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应对挑战:拉丁美洲儿科传染病学会(SLIPE)呼吸道合胞病毒专家小组的区域视角——应对疾病负担并实施预防解决方案

Confronting the challenge: a regional perspective by the Latin American pediatric infectious diseases society (SLIPE) expert group on respiratory syncytial virus-tackling the burden of disease and implementing preventive solutions.

作者信息

Debbag Roberto, Ávila-Agüero María L, Brea José, Brenes-Chacon Helena, Colomé Manuel, de Antonio Rodrigo, Díaz-Díaz Alejandro, Falleiros-Arlant Luiza Helena, Fernández Gerardo, Gentile Angela, Gutiérrez Iván Felipe, Jarovsky Daniel, Del Valle Juárez María, López-Medina Eduardo, Mascareñas Abiel, Ospina-Henao Sebastián, Safadi Marco A, Sáez-Llorens Xavier, Soriano-Fallas Alejandra, Torres Juan P, Torres-Martínez Carlos N, Beltrán-Arroyave Claudia

机构信息

Latin-American Vaccinology Society, Buenos Aires, Argentina.

Pediatric Infectious Diseases Division, Hospital Nacional de Roberto Niños "Dr. Carlos Sáenz Herrera", Caja Costarricense de Seguro Social (CCSS), San José, Costa Rica.

出版信息

Front Pediatr. 2024 Jul 31;12:1386082. doi: 10.3389/fped.2024.1386082. eCollection 2024.

Abstract

Respiratory syncytial virus (RSV) is the leading cause of acute lower respiratory infections in children around the world. The post-pandemic era has resulted in a notable increase in reported cases of RSV infections, co-circulation of other respiratory viruses, shifts in epidemiology, altered respiratory season timing, and increased healthcare demand. Low- and middle-income countries are responsible for the highest burden of RSV disease, contributing significantly to health expenses during respiratory seasons and RSV-associated mortality in children. Until recently, supportive measures were the only intervention to treat or prevent RSV-infection, since preventive strategies like palivizumab are limited for high-risk populations. Advances in new available strategies, such as long-acting monoclonal antibodies during the neonatal period and vaccination of pregnant women, are now a reality. As the Regional Expert Group of the Latin American Pediatric Infectious Diseases Society (SLIPE), we sought to evaluate the burden of RSV infection in Latin America and the Caribbean (LAC) region, analyze current strategies to prevent RSV infection in children, and provide recommendations for implementing new strategies for preventing RSV infection in children in LAC region.

摘要

呼吸道合胞病毒(RSV)是全球儿童急性下呼吸道感染的主要病因。大流行后时代导致报告的RSV感染病例显著增加、其他呼吸道病毒共同流行、流行病学变化、呼吸道季节时间改变以及医疗保健需求增加。低收入和中等收入国家承担着RSV疾病的最高负担,在呼吸道季节期间对医疗费用以及儿童RSV相关死亡率有重大影响。直到最近,支持性措施仍是治疗或预防RSV感染的唯一干预措施,因为诸如帕利珠单抗等预防策略对高危人群有限。新的可用策略取得进展,如新生儿期使用长效单克隆抗体和孕妇接种疫苗,现已成为现实。作为拉丁美洲儿科传染病学会(SLIPE)的区域专家组,我们试图评估拉丁美洲和加勒比(LAC)地区RSV感染的负担,分析当前预防儿童RSV感染的策略,并为在LAC地区实施预防儿童RSV感染的新策略提供建议。

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