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Old 10-30-2011
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Question TB and Breast Feeding

Hi all:

If a mother has positive skin test, negative chest x-ray, can she breastfeed her baby?

thank you!
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Old 10-30-2011
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cases of extrapulmonary tb can only breast feed provided mother is no long contagious i guess

tb is not transmitted through breast milk bt rather by close contact
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Default hi i found this information helpful.

Breastfeeding is NOT advisable if one or more of the following conditions is true:
  1. An infant diagnosed with galactosemia, a rare genetic metabolic disorder
  2. The infant whose mother:
    • Has been infected with the human immunodeficiency virus (HIV)
    • Is taking antiretroviral medications
    • Has untreated, active tuberculosis
    • Is infected with human T-cell lymphotropic virus type I or type II
    • Is using or is dependent upon an illicit drug
    • Is taking prescribed cancer chemotherapy agents, such as antimetabolites that interfere with DNA replication and cell division
    • Is undergoing radiation therapies; however, such nuclear medicine therapies require only a temporary interruption in breastfeeding
For additional information, visit American Academy of Pediatrics' Breastfeeding and the Use of Human Milk or read: American Academy of Pediatrics Committee on Drugs. (2001) The transfer of drugs and other chemicals into human milk. Pediatrics 108:776-789. Available online at http://pediatrics.aappublications.org/cgi/content/full/108/3/776
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Thank you for this information:

But a mother with positive skin test but negative chest x-ray is contagious or not? If she has to take INH for 9 months, during this period, can she breastfeed her child?
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She can safely use INH during that period.

TB medications are safe even in pegnancy except streptomycin & purazinamide.
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yes breast feeding is not contraindicated when the patient is on treatment
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