RESUMO
UNLABELLED: Contrary to traditional belief, breast milk is not a sterile fluid, even in healthy women. Breast milk may contain pathogenic bacteria that could cause serious infections especially in premature infants. There is no recommendation to evaluate breast milk routinely for pathogenic bacteria. However discontinuation of breastfeeding is not recommended even the mother had mastitis, because it is believed this will not pose a risk to infant. This is the report of a premature infant born at the 32nd gestational week who was readmitted to neonatal intensive care unit with late-onset Staphylococcus aureus sepsis. While searching for the transmission route of the infection, the breast milk was assessed. Although the mother did not have any symptoms of breast inflammation, S. aureus isolates, genetically 99% similar to those from the infant blood samples, were documented in the breast milk. CONCLUSION: Breast milk may contain pathogenic bacteria, even when expressed, stored and transported properly. When evaluating the source of a S. aureus infection in preterm infants, breast milk might be the source of the infection, even if the mother has no sign of mastitis.
Assuntos
Recém-Nascido Prematuro , Transmissão Vertical de Doenças Infecciosas , Leite Humano/microbiologia , Infecções Estafilocócicas/transmissão , Staphylococcus aureus , Adulto , Feminino , Humanos , Recém-Nascido , Doenças do Prematuro/tratamento farmacológico , Doenças do Prematuro/microbiologia , Meticilina/uso terapêutico , Testes de Sensibilidade Microbiana , Gravidez , Infecções Estafilocócicas/tratamento farmacológico , Staphylococcus aureus/efeitos dos fármacosAssuntos
Hérnias Diafragmáticas Congênitas , Nefropatias/diagnóstico , Permeabilidade do Canal Arterial/fisiopatologia , Ecocardiografia , Hérnia Diafragmática/complicações , Hérnia Diafragmática/diagnóstico , Humanos , Hipertensão Pulmonar/complicações , Hipertensão Pulmonar/diagnóstico , Recém-Nascido , Rim/anormalidades , Rim/diagnóstico por imagem , Nefropatias/patologia , Masculino , Radiografia Torácica , Tomografia Computadorizada por Raios XRESUMO
In this study we used gel centrifugation to determine the frequency and sex distribution of ABO and Rh blood group antigens among 4,656 neonates (2,317 males, 2,339 females) born at a private hospital in Istanbul. Group A Rh+ was the most frequent blood type and AB Rh- was the least frequent. Female neonates had a higher frequency of Rh+ blood than male neonates. Group A blood was detected most frequently followed by group O, group B, and group AB. Sex was not significantly associated with blood type. These results fall within the range of previously reported blood type frequencies for Turkey. Our data allow the creation of a blood bank database for the hospital.
