SARS-CoV-2 infection and neonates: a review of evidence and unresolved questions.


Journal

Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology
ISSN: 1399-3038
Titre abrégé: Pediatr Allergy Immunol
Pays: England
ID NLM: 9106718

Informations de publication

Date de publication:
11 2020
Historique:
received: 22 07 2020
accepted: 04 08 2020
entrez: 25 11 2020
pubmed: 26 11 2020
medline: 15 12 2020
Statut: ppublish

Résumé

SARS-CoV-2 infection in the neonatal period poses previously unmet challenges to obstetricians and neonatologists, but several key questions are yet to be answered. Few cases of presumed in utero vertical transmission of the virus from infected mothers to fetuses have been reported, but stronger evidence is needed, from larger datasets with multiple biospecimens rigorously analyzed. Whether acquired before or after birth, SARS-CoV-2 infection in neonates can be symptomatic, but our comprehension of neonatal immune response and the subsequent clinical characteristics of COVID-19 in early life are incomplete. Finally, the pandemic challenged several dogmas regarding the management of mother-infant dyads, and again more robust data are needed to support the formulation of evidence-based guidelines. Here, we briefly summarize existing evidence and key unresolved questions about SARS-CoV-2 infection and COVID-19 in the neonatal period.

Identifiants

pubmed: 33236433
doi: 10.1111/pai.13349
pmc: PMC7753385
doi:

Substances chimiques

Antibodies, Viral 0

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

79-81

Informations de copyright

© 2020 European Academy of Allergy and Clinical Immunology and John Wiley & Sons Ltd.

Références

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Lancet Child Adolesc Health. 2020 Jun;4(6):414-416
pubmed: 32458804
Pediatr Allergy Immunol. 2020 Nov;31 Suppl 26:79-81
pubmed: 33236433
Ital J Pediatr. 2020 Apr 29;46(1):56
pubmed: 32349772
J Hum Lact. 2020 Aug;36(3):392-396
pubmed: 32735500
JAMA Pediatr. 2020 Jul 1;174(7):722-725
pubmed: 32215598
Pediatrics. 2020 Jun;145(6):
pubmed: 32179660
JAMA. 2020 May 12;323(18):1846-1848
pubmed: 32215581
JAMA. 2020 May 12;323(18):1788-1789
pubmed: 32215579
J Autoimmun. 2020 May;109:102433
pubmed: 32113704

Auteurs

Carlo Pietrasanta (C)

NICU, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.

Andrea Ronchi (A)

NICU, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

Federico Schena (F)

NICU, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

Claudia Ballerini (C)

NICU, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

Lea Testa (L)

NICU, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

Giacomo Artieri (G)

NICU, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

Domenica Mercadante (D)

NICU, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

Fabio Mosca (F)

NICU, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.

Lorenza Pugni (L)

NICU, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

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Classifications MeSH