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Luna, MS; Manzoni, P; Paes, B; Baraldi, E; Cossey, V; Kugelman, A; Chawla, R; Dotta, A; Rodríguez Fernández, R; Resch, B; Carbonell-Estrany, X.
Expert consensus on palivizumab use for respiratory syncytial virus in developed countries.
Paediatr Respir Rev. 2020; 33(1-2):35-44
Doi: 10.1016/j.prrv.2018.12.001
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- Co-Autor*innen der Med Uni Graz
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Resch Bernhard
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- Abstract:
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Respiratory syncytial virus (RSV) infection is a leading cause of hospitalisation in early childhood and palivizumab is the only licensed intervention for prevention. Palivizumab guidelines should reflect the latest evidence, in addition to cost-effectiveness and healthcare budgetary considerations. RSV experts from Europe, Canada and Israel undertook a systematic review of the evidence over the last 5 years and developed recommendations regarding prophylaxis in industrialised countries. Almost 400 publications were reviewed. This group recommended palivizumab for: preterm infants (<29 and ≤31 weeks gestational age [wGA] and ≤9 and ≤6 months of age, respectively; high-risk 32-35wGA), former preterm children ≤24 months with chronic lung disease/bronchopulmonary dysplasia, children ≤24 months with significant congenital heart disease; and other high-risk populations, such as children ≤24 months with Down syndrome, pulmonary/neuromuscular disorders, immunocompromised, and cystic fibrosis. Up to 5 monthly doses should be administered over the RSV season. It is our impression that the adoption of these guidelines would help reduce the burden of RSV.
Copyright © 2018 Elsevier Ltd. All rights reserved.
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Respiratory syncytial virus
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Evidence-based medicine
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Palivizumab
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Lower respiratory tract infection
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Neonatal lung disease