Practical Application of Nirsevimab Recommendations for Infants and Toddlers.

IF 2.5 4区 医学 Q2 HEALTH POLICY & SERVICES
Carol Risko Radcliffe, Gabriella Akkawi, Rebecca A Carson
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引用次数: 0

Abstract

Respiratory syncytial virus (RSV) is a common respiratory tract infection that causes bronchiolitis and pneumonia in infants and children. It is the leading cause of hospitalization of infants in the United States. Nirsevimab is a long-acting monoclonal antibody recommended for the prevention of severe disease in all infants under 8 months of age and certain high-risk toddlers. Recent data demonstrate a 90% protection against hospitalization from severe RSV disease for infants who received nirsevimab in their first RSV season. Providers should understand the mechanism of action, safety, efficacy, and prescribing recommendations for nirsevimab, especially when confronted with caregivers who are hesitant about medications and vaccines. Special circumstances may require nuanced prescribing of nirsevimab to safely provide optimal protection. In these circumstances, and during drug shortages, a lens of health equity should be used to protect the highest risk populations.

婴儿和学步儿童Nirsevimab推荐的实际应用。
呼吸道合胞病毒(RSV)是一种常见的呼吸道感染,可引起婴儿和儿童的毛细支气管炎和肺炎。它是美国婴儿住院的主要原因。Nirsevimab是一种长效单克隆抗体,推荐用于预防所有8个月以下婴儿和某些高危幼儿的严重疾病。最近的数据表明,在第一个呼吸道合胞病毒流行季节接受尼塞维单抗治疗的婴儿,可预防90%因严重呼吸道合胞病毒疾病住院。提供者应了解尼瑟维单抗的作用机制、安全性、有效性和处方建议,特别是当面对对药物和疫苗犹豫不决的护理人员时。特殊情况下,可能需要细致的处方尼西维单抗,以安全提供最佳的保护。在这些情况下,以及在药物短缺期间,应当从卫生公平的角度来保护风险最高的人群。
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来源期刊
CiteScore
3.40
自引率
10.70%
发文量
140
审稿时长
24 days
期刊介绍: The Journal of Pediatric Health Care, the official journal of the National Association of Pediatric Nurse Practitioners, provides scholarly clinical information and research regarding primary, acute and specialty health care for children of newborn age through young adulthood within a family-centered context. The Journal disseminates multidisciplinary perspectives on evidence-based practice and emerging policy, advocacy and educational issues that are of importance to all healthcare professionals caring for children and their families.
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