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DOI :10.26650/IUITFD.2021.928835   IUP :10.26650/IUITFD.2021.928835    Tam Metin (PDF)

ANNE SÜTÜNDE SARS-COV-2 ANTİJENİ VE ANTİKORU

Gonca KeskindemirciNalan KarabayırAyşe İstanbullu TosunSelda Hançerli TörünCeren Sultan AltayMuhammet Fatih SebirliÖzge KabaBüşra Sultan KibarEmine Gülbin Gökçay

Amaç: Koronavirüs hastalığı-19 (COVID-19) tanısı almış annelerin anne sütünde Şiddetli Akut Solunum Sendromu koronavirüs-2 (SARS-CoV-2) antijeni ile IgM ve IgG antikorlarının belirlenmesi amaçlanmıştır. Gereç ve Yöntem: Çalışma 11 anne-çocuk çifti ile gerçekleştirildi. Çalışmaya PCR testine göre pozitif olan veya negatif olup ancak COVID semptomları olan emziren anneler dahil edildi. Sağılmış anne sütü, analiz aşamasına kadar -20/-80°C’de saklandı. Anne sütü SARS-CoV-2 antijeni ve IgM ve IgG antikorları ölçüldü. Bebekler en az 15 gün takip edildi. Bulgular: Nazofarengeal sürüntüde SARS-CoV-2 PCR testleri 11 annenin 10’unda pozitifti. Dokuz annede COVID-19 semptomları vardı. Annelerin semptomlarından veya pozitif PCR sonuçlarından ortalama 15 gün sonra anne sütü örneği alındı. Nazofarengeal sürüntü testlerinde SARS-CoV-2 PCR testleri 11 anne bebeğinin 7’inde pozitifti. SARS-CoV-2 antijeni hiçbir annenin anne sütünde saptanmadı. Ancak PCR testi pozitif olan ve klinik semptomlar yaşayan iki annenin sütünde SARS-CoV-2 IgG ve IgM antikorları tespit edildi. Bu iki annenin çocukları hiçbir belirti göstermedi. Sonuç: SARS-CoV-2 salgınında resmi kurumlar tarafından emzirme tavsiye edilmiş ve desteklenmiştir. Bulgularımız bu öneriyi desteklemektedir. Emzirmenin acil koşullarda teşviki ve korunması, çocuğun, annenin ve toplumun sağlığı açısından çok önemlidir. 

Anahtar Kelimeler: Anne sütüCOVID-19emzirme
DOI :10.26650/IUITFD.2021.928835   IUP :10.26650/IUITFD.2021.928835    Tam Metin (PDF)

SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS-2 ANTIGENS AND ANTIBODIES IN BREAST MILK

Gonca KeskindemirciNalan KarabayırAyşe İstanbullu TosunSelda Hançerli TörünCeren Sultan AltayMuhammet Fatih SebirliÖzge KabaBüşra Sultan KibarEmine Gülbin Gökçay

Objective: This study aimed to determine the presence of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) antigens and IgM and IgG antibodies in breast milk of mothers diagnosed with Coronavirus disease-19 (COVID-19). Methods: The study was conducted in 11 mother-child pairs. Breastfeeding mothers who were either positive according to a PCR test or those who were negative but had COVID symptoms were included in the study. Expressed milk was stored at -20/-80°C until analysis. Breastmilk SARS-CoV-2 antigens and IgM and IgG antibodies were measured. The infants were followed for at least 15 days. Results: SARS-CoV-2 PCR tests using a nasofarengeal swab was positive in 10 of 11 mothers. Nine mothers had symptoms of COVID-19. Breast milk samples were taken, on average, 15 days after symptom onset or a positive PCR result. SARS-CoV-2 PCR tests using a nasopharyngeal swab was positive in seven infants. The SARS-CoV-2 antigen was not detected in the breast milk of any of the mothers. However, SARS-CoV-2 IgG and IgM antibodies were detected in the breast milk of two mothers, who had a positive PCR test and experienced clinical symptoms. The children of these two mothers experienced no symptoms.Conclusion: Official institutions have recommended and supported breastfeeding during the SARS-CoV-2 pandemic. Our findings support this recommendation. The promotion and protection of breastfeeding under emergency conditions is of great importance for the health of children, mothers, and society.

Anahtar Kelimeler: Breast milkCOVID-19breastfeeding

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Referanslar

  • 1. Wu Z, McGoogan JM. Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72 314 Cases From the Chinese Center for Disease Control and Prevention. JAMA 2020;323(13):1239-42. [CrossRef] google scholar
  • 2. WHO Director-General’s opening remarks at the media briefing on COVID-19 - 11 March 2020. Available at: https:// www.who.int/dg/speeches/detail/who-director-generalsopening- remarks-at-the-media-briefing-on-covid-19---11- march-2020 google scholar
  • 3. Children in Coronavirus in children. Available at https:// www.nhs.uk/conditions/coronavirus-covid-19/symptoms/ coronavirus-in-children/. Last accessed date: 25.11.2020 google scholar
  • 4. Wang L, Shi Y, Xiao T, Fu J, Feng X, Mu D, et al. Chinese expert consensus on the perinatal and neonatal management for the prevention and control of the 2019 novel coronavirus infection. Annals of Translational Medicine 2020;8(3):47. [CrossRef] google scholar
  • 5. World Health Organization Q&A on COVID-19, pregnancy, childbirth and breastfeeding.World Health Organization. Geneva Available at: https://www.who.int/news-room/qa-detail/q-a-on-covid-19-pregnancy-childbirth-andbreastfeeding. Last accessed: date: 25.11.2020. google scholar
  • 6. Coronavirus disease (COVID-19): How is it transmitted? How does COVID-19 spread between people Available at: www.who.int/coronavirus/spread. Last accessed date: 26.11.2020. google scholar
  • 7. World Health Organisation. Coronavirus disease (COVID-19): Pregnancy and childbirth. Available at: https:// www.who.int/news-room/q-a-detail/coronavirus-disease covid-19-pregnancy-and-childbirth google scholar
  • 8. World Health Organisation. Rapid advice note on home care for patients with Middle East respiratory syndrome coronavirus (MERS-CoV) infection presenting with mild symptoms and management of contacts. Available at: https://www.who.int/csr/disease/coronavirus_infections/ MERS_home_care.pdf?ua. Last accessed dat: 09.12.2020. google scholar
  • 9. Lubbe W, Botha E, Niela-Vilen H, Reimers P. Breastfeeding during the COVID-19 pandemic - a literature review for clinical practice. Int Breastfeed J 2020;15(1):82. [CrossRef] google scholar
  • 10. Lawrence RA., & Lawrence, R. M. Breastfeeding. A Guide For the Medical Profession. Eighth Editionl. Elsevier Health Sciences. 2016, Philadelphia, USA p:573 google scholar
  • 11. Chang R, Zen Sun W, & Bun Ng T. Lactoferrin as potential preventative and treatment for COVID-19. International Journal of Antimicrobial Agents 2020;56:106118. [CrossRef] google scholar
  • 12. Tam PCK, Ly KM, Kernich ML, Spurrier N, Lawrence D, Gordon DL, Tucker EC. Detectable severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in human breast milk of a mildly symptomatic patient with coronavirus disease 2019 (COVID-19). Clin Infect Dis. 2020 May 30:ciaa673. doi: 10.1093/cid/ciaa673. Epub ahead of print. [CrossRef] google scholar
  • 13. Food and Drug Administration. A Closer Look at Coronavirus Disease 2019 (COVID-19) Diagnostic Testing. Available at: https://www.fda.gov/media/143737/download. Last accessed date: 14.12.2020. google scholar
  • 14. Options for the use of rapid antigen tests for COVID-19 in the EU/EEA and the UK.Available at: https://www.ecdc. europa.eu/sites/default/files/documents/Options-use-of rapid-antigen-tests-for-COVID-19.pdf. Last accessed date: 14.12.2020. google scholar
  • 15. Center for Disease Conrtol and Prevention. Coronavirus Disease 2019 (COVID-19) Interim Guidance for Antigen Testing for SARS-CoV-2 Available at: https://www.cdc. gov/coronavirus/2019-ncov/lab/resources/antigen-testsguidelines.html#table1. Last accessed dat: 14.12.22020. google scholar
  • 16. Demers-Mathieu V, Do DM, Mathijssen GB, Sela DA, Seppo A, Järvinen KM, Medo E. Difference in levels of SARS-CoV-2 S1 and S2 subunits- and nucleocapsid protein-reactive SIgM/IgM, IgG and SIgA/IgA antibodies in human milk. J Perinatol. 2020:1-10. [CrossRef] google scholar
  • 17. Gao X, Wang S, Zeng W, Chen S, Wu J, Lin X, Liu Y, Sun Z, Feng L. Clinical and immunologic features among COVID19-affected mother-infant pairs: antibodies to SARS CoV-2 detected in breast milk. New Microbes New Infect 2020;37:100752. [CrossRef] google scholar
  • 18. Dong Y, Chi X, Hai H, Sun L, Zhang M, Xie WF, Chen W. Antibodies in the breast milk of a maternal woman with COVID-19. Emerg Microbes Infect 2020;9(1):1467-9. [CrossRef] google scholar
  • 19. Deeks JJ, Dinnes J, Takwoingi Y, Davenport C, Spijker R, Taylor-Phillips S, Adriano A, Beese S, Dretzke J, Ferrante di Ruffano L, Harris IM, Price MJ, Dittrich S, Emperador D, Hooft L, Leeflang MM, Van den Bruel A; Cochrane COVID-19 Diagnostic Test Accuracy Group. Antibody tests for identification of current and past infection with SARSCoV-2. Cochrane Database Syst Rev 2020;6(6):CD013652. [CrossRef] google scholar
  • 20. Drugs and Lactation Database (LactMed). Available at: https://www.ncbi.nlm.nih.gov/books/NBK501541 google scholar

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DIŞA AKTAR



APA

Keskindemirci, G., Karabayır, N., İstanbullu Tosun, A., Hançerli Törün, S., Altay, C.S., Sebirli, M.F., Kaba, Ö., Kibar, B.S., & Gökçay, E.G. (2021). ANNE SÜTÜNDE SARS-COV-2 ANTİJENİ VE ANTİKORU. İstanbul Tıp Fakültesi Dergisi, 84(3), 287-292. https://doi.org/10.26650/IUITFD.2021.928835


AMA

Keskindemirci G, Karabayır N, İstanbullu Tosun A, Hançerli Törün S, Altay C S, Sebirli M F, Kaba Ö, Kibar B S, Gökçay E G. ANNE SÜTÜNDE SARS-COV-2 ANTİJENİ VE ANTİKORU. İstanbul Tıp Fakültesi Dergisi. 2021;84(3):287-292. https://doi.org/10.26650/IUITFD.2021.928835


ABNT

Keskindemirci, G.; Karabayır, N.; İstanbullu Tosun, A.; Hançerli Törün, S.; Altay, C.S.; Sebirli, M.F.; Kaba, Ö.; Kibar, B.S.; Gökçay, E.G. ANNE SÜTÜNDE SARS-COV-2 ANTİJENİ VE ANTİKORU. İstanbul Tıp Fakültesi Dergisi, [Publisher Location], v. 84, n. 3, p. 287-292, 2021.


Chicago: Author-Date Style

Keskindemirci, Gonca, and Nalan Karabayır and Ayşe İstanbullu Tosun and Selda Hançerli Törün and Ceren Sultan Altay and Muhammet Fatih Sebirli and Özge Kaba and Büşra Sultan Kibar and Emine Gülbin Gökçay. 2021. “ANNE SÜTÜNDE SARS-COV-2 ANTİJENİ VE ANTİKORU.” İstanbul Tıp Fakültesi Dergisi 84, no. 3: 287-292. https://doi.org/10.26650/IUITFD.2021.928835


Chicago: Humanities Style

Keskindemirci, Gonca, and Nalan Karabayır and Ayşe İstanbullu Tosun and Selda Hançerli Törün and Ceren Sultan Altay and Muhammet Fatih Sebirli and Özge Kaba and Büşra Sultan Kibar and Emine Gülbin Gökçay. ANNE SÜTÜNDE SARS-COV-2 ANTİJENİ VE ANTİKORU.” İstanbul Tıp Fakültesi Dergisi 84, no. 3 (Dec. 2024): 287-292. https://doi.org/10.26650/IUITFD.2021.928835


Harvard: Australian Style

Keskindemirci, G & Karabayır, N & İstanbullu Tosun, A & Hançerli Törün, S & Altay, CS & Sebirli, MF & Kaba, Ö & Kibar, BS & Gökçay, EG 2021, 'ANNE SÜTÜNDE SARS-COV-2 ANTİJENİ VE ANTİKORU', İstanbul Tıp Fakültesi Dergisi, vol. 84, no. 3, pp. 287-292, viewed 23 Dec. 2024, https://doi.org/10.26650/IUITFD.2021.928835


Harvard: Author-Date Style

Keskindemirci, G. and Karabayır, N. and İstanbullu Tosun, A. and Hançerli Törün, S. and Altay, C.S. and Sebirli, M.F. and Kaba, Ö. and Kibar, B.S. and Gökçay, E.G. (2021) ‘ANNE SÜTÜNDE SARS-COV-2 ANTİJENİ VE ANTİKORU’, İstanbul Tıp Fakültesi Dergisi, 84(3), pp. 287-292. https://doi.org/10.26650/IUITFD.2021.928835 (23 Dec. 2024).


MLA

Keskindemirci, Gonca, and Nalan Karabayır and Ayşe İstanbullu Tosun and Selda Hançerli Törün and Ceren Sultan Altay and Muhammet Fatih Sebirli and Özge Kaba and Büşra Sultan Kibar and Emine Gülbin Gökçay. ANNE SÜTÜNDE SARS-COV-2 ANTİJENİ VE ANTİKORU.” İstanbul Tıp Fakültesi Dergisi, vol. 84, no. 3, 2021, pp. 287-292. [Database Container], https://doi.org/10.26650/IUITFD.2021.928835


Vancouver

Keskindemirci G, Karabayır N, İstanbullu Tosun A, Hançerli Törün S, Altay CS, Sebirli MF, Kaba Ö, Kibar BS, Gökçay EG. ANNE SÜTÜNDE SARS-COV-2 ANTİJENİ VE ANTİKORU. İstanbul Tıp Fakültesi Dergisi [Internet]. 23 Dec. 2024 [cited 23 Dec. 2024];84(3):287-292. Available from: https://doi.org/10.26650/IUITFD.2021.928835 doi: 10.26650/IUITFD.2021.928835


ISNAD

Keskindemirci, Gonca - Karabayır, Nalan - İstanbullu Tosun, Ayşe - Hançerli Törün, Selda - Altay, CerenSultan - Sebirli, MuhammetFatih - Kaba, Özge - Kibar, BüşraSultan - Gökçay, EmineGülbin. ANNE SÜTÜNDE SARS-COV-2 ANTİJENİ VE ANTİKORU”. İstanbul Tıp Fakültesi Dergisi 84/3 (Dec. 2024): 287-292. https://doi.org/10.26650/IUITFD.2021.928835



ZAMAN ÇİZELGESİ


Gönderim28.04.2021
Kabul09.05.2021
Çevrimiçi Yayınlanma17.05.2021

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