Infant respiratory syncytial virus (RSV) immunisation coverage in an Australian regional area, 1 May 2024 - 31

William Roughan1, Brett Cavanagh-Ochiai2, Donna Barnekow2

  • 1Department of Paediatrics, Sunshine Coast University Hospital, Queensland, Australia.

Insights

Australia

Area of Science:

  • Pediatrics
  • Immunology
  • Public Health

Background:

  • Respiratory Syncytial Virus (RSV) poses a significant health burden on infants.
  • Australia introduced nirsevimab (neonatal) and Abrysvo (antenatal) for RSV immunisation.
  • Understanding the impact of these new immunisations on infant protection is crucial.

Purpose of the Study:

  • To evaluate the uptake and composition of RSV immunisations in infants.
  • To assess the impact of introducing Abrysvo on nirsevimab-only coverage.
  • To compare RSV immunisation coverage with national and international benchmarks.

Main Methods:

  • Retrospective cohort study of infants born at Sunshine Coast University Hospital (May 2024 - Oct 2025).
  • Analysis of RSV immunisation status (nirsevimab, Abrysvo, or both).
  • Tracking immunisation composition changes following Abrysvo's introduction.

Main Results:

  • 71.7% of 5,116 infants received valid RSV immunisation.
  • Introduction of Abrysvo shifted protection from nirsevimab-only to Abrysvo-only.
  • Overall RSV coverage remained stable but lagged European benchmarks; Abrysvo maintained, not improved, protection.

Conclusions:

  • RSV immunisation uptake in Australia shows a shift in protection methods.
  • Further investigation into immunisation uptake barriers is needed to optimize infant protection.
  • Current coverage rates necessitate strategies to meet or exceed international standards.

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