Department of Pediatrics, National Medical Center, Seoul, Korea.
Research Institute for Public Healthcare, National Medical Center, Seoul, Korea.
J Korean Med Sci. 2022 May 9;37(18):e147. doi: 10.3346/jkms.2022.37.e147.
With the spread of coronavirus disease 2019 (COVID-19) in Korea, the number of pregnant women infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is rapidly increasing. A shortage of negative-pressure isolation rooms for newborns makes hospital assignment more difficult for late-pregnant women with COVID-19. Among 34 infants born to SARS-CoV-2-positive mothers, 5 (14.7%) presented with respiratory distress and 1 (2.9%) presented with feeding intolerance that required specialized care. Aerosol-generating procedures were performed in one infant. Overall outcomes of 34 infants were favorable, and no infant tested positive for SARS-CoV-2. Most infants born to SARS-CoV-2-positive mothers did not need to be quarantined in a negative-pressure isolation room, and 17 (50%) mother-infant dyads were eligible for rooming-in. If negative-pressure isolation rooms are selectively used for newborns requiring aerosol-generating procedures or newborns in respiratory distress, resource availability for lower-risk cases may improve.
随着 2019 年冠状病毒病（COVID-19）在韩国的传播，感染严重急性呼吸综合征冠状病毒 2（SARS-CoV-2）的孕妇数量迅速增加。由于缺乏用于新生儿的负压隔离室，使得患有 COVID-19 的晚期孕妇更难以分配到医院。在 34 名 SARS-CoV-2 阳性母亲所生的婴儿中，有 5 名（14.7%）出现呼吸窘迫，1 名（2.9%）出现需要特殊护理的喂养不耐受。有 1 名婴儿进行了气溶胶生成程序。34 名婴儿的总体预后良好，没有婴儿的 SARS-CoV-2 检测呈阳性。大多数 SARS-CoV-2 阳性母亲所生的婴儿无需在负压隔离室中隔离，有 17 名（50%）母婴对可以进行母婴同室。如果有选择性地将负压隔离室用于需要进行气溶胶生成程序的新生儿或呼吸窘迫的新生儿，那么资源可能会更多地用于风险较低的病例。
