2000
DOI: 10.1136/fn.83.1.f48
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Neonatal group B streptococcal disease associated with infected breast milk

Abstract: Premature triplets each developed late onset group B streptococcal disease over a period of nine weeks. The source of the organism appeared to be expressed maternal breast milk, in the absence of clinical mastitis. Asymptomatic excretion of group B streptococcus in breast milk may be an under-recognised cause of neonatal infection. (Arch Dis Child Fetal Neonatal Ed 2000;83:F48-F49)

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Cited by 68 publications
(43 citation statements)
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“…16 There are reports of recurrent infections in premature infants associated with isolation of the same organism in the milk. 7,9,17 Our data suggest that simultaneous occurrence of positive cultures in both milk and infant may signify common exposure of infant and mother to that organism. It is difficult to presume only unidirectional transmission from mother to infant.…”
Section: Discussionmentioning
confidence: 93%
See 1 more Smart Citation
“…16 There are reports of recurrent infections in premature infants associated with isolation of the same organism in the milk. 7,9,17 Our data suggest that simultaneous occurrence of positive cultures in both milk and infant may signify common exposure of infant and mother to that organism. It is difficult to presume only unidirectional transmission from mother to infant.…”
Section: Discussionmentioning
confidence: 93%
“…3,4 Although case reports suggest that milk may be a source of infection, fewer infections and infection-related events are reported in extremely premature infants if fed their mothers' milk (MM). [5][6][7][8][9][10] Nevertheless, some clinicians order bacterial cultures of MM and await the results of the screening before allowing the milk to be fed. 11 We determined serial microbial cultures of expressed MM.…”
Section: Introductionmentioning
confidence: 99%
“…In most of the rare cases described [7,9], there were no signs of maternal mastitis, indicating a silent maternal duct colonization. Moreover, National Committee of Hygiene guidelines do not systematically screen for GBS in the raw maternal milk supply [1].…”
Section: Discussionmentioning
confidence: 93%
“…Mastitis may or may not be present [7]. However, Olver et al described cases of GBS infection in preterm infants fed with maternal milk via nasogastric tube alone [9]. Prematurity is a recognized predisposing factor to GBS infection, although breast milk transmission was also described in term infants [4].…”
Section: Discussionmentioning
confidence: 97%
“…6 Although the mother of our patient elected to cease breast feeding altogether, it is feasible for a mother with infected breast milk to continue pumping and discarding her milk while undergoing antibiotic therapy, and to resume breastfeeding once her milk is shown to be clear of GBS. 7 The infant presented in this case report is unique because not only did he have recurrent GBS sepsis, most likely attributable to his mother's infected breast milk, he was also found to have low serum immunoglobulin concentrations.…”
Section: Discussionmentioning
confidence: 97%