Safety of breast/chest-feeding by those infected by SARS-CoV-2.
Safety of breast/chest-feeding by those infected by SARS-CoV-2.
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DOI：
10.1097/mco.0000000000000816
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发表时间：
2022-03-01
影响因子：
3.1
通讯作者：
Powell RLR
中科院分区：
文献类型：
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作者：
Powell RLR
从大流行开始的一个重要问题是，严重急性呼吸道综合征冠状病毒2（SARS-CoV-2）感染者的牛奶是否可能是SARS-CoV-2传播的媒介。本综述总结了关于这一主题的最新数据。感染后牛奶中的SARS-CoV-2 sIgA反应非常常见。迄今为止，没有证据表明SARS-CoV-2通过母乳传播。虽然在少数研究的牛奶样品中发现了病毒RNA，但没有发现传染性病毒颗粒。SARS-CoV-2的主要传播途径是通过吸入含有病毒颗粒的呼吸道飞沫。其他传播途径也是可能的，包括粪-口、经胎盘，以及在较小程度上通过受污染的表面。SARS-CoV-2不能通过母乳传播。没有证据表明婴儿应该与SARS-CoV-2感染的母亲分开，这些母亲的健康状况足以建立或继续母乳喂养。
One important question from the outset of the pandemic has been whether a severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-infected person's milk might be a vehicle for SARS-CoV-2 transmission. This review summarizes the most recent data on this topic. A SARS-CoV-2 sIgA response in milk after infection is very common. To date, there has been no evidence that SARS-CoV-2 transmits via human milk. Though viral RNA has been identified in a minority of milk samples studied, infectious virus particles have not. The highly dominant transmission route for SARS-CoV-2 is via inhalation of respiratory droplets containing virus particles. Other routes of transmission are possible, including fecal–oral, trans-placental, and to a much lesser extent, via a contaminated surface. SARS-CoV-2 cannot transmit via human milk. There is no evidence that infants should be separated from SARS-CoV-2-infected mothers who are well enough to establish or continue breastfeeding.