Flashcards in Maternal infectious diseases, antimicrobial therapy or immunizations: Very few contraindications to breastfeeding Deck (18):
What are the breastfeeding recommendations re: mastitis and breast abscesses?
Continue breastfeeding unless there is obvious pus, in which case pump milk and discard from the infected breast and continue to breastfeed from the other breast
What are the breastfeeding recommendations re: TB?
1. Delay direct breastfeeding until mother has received 2 weeks of appropriate anti-TB therapy
2. Feed infant EBM during 2 week period
3.Provide TB prophylaxis for infant
Which infections can you continue breastfeeding?
2. Bacterial infection abdominal wall post c/s
4. Other bacterial infections
6. Candidal vaginitis
10. West Nile Virus
What are infectious contraindications to breastfeeding?
3. Human T-cell lymphotrophic virus type I or II
What are the recommendations re: breastfeeding and hepatitis A virus?
Continue breastfeeding; immunoglobulin prophylaxis for the infant. Practice meticulous hand hygiene
What are the recommendations re: breastfeeding and hepatitis B virus?
Continue breastfeeding; routine prevention of infant HBV infection with HBIG at birth; immunization with HBV vaccine
What are the recommendations re: breastfeeding and hepatitis C virus?
Continue breastfeeding; immunization with HBV vaccine
What are the recommendations re: breastfeeding and HSV?
Continue breastfeeding. Practice meticulous hand hygiene. Cover oral labial
lesions with a mask. If there are lesions on the breast/ HSV mastitis, verify that it is HSV not varicella-zoster virus. Interrupt direct breastfeeding until lesions are crusted over. Use expressed breast milk
What are the recommendations re: breastfeeding and VZV?
Continue breastfeeding. For perinatal VZV, give VZIG; for postpartum, consider VZIG
What are the recommendations re: TB medications (isoniazid, rifampin, streptomycin, ethambutol) and breastfeeding?
Continue breastfeeding. Infants only need pyridoxine supplementation if receiving isoniazid themselves
What are the recommendations re: antimalarials and breastfeeding?
Group 1: Chloroquine, quinidine, ivermectin; maternal topical diethyltoluamide
or icaridin/picaridin: continue breastfeeding
Group 2: Primaquine, quinine: Contraindicated during breastfeeding unless both mother and baby have normal G6PD levels
What are the recommendations regarding breastfeeding on penicillins, cephalosporins, carbapenems, aminoglycosides, and quinolones?
What are the recommendations regarding breastfeeding on high dose metronidazole?
Discontinue breastfeeding for 12 h to 24 h to allow excretion of dose
What are the recommendations regarding breastfeeding on chloramphenicol?
Caution: Possible idiosyncratic bone marrow suppression
What are the recommendations regarding breastfeeding on TMP/SMX, sulfisoxazole, or dapsone?
Proceed with caution if nursing infant has jaundice or G6PD deficiency, and also if the child is ill, stressed or premature
What are the recommendations regarding breastfeeding on fluconazole or ketoconazole?
What are the recommendations regarding breastfeeding on acyclovir, valacyclovir, or amantadine?
Continue breastfeeding. If considering prolonged use of amantadine, observe for milk suppression, as it can suppress prolactin production