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. 2024 Jun;18(6):e13311.
doi: 10.1111/irv.13311.

Nirsevimab Effectiveness Against Cases of Respiratory Syncytial Virus Bronchiolitis Hospitalised in Paediatric Intensive Care Units in France, September 2023-January 2024

Affiliations

Nirsevimab Effectiveness Against Cases of Respiratory Syncytial Virus Bronchiolitis Hospitalised in Paediatric Intensive Care Units in France, September 2023-January 2024

Juliette Paireau et al. Influenza Other Respir Viruses. 2024 Jun.

Abstract

In September 2023, France was one of the first countries that started a national immunisation campaign with nirsevimab, a new monoclonal antibody against respiratory syncytial virus (RSV). Using data from a network of paediatric intensive care units (PICUs), we aimed to estimate nirsevimab effectiveness against severe cases of RSV bronchiolitis in France. We conducted a case-control study based on the test-negative design and included 288 infants reported by 20 PICUs. We estimated nirsevimab effectiveness at 75.9% (48.5-88.7) in the main analysis and 80.6% (61.6-90.3) and 80.4% (61.7-89.9) in two sensitivity analyses. These real-world estimates confirmed the efficacy observed in clinical studies.

Keywords: bronchiolitis; case–control studies; immunisation; monoclonal antibodies; nirsevimab; paediatric intensive care units; respiratory syncytial virus; treatment effectiveness.

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Conflict of interest statement

The authors declare no conflicts of interest.

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