Need for re-evaluating the risk of coronavirus disease 2019 transmission to neonates
Need for re-evaluating the risk of coronavirus disease 2019 transmission to neonates
复制标题
需要重新评估 2019 年冠状病毒疾病传播给新生儿的风险
DOI：
10.1111/ped.15460
复制
发表时间：
2023
期刊：
影响因子：
1.4
通讯作者：
Tsukahara H
中科院分区：
文献类型：
--
作者：
Uda K;Tsuge M;Yashiro M;Honda T;Tsukahara H
我们饶有兴趣地阅读了Morioka等人(1)最近发表的一篇文章，他们在对确诊或疑似感染2019冠状病毒病（COVID-19）的妇女所生新生儿的医疗保健调查中发现，垂直传播的发生率很低。他们还报告说，新生儿医疗护理没有明确的指导方针，显然是以各种模式进行的。2021年12月，日本新生儿健康与发育协会更新了对疑似或确诊COVID-19母亲所生新生儿的建议(2)，为护理这类新生儿提供了有用的信息。然而，这些措施与新生儿通过医务人员接触的风险无关。在当前的组粒变异时代，许多医务人员都获得了严重急性呼吸综合征冠状病毒2 （SARS-CoV-2）感染。日本感染预防和控制学会（JSIPC）指南于2021年11月最后一次更新，在全国范围内用于控制医院感染(3)。根据是否佩戴个人防护装备，特别是口罩和护目镜，将传播风险分为高风险和低风险。该指南侧重于成年患者，而不太关注构成未成年人口的新生儿。根据JSIPC的指导方针，与被诊断为COVID-19的医护人员接触最多48小时的婴儿可能会被隔离，因为他们无法戴口罩。然而，根据这一指南作出的隔离决定可能导致高估传播风险，并增加医务人员、患者及其家属的负担，例如通过关闭新生儿护理
We have read with great interest a recent article by Morioka et al.(1), who found a low incidence of vertical transmission in their survey of medical care for neonates born to women with confirmed or suspected coronavirus disease 2019 (COVID-19). They also reported no definitive guidelines for newborn medical care, which was apparently administered in a variety of patterns. In December 2021, The Japanese Society for Neonatal Health and Development updated their recommendations for neonates born to mothers with suspected or confirmed COVID-19 (2), which have provided useful information for the care of such neonates. However, these measures are not concerned with the neonatal risk of exposure via medical staff. In the current era of the omicron variant, numerous medical staff have acquired severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. The Japanese Society for Infection Prevention and Control (JSIPC) guidelines, which were last updated in November 2021, are used nationally to control nosocomial infections (3). The transmission risk is categorized as high or low based on whether personal protective equipment, especially masks and eye protection, is worn. The guidelines focus on adult patients and are not concerned as much with neonates, who comprise a minor population. Based on the JSIPC guidelines, infants who have come into contact with a healthcare worker in whom COVID-19 is diagnosed up to 48 hours later may be isolated because they are unable to wear a mask. However, quarantine decisions based on this guideline may lead to overestimating the transmission risk and increase the burden on medical staff, patients, and their families, such as through the closure of neonatal care