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2023 年 10 月至 2024 年 1 月,西班牙对婴儿呼吸道合胞病毒下呼吸道感染住院进行 nirsevimab 免疫预防的早期效果评估。

Early estimates of nirsevimab immunoprophylaxis effectiveness against hospital admission for respiratory syncytial virus lower respiratory tract infections in infants, Spain, October 2023 to January 2024.

机构信息

Vaccine Research Department, Fisabio-Public Health, Valencia, Spain.

These authors contributed equally to this article and share first authorship.

出版信息

Euro Surveill. 2024 Feb;29(6). doi: 10.2807/1560-7917.ES.2024.29.6.2400046.

Abstract

The monoclonal antibody nirsevimab was at least 70% effective in preventing hospitalisations in infants with lower respiratory tract infections (LRTI) positive for respiratory syncytial virus (RSV) in Spain (Oct 2023-Jan 2024), where a universal immunisation programme began late September (coverage range: 79-99%). High protection was confirmed by two methodological designs (screening and test-negative) in a multicentre active surveillance in nine hospitals in three regions. No protection against RSV-negative LRTI-hospitalisations was shown. These interim results could guide public-health decision-making.

摘要

单克隆抗体 nirsevimab 在西班牙预防呼吸道合胞病毒 (RSV) 阳性的下呼吸道感染 (LRTI) 住院的有效性至少为 70%(2023 年 10 月至 2024 年 1 月),该地区于 9 月底开始实施普遍免疫计划(覆盖范围:79-99%)。在三个地区的九家医院进行的多中心主动监测中,两种方法设计(筛查和阴性检测)证实了高度保护作用。但该疫苗对 RSV 阴性 LRTI 住院没有保护作用。这些中期结果可能为公共卫生决策提供指导。

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