Rodríguez-Fanjul Xavier, Verd Sergio, Brio Sonia
Intensive Care Unit, Department of Paediatrics, Germans Trias i Pujol Hospital, Canyet Rd., 08916 Badalona, Spain.
Paediatric Unit, Department of Primary Care, Matamusinos Street, 07013 Palma de Mallorca, Spain.
Children (Basel). 2022 Aug 2;9(8):1160. doi: 10.3390/children9081160.
Breastfeeding prevents Kawasaki disease (KD), as well as several autoimmune disorders. Since there is an overlap between the Multi-System Inflammatory Syndrome in children following SARS-CoV-2 infection (MIS-C) and KD, this case series aims to analyze the association between breastfeeding and MIS-C.
A series of 16 cases of children with MIS-C admitted to three pediatric facilities between January 2021 and May 2022 were conducted. Breastfeeding rate was estimated through the Brief Breastfeeding and Milk Expression Recall Survey.
Out of 16 children, 9 (56%) had been breastfed at birth.
Our breastfeeding rate is below the median Spanish rate for initial breastfeeding. These findings do not clearly support the hypothesis that breastfeeding might prevent MIS-C.
Contrary to the role of breastfeeding in KD prevention, our case series cannot answer with certainty the question about whether or not breastfeeding does protect children against MIS-C. These findings require confirmation in larger studies.
母乳喂养可预防川崎病（KD）以及多种自身免疫性疾病。由于严重急性呼吸综合征冠状病毒2（SARS-CoV-2）感染后儿童多系统炎症综合征（MIS-C）与KD之间存在重叠，本病例系列旨在分析母乳喂养与MIS-C之间的关联。
对2021年1月至2022年5月期间在三家儿科机构收治的16例MIS-C患儿进行了研究。通过简短母乳喂养和挤奶回忆调查评估母乳喂养率。
16名儿童中，9名（56%）出生时接受过母乳喂养。
我们的母乳喂养率低于西班牙初乳喂养率的中位数。这些发现并未明确支持母乳喂养可能预防MIS-C这一假设。
与母乳喂养在预防KD中的作用相反，我们的病例系列无法确定地回答母乳喂养是否确实能保护儿童免受MIS-C影响这一问题。这些发现需要在更大规模的研究中得到证实。
