Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Disaster Med Public Health Prep. 2012 Jun;6(2):97-103. doi: 10.1001/dmp.2012.14.
During the 2009 influenza A (H1N1) pandemic, many pregnant women experienced severe illness and some gave birth while ill with suspected or confirmed pandemic (H1N1) 2009 influenza. Because of concerns about possible transmission of this novel virus to immunologically naïve newborns, and the absence of definitive studies regarding this risk, the Centers for Disease Control and Prevention (CDC) reviewed relevant literature to understand the potential burden of disease and routes of transmission affecting newborns. This report describes the issues considered during the 2009 H1N1 pandemic as CDC developed guidance to protect newborns in hospital settings. Also presented is a framework of protection efforts to prevent novel influenza infection in fetuses/newborns before birth and in hospital settings. Although developed specifically for the pandemic, the framework may be useful during future novel influenza outbreaks.
在 2009 年甲型 H1N1 流感大流行期间，许多孕妇病情严重，有些孕妇在疑似或确诊感染 2009 年甲型 H1N1 流感期间分娩。由于担心这种新型病毒可能会传播给免疫功能尚未成熟的新生儿，而且也没有关于这种风险的明确研究，因此美国疾病控制与预防中心（CDC）审查了相关文献，以了解可能影响新生儿的疾病负担和传播途径。本报告描述了在 2009 年 H1N1 大流行期间，CDC 制定保护医院环境中新生儿的指南时所考虑的问题。同时提出了一个保护框架，以预防新型流感在胎儿/新生儿出生前和医院环境中的感染。尽管该框架是专门为大流行而制定的，但在未来的新型流感爆发期间可能也会有用。
