Probable horizontal transmission of SARS-CoV-2 in an asymptomatic neonate

Horizontal transmission of SARS-CoV-2 is the more likely mode of transmission in this neonate rather than vertical transmission. Neonates are more likely to be asymptomatic carriers of SARS- CoV-2 therefore health care workers should observe strict infection control practices, like hand hygiene and use of PPE (including face shield) during all clinical encounters. Parents may not provide a history suggestive of COVID-19 clinical symptoms in the family members, unless specifically asked for. We report a case of SARS-CoV-2 in an asymptomatic neonate who presented to the outpatient clinic of a private multispecialty hospital for routine follow up. The hospital caters for approximately 5000 deliveries per year with pediatric inpatient and outpatient facilities, neonatal intensive care unit with facilities for advanced respiratory support, therapeutic cooling, with supporting radiology and full laboratory services.