An Uninfected Preterm Newborn Inadvertently Fed SARS-CoV-2-Positive Breast Milk

An Uninfected Preterm Newborn Inadvertently Fed SARS-CoV-2-Positive Breast Milk
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DOI:
10.1542/peds.2020-004960
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发表时间:
2020-12-01
期刊:
影响因子:
8
通讯作者:
Berardi, Alberto
Berardi, Alberto
中科院分区:
医学2区
文献类型:
--
作者:
Lugli, Licia;Bedetti, Luca;Berardi, Alberto

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由新型严重急性呼吸系统综合征冠状病毒2 (SARS-CoV-2)引起的冠状病毒病引起的关注日益增加。尽管欧洲和美国的一些科学学会强调母乳喂养的好处,即使是用母乳喂养,在世界各地,对患有冠状病毒病的无症状母亲所生新生儿的母乳喂养和管理方法各不相同。由于到目前为止,SARS-CoV-2只在母乳中被发现,因此疾病传播的风险仍然是假设的。我们在此报告一例健康的早产新生儿无意中被喂食了sars - cov -2阳性的母乳。在有和没有严格卫生预防措施的情况下收集的两种不同样本均被证实为SARS-CoV-2阳性。然而,新生儿没有感染,支持母乳的保护作用。此外,在本报告中,我们强调了在分娩后母乳喂养母亲被确诊为SARS-CoV-2阳性的新生儿的实际管理困难。
There are increasing concerns regarding coronavirus disease, caused by the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Approaches to breastfeeding and the management of neonates born to pauci-symptomatic mothers with coronavirus disease vary worldwide, although some scientific societies across Europe and the United States have emphasized the benefits of breastfeeding, even with expressed breast milk. Because SARS-CoV-2 has been, thus far, only exceptionally detected in breast milk, the risk of disease transmission has remained hypothetical. We herein report the case of a healthy preterm newborn who was inadvertently fed SARS-CoV-2-positive breast milk. Two different samples, collected with and without strict hygiene precautions, were both confirmed to be SARS-CoV-2 positive. However, the newborn was not infected, supporting the protective role of breast milk. Furthermore, in this report, we highlight the difficulties in the practical management of a neonate whose breastfeeding mother was confirmed as positive for SARS-CoV-2 after delivery.