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. 2015 Aug-Sep;20(6):321-33.
doi: 10.1093/pch/20.6.321.

Preventing hospitalizations for respiratory syncytial virus infection

[Article in English, French]

Preventing hospitalizations for respiratory syncytial virus infection

[Article in English, French]
Joan L Robinson et al. Paediatr Child Health. 2015 Aug-Sep.

Abstract

Respiratory syncytial virus infection is the leading cause of lower respiratory tract infections in young children. Palivizumab has minimal impact on RSV hospitilization rates as it is only practical to offer it to the highest risk groups. The present statement reviews the published literature and provides updated recommendations regarding palivizumab use in children in Canada.

Le virus respiratoire syncytial est la principale cause d’infection des voies respiratoires inférieures chez les jeunes enfants. Le palivizumab a un effet minime sur le taux d’hospitalisation pour le virus respiratoire syncytial, sauf dans les groupes les plus à risque. Le présent document de principes vise à analyser les publications scientifiques et à formuler des recommandations à jour sur l’utilisation du palivizumab chez les enfants du Canada.

Le virus respiratoire syncytial est la principale cause d’infection des voies respiratoires inférieures chez les jeunes enfants. Le palivizumab a un effet minime sur le taux d’hospitalisation pour le virus respiratoire syncytial, sauf dans les groupes les plus à risque. Le présent document de principes vise à analyser les publications scientifiques et à formuler des recommandations à jour sur l’utilisation du palivizumab chez les enfants du Canada.

Keywords: At-risk infants; Chronic lung disease; Congenital heart disease; Palivizumab; Prematurity; Prophylaxis; RSV.

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Figures

Figure 1)
Figure 1)
Percentage of proven respiratory syncytial virus (RSV) hospitalizations in children with congenital heart disease who were not given palivizumab arranged according to the year that data collection ended. At study entry, children were up to 12 months(26), 24 months(10,21,25,27) or 36 months(23) of age. For the study from Sweden,(26) the number of children with congenital heart disease was estimated
Figure 2)
Figure 2)
Incidence of proven respiratory syncytial virus (RSV) hospitalizations per 1000 children with chronic lung disease of prematurity who were not given palivizumab, presented according to age at the time of the study. The bars represent 95% CIs (except for reference , in which raw data were not provided). For the study from Sweden(26), the number of children with chronic lung disease of prematurity was estimated
Figure 3)
Figure 3)
Incidence of proven respiratory syncytial virus (RSV) hospitalizations per 1000 preterm children without chronic lung disease of prematurity who were not given palivizumab, arranged according to gestational age. The bars represent 95% CIs. RSV testing was not performed in 38 of 118 admissions in reference . *The upper limit of the 95% CI is 42.9

References

    1. Tan B, Canadian Paediatric Society. Infectious Diseases and Immunization Committee Palivizumab and respiratory syncytial virus globulin intravenous for the prophylaxis of respiratory syncytial virus infection in high risk infants. Paediatr Child Health. 1999;4(7):474–80. - PMC - PubMed
    1. Langley JM, Canadian Paediatric Society. Infectious Diseases and Immunization Committee Use of palivizumab in children with congenital heart disease. Paediatr Child Health. 2003;8(10):631–3. - PMC - PubMed
    1. Sampson L, Canadian Paediatric Society. Infectious Diseases and Immunization Committee Prevention of respiratory syncytial virus infection. Paediatr Child Health. 2009;14(8):521–6. - PMC - PubMed
    1. Robinson JL, Canadian Paediatric Society. Infectious Diseases and Immunization Committee Preventing respiratory syncytial virus infections. Paediatr Child Health. 2011;16(8):487–8. - PMC - PubMed
    1. Jefferson T, Del Mar C, Dooley L, et al. Physical interventions to interrupt or reduce the spread of respiratory viruses. Cochrane Database Syst Rev. 2010;(1):CD006207. - PubMed

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