Effect of the PiAstra Benchtop Flash-Heating Pasteurizer on Immune Factors of Donor Human Milk

Breastfeed Med. 2018 May;13(4):281-285. doi: 10.1089/bfm.2018.0017. Epub 2018 Mar 22.

Abstract

Introduction: PiAstra is a simulated flash-heat (FH) pasteurization temperature monitoring system designed using Raspberry Pi technology for the pasteurization of human milk. This study analyzed the effect of the PiAstra FH method on human milk immune components (immunoglobulin A [IgA] and lactoferrin activity).

Methods: Donor milk samples (N = 45) were obtained from a human milk bank, and pasteurized. Concentrations of IgA and lactoferrin activity were compared to their unpasteurized controls using the Student's t test.

Results: The PiAstra FH method retained 34.2% of IgA (p < 0.0001) and 40.4% of lactoferrin activity (p < 0.0001) when compared to unpasteurized controls. The retention of IgA by the PiAstra is similar to previous FH studies, while retention of lactoferrin activity was higher than previous FH studies.

Discussion: The high-technology, low-cost PiAstra system, which is able to retain vital immune components of human milk, provides safe donor milk for low-resourced settings. This enables the use of pasteurized donor milk when human milk is not available, potentially saving vulnerable infant lives.

Keywords: flash-heat; human milk banking; pasteurization.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cost-Benefit Analysis
  • Female
  • Heating / economics
  • Heating / instrumentation*
  • Hot Temperature
  • Humans
  • Immunoglobulin A / analysis
  • Immunoglobulin A / immunology
  • Lactoferrin / analysis
  • Lactoferrin / immunology
  • Milk Banks*
  • Milk, Human / immunology*
  • Pasteurization / economics
  • Pasteurization / instrumentation*
  • Pasteurization / methods
  • Tissue Donors

Substances

  • Immunoglobulin A
  • LTF protein, human
  • Lactoferrin