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库尔德斯坦地区儿童呼吸道合胞病毒感染防治实用指南

A practical guidance on the prevention and treatment of childhood respiratory syncytial virus infection in Kurdistan.

作者信息

Haleem Azad A, Alsaqee Azhar, Dizayi Lana A, Hanna Sasan L, Rabaty Abbas A, Pedawi Serdar, Salih Aso F

机构信息

Department of Pediatrics, College of Medicine, University of Duhok, Duhok, Kurdistan, Iraq.

Neonatology and Intensive Care Unit, College of Medicine, Hawler Medical University, Erbil, Kurdistan, Iraq.

出版信息

Front Pediatr. 2025 Mar 13;13:1551734. doi: 10.3389/fped.2025.1551734. eCollection 2025.

Abstract

Without an available vaccine in Kurdistan, Respiratory Syncytial Virus (RSV) infection threatens younger children, burdens the healthcare system and contributes to household expenditure on health. Immunoprophylaxis remains the only preventive option in Kurdistan. Expert pediatricians recommend palivizumab to children at RSV risk; particularly infants (1) born within 29 gestational weeks and <1-year-old at RSV season start, (2) born premature (>29 gestational weeks) at risk for RSV hospitalization, (3) with congenital lung disease requiring oxygen therapy for >1 month and are <2 years old at RSV season start, and (4) with hemodynamically significant congenital heart disease and acyanotic heart and who are <2 years of age at RSV season start. We call onto health authorities to support palivizumab immunoprophylaxis to all children at risk for RSV.

摘要

在库尔德斯坦地区没有可用疫苗的情况下,呼吸道合胞病毒(RSV)感染威胁着年幼儿童,给医疗系统带来负担,并导致家庭医疗支出增加。免疫预防仍然是库尔德斯坦地区唯一的预防选择。专业儿科医生建议对有感染RSV风险的儿童使用帕利珠单抗;特别是(1)孕29周内出生且在RSV季节开始时未满1岁的婴儿,(2)早产(>29孕周)且有因RSV住院风险的婴儿,(3)患有先天性肺部疾病且需要吸氧治疗超过1个月且在RSV季节开始时未满2岁的婴儿,以及(4)患有血流动力学显著的先天性心脏病且无青紫型心脏病且在RSV季节开始时未满2岁的婴儿。我们呼吁卫生当局支持对所有有感染RSV风险的儿童进行帕利珠单抗免疫预防。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ac4/11949000/18a472ae63d3/fped-13-1551734-g001.jpg

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