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An In vitro Model to Study Immune Responses of Human Peripheral Blood Mononuclear Cells to Human Respiratory Syncytial Virus Infection
Published on: December 10, 2013
New perspectives in Respiratory Syncitial Virus infection
Antonio Del Vecchio1, Teresa Ferrara, Marco Maglione
1Division of Neonatology, Neonatal Intensive Care Unit, Di Venere Hospital , Bari , Italy and.
Insights
Respiratory syncitial virus (RSV) causes severe lung infections in children, particularly those with underlying health conditions. This review examines palivizumab prophylaxis, exploring cost-effectiveness and administration for high-risk infants.
Area of Science:
- Pediatrics
- Infectious Diseases
- Immunology
Background:
- Respiratory syncitial virus (RSV) is a leading cause of lower respiratory tract infections (LRTI) in children globally.
- RSV infection is linked to significant childhood morbidity and can lead to chronic respiratory conditions.
- High-risk infants, including premature infants and those with congenital heart disease or immune defects, face severe RSV outcomes.
Purpose of the Study:
- To review current knowledge on RSV infection in children.
- To analyze recent advancements in assessing cost-effective palivizumab prophylaxis.
- To address uncertainties regarding RSV prophylaxis implementation in specific infant populations.
Main Methods:
- Literature review of RSV infection and palivizumab prophylaxis.
- Analysis of data on RSV severity predictors.
- Evaluation of cost-effectiveness and administration strategies for palivizumab.
Main Results:
- Palivizumab is safe and effective for preventing RSV hospitalization in high-risk infants.
- High cost and complex delivery limit palivizumab accessibility.
- Optimal implementation strategies for palivizumab, especially for 32- to 35-week-gestational age infants, require further clarification.
Conclusions:
- RSV remains a critical pediatric respiratory pathogen.
- Improving palivizumab accessibility and defining optimal prophylaxis protocols are essential.
- Further research is needed to enhance cost-effective RSV prevention strategies.
Abstract:
Respiratory syncitial virus (RSV) is the most common cause of lower respiratory tract infections (LRTI) in children worldwide and it is associated with significant childhood morbidity. Acute infection may result in respiratory failure with varying degrees of severity, and increasing evidence supports a role of RSV infection as a key determinant for the development of subsequent chronic respiratory disease. Independent predictors of RSV severity include; prematurity, congenital heart disease, cystic fibrosis, immune defects and neuromuscular disorders. Passive immunization with palivizumab has proven to be safe and effective for preventing RSV hospitalization in infants at higher risk of acquiring severe RSV infection, but its expense and cumbersome monthly intravenous delivery schedule make it inaccessible to many. Furthermore, implementing prophylaxis in 32- to 35-week-gestational age infants and the mode of its administration still represent areas of uncertainty. In this review, we describe several aspects of RSV infection and analyze recent advances in the assessment of cost-effective palivizumab prophylaxis.
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