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使用尼塞韦单抗进行呼吸道合胞病毒免疫:西班牙穆尔西亚地区婴儿及风险群体的接受度与满意度评估

Respiratory syncytial virus immunization with nirsevimab: Acceptance and satisfaction assessment in infants and risk groups in the region of Murcia (Spain).

作者信息

Jesús Pérez Martín Jaime, de la Cruz Gómez Moreno María, Sánchez Manresa Susana, Del Pilar Ros Abellán María, Zornoza-Moreno Matilde

机构信息

Prevention and Health Protection Service, Public Health and Addictions Directorate General, Regional Ministry of Health, Murcia, Spain.

出版信息

Hum Vaccin Immunother. 2025 Dec;21(1):2471700. doi: 10.1080/21645515.2025.2471700. Epub 2025 Mar 3.

DOI:10.1080/21645515.2025.2471700
PMID:40028735
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11881857/
Abstract

Respiratory syncytial virus (RSV) is a leading cause of respiratory infections in infants under two years of age, often resulting in bronchiolitis and pneumonia, which contribute to high hospitalization rates. The recent approval of nirsevimab, a long-acting monoclonal antibody, has provided an immunization alternative for infants, addressing the substantial burden of RSV. This study aimed to evaluate acceptance and satisfaction among parents or legal guardians of infants who were candidates for immunization with nirsevimab in the Region of Murcia (Spain) during the 2023-2024 campaign. A cross-sectional survey, encompassing 1692 parents of immunized infants and 219 of non-immunized infants, revealed a high acceptance rate for nirsevimab, with 87% of parents indicating willingness to immunize a future child and 86.6% willing to recommend it. Concerns about safety and side effects were the primary reasons for hesitation among parents who did not immunize their infants. These findings underscore the importance of enhancing educational efforts in future campaigns to address safety concerns, thereby supporting broader RSV immunization coverage in the pediatric population.

摘要

呼吸道合胞病毒(RSV)是两岁以下婴儿呼吸道感染的主要原因,常导致细支气管炎和肺炎,这使得住院率居高不下。长效单克隆抗体nirsevimab最近获批,为婴儿提供了一种免疫选择,减轻了RSV带来的沉重负担。本研究旨在评估2023 - 2024年活动期间,西班牙穆尔西亚地区符合nirsevimab免疫条件的婴儿的父母或法定监护人对该疫苗的接受度和满意度。一项横断面调查涵盖了1692名已免疫婴儿的父母和219名未免疫婴儿的父母,结果显示nirsevimab的接受率很高,87%的父母表示愿意为未来的孩子接种,86.6%的父母愿意推荐。对安全性和副作用的担忧是未为婴儿接种疫苗的父母犹豫的主要原因。这些发现强调了在未来活动中加强教育工作以解决安全问题的重要性,从而支持在儿科人群中更广泛地覆盖RSV免疫。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6407/11881857/2482064a817a/KHVI_A_2471700_F0004_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6407/11881857/4238e1c63a7d/KHVI_A_2471700_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6407/11881857/db5ae77ca328/KHVI_A_2471700_F0002_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6407/11881857/bdd4b53c786c/KHVI_A_2471700_F0003_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6407/11881857/2482064a817a/KHVI_A_2471700_F0004_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6407/11881857/4238e1c63a7d/KHVI_A_2471700_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6407/11881857/db5ae77ca328/KHVI_A_2471700_F0002_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6407/11881857/bdd4b53c786c/KHVI_A_2471700_F0003_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6407/11881857/2482064a817a/KHVI_A_2471700_F0004_B.jpg

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本文引用的文献

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Vaccine. 2025 Jan 12;44:126541. doi: 10.1016/j.vaccine.2024.126541. Epub 2024 Nov 30.
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Investigating parental perceptions of respiratory syncytial virus (RSV) and attitudes to RSV vaccine in Jiangsu, China: Insights from a cross-section study.调查中国江苏地区家长对呼吸道合胞病毒(RSV)的认知及对RSV疫苗的态度:一项横断面研究的见解
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Real-world effectiveness of nirsevimab immunisation against bronchiolitis in infants: a case-control study in Paris, France.
尼氏病毒单抗免疫接种预防婴儿毛细支气管炎的真实世界效果:法国巴黎的一项病例对照研究。
Lancet Child Adolesc Health. 2024 Oct;8(10):730-739. doi: 10.1016/S2352-4642(24)00171-8. Epub 2024 Aug 26.
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Implementation of the first respiratory syncytial (RSV) immunization campaign with nirsevimab in an autonomous community in Spain.在西班牙的一个自治区实施首个人呼吸道合胞病毒(RSV)免疫接种活动,使用 nirsevimab。
Hum Vaccin Immunother. 2024 Dec 31;20(1):2365804. doi: 10.1080/21645515.2024.2365804. Epub 2024 Jun 18.
5
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Hum Vaccin Immunother. 2024 Dec 31;20(1):2357439. doi: 10.1080/21645515.2024.2357439. Epub 2024 Jun 10.
6
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Vaccines (Basel). 2024 Feb 13;12(2):192. doi: 10.3390/vaccines12020192.
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Euro Surveill. 2024 Feb;29(6). doi: 10.2807/1560-7917.ES.2024.29.6.2400046.
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Estimated Respiratory Syncytial Virus-Related Hospitalizations and Deaths Among Children and Adults in Spain, 2016-2019.2016 - 2019年西班牙儿童和成人中估计与呼吸道合胞病毒相关的住院和死亡情况
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J Pediatric Infect Dis Soc. 2024 Feb 26;13(2):144-147. doi: 10.1093/jpids/piad113.