Breast milk-acquired cytomegalovirus infection in very low birth weight infants

Giuseppina Lombardi, Francesca Garofoli, Paolo Manzoni, Mauro Stronati

Research output: Contribution to journalArticlepeer-review

Abstract

Perinatal transmission of human cytomegalovirus (HCMV) infection in very low birth weight (VLBW) premature infants can lead to serious clinical symptoms and it has ben increasingly recognized that breast milk is the most frequent route of transmission. Breast milk is considered ideal food for newborns because of its nutritional value and anti-infectious components, but it can also be vehicle for viral and bacterial infection. The majority of HCMV seropositive mothers shed the virus into their breast milk and can transmit infection to their offspring. Perinatally acquired infections in full-term neonates are usually asymptomatic without sequelae due to protective maternal HCMV-specific antibodies received during pregnancy. In contrast, VLBW preterm infants are at risk of symptomatic infection with neutropaenia, thrombocytopaenia, sepsis-like syndrome and, less frequently, pneumonia and enteric infection. Postnatally acquired infection seems to spontaneously resolve without altering the clinical outcome. Ganciclovir treatment is restricted to severe symptomatic infections. Preterm infants with a gestational age

Original languageEnglish
Pages (from-to)57-62
Number of pages6
JournalJournal of Maternal-Fetal and Neonatal Medicine
Volume25
Issue numberSUPPL. 3
DOIs
Publication statusPublished - Oct 2012

Keywords

  • Breastfeeding
  • HCMV postnatal infection
  • HCMV postnatal transmission
  • Preterm infants

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynaecology

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