Newborns Could Get Legionnaire s Disease At Home Water Birth

 

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Friday’s issue of CDC’s weekly report on death and disease includes a field note about two cases of Legionnaires’ disease among newborns who were delivered at home in a birth tub. THURSDAY, June 8, 2017 (HealthDay News) Two cases in Arizona and one in Texas highlight a little-known danger of “water births” at home infant infections with Legionnaire’s disease. “The risk for Legionella [bacteria] cannot be eliminated because of the need for warm tap water to fill the tub” used for these births, says a team led by Geoffrey Granseth. (CNN) Cases of Legionnaires’ disease have been documented at hotels, gyms and even health care facilities, but a recent report from the Centers for Disease Control and Prevention finds. In the second case, a newborn was brought to a hospital ER on April 9 with a high fever, four days after being delivered in a home water birth. By April 12, tests revealed the presence of the Legionnaire’s bacterium and a 10-day course of antibiotics was begun, after which the baby recovered enough for hospital discharge on April 16.

About 10 per cent of people who get the infection die from it, the U.S. Centers for Disease Control and Prevention says. Friday’s issue of CDC’s weekly report on death and disease includes a field note about two cases of Legionnaires’ disease among newborns who were delivered at home in a birth.

In the second case, a newborn was brought to a hospital ER on April 9 with a high fever, four days after being delivered in a home water birth. By April 12, tests revealed the presence of the. Babies Born Via Water Births Are at Risk for Legionnaires’ Disease, CDC Says Two babies born via water delivery in Arizona developed the infection, which can grow and spread in unsterilized water. Although the tub for delivery in the first case was filled immediately before the birth, tap water is not sterile, and Legionella can grow and spread in man-made water systems, such as plumbing systems.

Because both tubs were emptied immediately after the births, no environmental sampling was performed. Babies born during water births are at risk of contracting Legionnaires’ disease, a severe and potentially life-threatening form of pneumonia that infected two infants in. Two babies in Arizona who were delivered via “water birth” recently developed Legionnaires’ disease, a type of bacterial lung infection, just days after they were born, according to a new report.

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Although these infants have lesions at birth or within the first 5 days of life, they are protected from severe disease transplacental transfer of maternal IgG anti-VZV.

“Principles and Practice of Pediatric Infectious Diseases E-Book” by Sarah S. Long, Charles G. Prober, Marc Fischer
from Principles and Practice of Pediatric Infectious Diseases E-Book
by Sarah S. Long, Charles G. Prober, Marc Fischer
Elsevier Health Sciences, 2017

Alternatively, clinical findings in infants with congenital malaria may be delayed for several weeks after birth, suggesting infection at parturition.

“Avery's Diseases of the Newborn E-Book” by Christine A. Gleason, Sherin Devaskar
from Avery’s Diseases of the Newborn E-Book
by Christine A. Gleason, Sherin Devaskar
Elsevier Health Sciences, 2011

The newborn is at high risk of acquiring infection if the mother is a case of ‘open Koch’s’ at the time of delivery.

“Arias' Practical Guide to High-Risk Pregnancy and Delivery: A South Asian Perspective” by Fernando Arias, Amarnath G Bhide, Arulkumaran S, Kaizad Damania, Shirish N Daftary
from Arias’ Practical Guide to High-Risk Pregnancy and Delivery: A South Asian Perspective
by Fernando Arias, Amarnath G Bhide, et. al.
Elsevier Health Sciences Apac, 2019

The third report (Franzin et al., 2001) reported one case of Legionella pneumophila 26 days after water birth, with full recovery of the infant following 3 weeks of antibiotics.

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Infants and children who are not infected during the perinatal period remain at high risk for acquiring person-to-person transmission from their mother, with a 30% incidence of transmission during the first 5 years of life (Clemente & Schwarz).

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Only a few such documented cases have been reported.260 A major perinatal problem is neonatal herpes infection.

“Creasy and Resnik's Maternal-Fetal Medicine: Principles and Practice E-Book” by Robert Resnik, Robert K. Creasy, Jay D. Iams, Charles J. Lockwood, Thomas Moore, Michael F Greene, Lesley Frazier
from Creasy and Resnik’s Maternal-Fetal Medicine: Principles and Practice E-Book
by Robert Resnik, Robert K. Creasy, et. al.
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When the mother is infected a few days before or after delivery, the infant is exposed without the protection of maternal antibody and can suffer a serious disease.

“Mims' Medical Microbiology” by Richard Goering, Hazel Dockrell, Mark Zuckerman, Ivan Roitt, Peter L. Chiodini
from Mims’ Medical Microbiology
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Elsevier Health Sciences UK, 2012

Maternal immunity reduces the virulence of the fetal infection but does not protect 100% of the neonates (Boppana et al., 2001).

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from Practical Guide to High Risk Pregnancy and Delivery E-Book
by Fernando Arias, Amarnath G Bhide, et. al.
Elsevier Health Sciences, 2012

If the infant contracts a streptococcus infection when it passes through the birth canal, it can develop sepsis, a condition that can be fatal.

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from Lippincott’s Content Review for NCLEX-RN
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The risk of infection is high (25–60%) if the mother has primary infection at delivery, as the infant is exposed during passage through the infected birth canal and the infant will not have received passivelyacquired maternal antibody.

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from The Science of Paediatrics: MRCPCH Part 1 Mastercourse
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Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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  • Congratulations Erica!!! This was so amazing and absolutely brought a tear to my eye watching it. It’s such a touching process even to watch and you have so much strength! You guys are going to be amazing parents! Such a beautiful beginning to his beautiful life!! �� God bless your wonderful family!