COVID-19: vertical transmission, disease and care in newborns

Existe la posibilidad que el SARS-CoV-2 se transmita tanto verticalmente en el utero, como durante y despues del parto La mayoria de bebes infectados presentan sintomatologia leve o son asintomaticos Las manifestaciones clinicas mas frecuentes son la taquipnea y la disnea En los examenes de laboratorio, los hallazgos mas frecuentes son la leucopenia y la linfopenia Las lesiones pulmonares se muestran mas claramente mediante la tomografia axial computarizada que mediante los rayos X Las imagenes mas comunes en ambas pruebas son las opacidades en vidrio esmerilado No hay tratamiento antiviral y/o inmunomodulador aprobado para COVID-19 en recien nacidos Aun no hay disponibilidad de guias especificas para el manejo respiratorio de neumonia por COVID-19 en recien nacidos Los partos de madres positivas a COVID-19 deben efectuarse en una sala dedicada exclusivamente para ello La via de evacuacion de eleccion es el parto vaginal La evidencia actual no es suficiente para concluir que existe transmision vertical de SARS-CoV-2 a traves de la lactancia materna Se deben tener precauciones para evitar el contagio posnatal a los recien nacidos y al personal de salud There is a possibility that SARS-CoV-2 is vertically transmitted in the uterus, as well as during and after delivery Most infected babies present mild symptoms or are asymptomatic The most frequent clinical manifestations are tachypnea and dyspnea In laboratory tests, the most common findings are leukopenia and lymphopenia Pulmonary lesions are more clearly shown by computed tomography than by X-ray The most common images in both tests are ground glass opacities There is no approved antiviral and / or immunomodulatory treatment for COVID-19 in newborns Specific guidelines for the respiratory management of COVID-19 pneumonia, in newborns, are not yet available Deliveries of COVID-19 positive mothers must be carried out in rooms dedicated exclusively to these patients The evacuation route of choice is vaginal delivery Current evidence is not sufficient to confirm SARS-CoV-2 vertical transmission through breastfeeding Precautions must be taken to avoid postnatal transmission to newborns and health personnel