Respiratory Disorders and Hospitalization Rates During the Second RSV Season in Preterm Infants Who Received Palivizumab Prophylaxis During Their First RSV Season

被引:5
作者
Fanos, V. [2 ]
Scarcella, A. [3 ]
Puddu, M. [2 ]
Gallini, F. [4 ]
Tuminelli, F. [5 ]
Bragetti, P. [6 ]
Gallina, M. R. [7 ]
Quartulli, L. [8 ]
Benincori, N. [9 ]
Citro, G. [10 ]
Via, L. Dalla [11 ]
Barera, G. [12 ]
Paparatti, U. Di Luzio [13 ]
Merolla, R. [13 ]
Romano, G. V. [13 ]
Guida, G. [13 ]
Silvestri, M. [1 ]
Rossi, G. A. [1 ]
机构
[1] G Gaslini Inst Children, Pulm Dis Unit, I-16147 Genoa, Italy
[2] Univ Cagliari, Neonatal Intens Care Unit, Cagliari, Italy
[3] Univ Naples Federico II, Dept Pediat, Naples, Italy
[4] Univ Cattolica Sacro Cuore, Dept Neonatol, I-00168 Rome, Italy
[5] Umberto I Hosp, Div Neonatol, Enna, Italy
[6] Monteluce Policlin, Dept Gynecol Obstet & Pediat, Perugia, Italy
[7] Maggiore Carita Hosp, Dept Pediat, Novara, Italy
[8] Perrino Hosp, Div Neonatol, Brindisi, Italy
[9] GB Grassi Hosp, Div Pediat, Rome, Italy
[10] Umberto I Hosp, Neonatal Intens Care Unit, Nocera, Italy
[11] Thiene Hosp, Div Pediat, Thiene, Italy
[12] Univ Vita Salute San Raffaele, Div Pediat & Neonatol, Milan, Italy
[13] Abbott Italy, Latina, Italy
关键词
Respiratory syncytial virus; palivizumab; recurrent wheezing; hospitalization; RSV; SYNCYTIAL VIRUS-INFECTION; REACTIVE AIRWAY DISEASE; YOUNG-CHILDREN; AGE; REHOSPITALIZATION; BRONCHIOLITIS; ALLERGY; WHEEZE; ASTHMA; RISK;
D O I
10.1179/joc.2009.21.3.302
中图分类号
R73 [肿瘤学];
学科分类号
100214 [肿瘤学];
摘要
This prospective study evaluated the frequency and severity of respiratory symptoms during the second respiratory syncytial virus (RSV) season in an Italian cohort of preterm infants (:535 weeks) who had received palivizumab prophylaxis in their first year of life (October 2004-April 2005) and who had not previously been hospitalized for RSV-induced lower respiratory tract infection (LRTI). Infants were evaluated at enrolment (May-September 2005), in October/November 2005 and in April 2006. The occurrence of any respiratory episode, the rate of hospitalization for respiratory-related LRTI, total length of stay in hospital, physician-documented recurrent wheezing (23 physician-documented episodes of wheezing) and use of airway medication/antibiotics were recorded during follow-up. All infants had prior palivizumab prophylaxis during their first RSV season. In the total evaluable population (n=260), 32.3% of infants experienced at least one respiratory episode, 3.8% required short hospitalization because of LRTI, 8.5% had physician-documented recurrent wheezing, and 48.8% required airway medications/antibiotics during follow-up. In this study the rate of airway morbidity, hospitalization and physician-documented recurrent wheezing during the second RSV season was low among preterm infants who had received prior palivizumab prophylaxis.
引用
收藏
页码:302 / 310
页数:9
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