Is exclusive breastfeeding for six-months protective against pediatric tuberculosis?

Juan A Flores1,2, Julia Coit3, Milagros Mendoza4

  • 1Escuela Profesional de Tecnología Médica, Universidad Privada San Juan Bautista , Lima, Peru.

Global Health Action
|January 4, 2021
PubMed

Insights

Exclusive breastfeeding for six months did not show a link to decreased tuberculosis (TB) risk in children. However, breastfeeding by mothers with TB may increase infant TB risk, warranting further study.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Public Health

Background:

  • Exclusive breastfeeding is recommended for infants up to six months for protection against childhood illnesses.
  • Tuberculosis (TB) remains a significant global health concern, particularly in children.
  • The potential impact of breastfeeding on pediatric TB risk requires further investigation.

Purpose of the Study:

  • To investigate the association between exclusive breastfeeding and the risk of active tuberculosis (TB) in children.
  • To explore whether exclusive breastfeeding protects children against TB, as hypothesized.
  • To examine potential differences in this association based on the source of TB exposure.

Main Methods:

  • Cross-sectional study analyzing data from 279 children (6-59 months) in Lima, Peru, with TB symptoms and a known adult TB contact.
  • Mothers self-reported breastfeeding practices; children's TB status was assessed per national guidelines.
  • Prevalence ratios were calculated using generalized linear models to quantify the association between exclusive breastfeeding and TB.

Main Results:

  • Twenty-two percent of children were diagnosed with TB; 72% were exclusively breastfed for six months.
  • No significant association was found between six months of exclusive breastfeeding and TB disease in bivariate or multivariable analyses.
  • A weak positive association between breastfeeding and TB was observed in children whose mothers had TB, but not in those whose close contact was not the mother.

Conclusions:

  • Exclusive breastfeeding for six months was not associated with a reduced risk of TB in this cohort.
  • Breastfeeding by mothers with active TB may potentially increase the risk of TB transmission to their infants.
  • Further longitudinal studies are needed to confirm these findings and inform interventions to minimize TB transmission from mothers to infants.

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