Is Ertapenem Safe in Breastfeeding

I am a breastfeeding mother and i want to know if it is safe to use Ertapenem? Is Ertapenem safe for nursing mother and child? Does Ertapenem extracts into breast milk? Does Ertapenem has any long term or short term side effects on infants? Can Ertapenem influence milk supply or can Ertapenem decrease milk supply in lactating mothers?

Antibacterial carbapenem beta-lactam with indications similar to imipenem.Intravenous administration a daily dose. It is excreted in breast milk in a clinically insignificant amount (Merck 2012). Authorized pediatric use in infants from 3 months of age. Its low oral bioavailability would make it difficult for it to pass to the infant’s plasma ingesting breast milk, except in preterm infants and in the immediate neonatal period when there may be increased intestinal permeability. The possible negativity of cultures in febrile infants whose mothers take antibiotics should be taken into account, as well as the possibility of gastroenteritis due to altered intestinal flora (Benyamini 2005, Ito 1993, Kafetzis 1981).

Limited information indicates that ertapenem produces low levels in milk that are not expected to cause adverse effects in breastfed infants. Occasionally disruption of the infant's gastrointestinal flora, resulting in diarrhea or thrush has been reported with beta-lactams, but these effects have not been adequately evaluated. Ertapenem is acceptable in nursing mothers.