Riboflavin (Vit B2) (µg)80 - 620
Niacin (Vit B3) (µg)550 - 5000
Pyridoxine (Vit B6) (µg)30 - 250
Cobalamin (Vit B12) (µg)0.08 - 0.7
Folate (µgl)30 - 45
Pantothenic acid (µg)300 - 1900
Biotin (Vit B7) (µg)1.0 - 37
Ascorbic ac. (Vit C) (mg)8.3 - 37

1 PUFA: polyunsaturated fatty acids

Organoleptic properties:

  • Texture: powder without lumps
  • Appearance: white of slightly yellowish fine powder, free from impurities/coloured particles. The reconstituted milk shall be a homogenous liquid. It shall be white.
  • Smell: shall be neutral and typical of milk. It shall not be pungent.
  • Taste: shall be characteristic of milk; no rancid, pungent or unpleasant taste.

Packaging & Labelling

Primary and secondary packaging must protect the hygienic and nutritional qualities of the product during transport, handling, storage under MSF field conditions.

  • Primary packaging (unit packaging): 400 g or 800 g aluminium tin, sealed with aluminium foil and a plastic lid, including a measuring spoon. The lid should protect the milk from humidity once the aluminium foil is removed.

For more information on packaging labelling, refer to the CHECKLIST CONTROL UPON RECEIPT specialised food.

Instructions for use

Preparation and Reconstitution of infant formula (Good Hygiene Practices)

  • Preparation should take place in a clean environment on cleaned and disinfected work surfaces.
  • Wash hands thoroughly with soap and warm water, and dry with a clean cloth or single-use towel.
  • Water used to prepare powdered infant formula should be boiled for 2 minutes and then cooled to 60-70°C before adding the powder. Use a digital food grade thermometer to check the temperature of the water.
  • Pour the exact quantity of water (at 70°C) required (follow the instruction on the packaging) into a cleaned and sterilised recipient. Use a 100 ml graduated measuring jug or a 100 ml graduated glass beaker with spout.
  • Add the required amount of infant formula powder ((follow the instruction on the packaging). Using more or less powder than indicated may make the infant sick.
  • Remark on the measuring spoon:
    • use the measuring spoon provided in the tin. Do NOT use a measuring spoon from another product or manufacturer.
    • put it directly back into the tin, do not wash it.
    • the measuring spoon should not get wet; if it does, dry it well before putting it back in the tin.
    • The measuring spoon provided usually corresponds to the dose of powder required for 30 ml of water.
  • Mix the preparation with a sterilised utensil until complete dilution.
  • Label the recipient: "Infant formula, day and time of preparation".
  • Cool to feeding temperature (approx. 37°C).
  • Use within 2 hours

Administration

  • Prepared formula should be administered either at room or body temperature. The temperature should be checked with a thermometer, preferably digital.
  • It is best to prepare and serve infant formula immediately after cooling to body temperature. Reducing the time between preparation and consumption reduces the risk to the infant.

Conservation of reconstituted infant formula

  • If it is not possible to consume immediately, keep the preparation refrigerated at 4ºC (do not exceed 4ºC) in a clean bottle or other container with lid, immediately after cooling to body temperature.
  • Refrigerated preparation should be consumed within 24 hrs.
  • Do not prepare infant formula in advance if it can not be consumed within 2 hrs or if refrigeration is not available.
  • Never keep infant formula in a refrigerator if it has been prepared for more than 2 hrs.
  • Discard any preparation that has not been consumed within 2 hrs.
  • Discard any refrigerated preparation that has not been consumed within 24 hrs.

Storage

  • Below 25ºC, Protect from sunlight ‐ Protect from humidity
  • Shelf life: usually 18 to 24 months from the manufacture date as stated on the packaging.
  • Infant milk formula must be kept in its original packaging to prevent any contamination.
  • After opening, infant milk formula should be consumed within 3 weeks.
  • Destroy the powder milk immediately if the colour, smell, or aspect has changed, even if the expiry date has not yet been reached (high risk of bacteriological contamination).

Follow the procedure QA-NFOS-SOP3 Storage of specialised food (NFOS).

For procedures related to Quality Control, refer to Preliminary remarks on specialised food.

MSF requirements

This product must be prepared with safe drinking water.

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