Implementation of a HACCP system for on-site hospital preparation of infant formula

Hazard Analysis and Critical Control Point (HACCP) system was introduced to infant formula preparation rooms in four hospitals in Salvador, Bahia, Brazil. The homogenization of powdered milk and ingredients, refrigeration and holding steps before service were identified as critical control points (CCPs). Utensils and workers' hands were identified as sources of cross contamination. Educational training courses emphasizing food safety and good preparation practices were introduced to the personnel of the rooms. Corrective actions were adopted at the CCPs that were found to be out-of-control. Implementation of HACCP system improved infant formula quality by reducing total aerobic microbial counts in the formula, and on utensils and workers' hands of approximately 4.0, 3.0 and 4.0 log cycles, respectively. S. aureus and fecal coiliforms were no longer found. (C) 1999 Elsevier Science Ltd. All rights reserved.