在COVID-19大流行期间,母乳养与母乳传播,哪一个更重要?
Yan-Fei He1, Jun-Qiang Liu2, Xiao-Dong Hu3
1Health Management Center, The Sixth Medical Center, Chinese PLA General Hospital, Beijing, China.
直接母乳养对婴儿来说是安全的,因为患有2019年新冠病毒病 (COVID-19) 的母亲的母乳不会传播SARS-CoV-2. 母乳提供有益的抗体,提供被动免疫力并支持婴儿的健康.
科学领域:
- 病毒学 病毒学
- 免疫学 免疫学 免疫学
- 公共卫生 公共卫生
背景情况:
- 随着COVID-19大流行,人们担心SARS-CoV-2通过母乳传播.
- 关于通过母乳养感染婴儿的风险,存在有限且相互矛盾的数据.
研究的目的:
- 系统地分析感染母亲母乳中的SARS-CoV-2和抗体的存在.
- 评估对新生儿的影响,了解传播机制.
主要方法:
- 82项临床研究的系统审查.
- 在母乳中检测SARS-CoV-2核酸和抗体的分析.
- 病毒活动和婴儿结果的监测.
主要成果:
- 在17项研究中检测到SARS-CoV-2核酸,但感染性病毒没有培养.
- 所有29项研究都在母乳中检测到SARS-CoV-2抗体 (IgA,IgG,IgM).
- 在1346名婴儿中没有发生与COVID-19相关的死亡;一些婴儿在血清中显示了抗体.
结论:
- 直接母乳养不会给新生儿带来额外的感染风险.
- 母乳是保护性抗体的来源,提供被动免疫力.
- 根据感染控制指南,鼓励直接母乳养得到支持.
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