Expert consensus on palivizumab use for respiratory syncytial virus in developed countries Journal Articles uri icon

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  • Respiratory syncytial virus (RSV) infection is a leading cause of hospitalisation in early childhood and palivizumab is the only licensed intervention for prevention. Palivizumab guidelines should reflect the latest evidence, in addition to cost-effectiveness and healthcare budgetary considerations. RSV experts from Europe, Canada and Israel undertook a systematic review of the evidence over the last 5 years and developed recommendations regarding prophylaxis in industrialised countries. Almost 400 publications were reviewed. This group recommended palivizumab for: preterm infants (<29 and ≤31 weeks gestational age [wGA] and ≤9 and ≤6 months of age, respectively; high-risk 32-35wGA), former preterm children ≤24 months with chronic lung disease/bronchopulmonary dysplasia, children ≤24 months with significant congenital heart disease; and other high-risk populations, such as children ≤24 months with Down syndrome, pulmonary/neuromuscular disorders, immunocompromised, and cystic fibrosis. Up to 5 monthly doses should be administered over the RSV season. It is our impression that the adoption of these guidelines would help reduce the burden of RSV.


  • Luna, Manuel Sánchez
  • Manzoni, Paolo
  • Paes, Bosco
  • Baraldi, Eugenio
  • Cossey, Veerle
  • Kugelman, Amir
  • Chawla, Rupesh
  • Dotta, Andrea
  • Rodríguez Fernández, Rosa
  • Resch, Bernhard
  • Carbonell-Estrany, Xavier

publication date

  • February 2020

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