Journal
INFECTIOUS DISEASES AND THERAPY
Volume 10, Issue SUPPL 1, Pages 35-45Publisher
SPRINGER LONDON LTD
DOI: 10.1007/s40121-020-00390-7
Keywords
Caregiver burden; Cost-effectiveness; Health care utilization; High-risk infants; Immunoprophylaxis; Palivizumab; Quality of life; Risk-factor predictive model; RSV-related hospitalization; Socioeconomic factors
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Funding
- Sobi, Inc.
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RSV disease is a significant global health burden among young children, particularly in developing countries. Risk factors for severe RSV disease include age and premature birth, which can lead to serious consequences and increased healthcare resource utilization.
Respiratory syncytial virus (RSV) disease is a significant cause of morbidity and socioeconomic burden worldwide among young children. The majority of RSV-associated lower respiratory tract infections (LRTI) and mortality occurs in developing countries and is associated with various sociodemographic risk factors. Independent risk factors for severe RSV disease include age and premature birth. While RSV mortality in developed countries is lower relative to developing countries, high-risk infants with comorbidities experience higher rates of mortality. RSV LRTI is often severe and is associated with hospitalization, increased need for intensive care unit admission and mechanical ventilation, long-term complications, and caregiver stress and loss of work productivity. Overall, these factors translate to higher health care resource utilization and costs and should be factored into the consideration for RSV prophylaxis. Multiple vaccine candidates and long-acting monoclonal antibodies are in various stages of clinical development. Currently, palivizumab is the only approved RSV immunoprophylaxis available for use in specific high-risk pediatric populations. This review will discuss the socioeconomic impact and health care resource utilization of RSV-related hospitalization (RSVH) as well as various sociodemographic risk factors that can be used to identify children at high risk of developing severe RSV disease.
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