Related Experiment Video
Updated: May 27, 2026

An Improved and High Throughput Respiratory Syncytial Virus (RSV) Micro-neutralization Assay
Published on: January 26, 2019
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.
Abstract:
The recent introduction in Australia of respiratory syncytial virus (RSV) immunisations - nirsevimab (neonatal) and Abrysvo (antenatal) - offers potential to reduce the RSV burden in infants. A retrospective cohort study included all infants born at Sunshine Coast University Hospital between 1 May 2024 and 31 October 2025. Of 5,116 infants, 71.7% (3,669/5,116) received valid RSV immunisation: 45.2% through nirsevimab only and 26.4% through antenatal Abrysvo only. During May-December 2024, RSV coverage was achieved exclusively through neonatal nirsevimab. Following Abrysvo's introduction in January 2025, a progressive shift in immunisation composition occurred: among RSV-vaccinated infants, the proportion protected through nirsevimab alone fell from 100% in December 2024 to 13.5% by October 2025, while those protected by Abrysvo alone rose correspondingly from 0% to > 85.0%. Overall RSV coverage remained stable throughout the study period (66.2-77.9%) and throughout the transition period January-October 2025 (66.2-74.9%). Coverage was comparable to Australian and United States estimates but lagged European benchmarks. Abrysvo's introduction maintained rather than improved population-level protection. These findings highlight the need to investigate barriers to RSV immunisation uptake to optimise infant protection.
More Related Videos
Related Concept Videos
Rous Sarcoma Virus (RSV) and Cancer
RSV is a retrovirus that contains two copies of a plus-strand RNA genome. Its genome consists of four main open...
Rous Sarcoma Virus (RSV) and Cancer
RSV is a retrovirus that contains two copies of a plus-strand RNA genome. Its genome consists of four main open...
Vaccinations
Influenza
Common Respiratory Disorders
Upper respiratory disorders impact the airways above the vocal cords, encompassing areas like the nose, sinuses, and throat. Various conditions fall under this category, including the common cold and allergic rhinitis. These disorders can stem from several causes,...
Pulmonary Cycle: Exhalation

