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尼塞韦单抗的第二季影响:第一季接种疫苗患者呼吸道合胞病毒疾病的临床结局

Second-season Impact of Nirsevimab: Clinical Outcomes of RSV Disease in Patients Immunized During Their First Season.

作者信息

González-Bertolín Isabel, Alcolea Sonia, Alonso Patricia, Arroyas María, Fernández Castiella Isabel, Echavarren Iciar, Iglesias-Caballero Maria, Casas Inmaculada, García-García María Luz, Calvo Cristina

机构信息

From the Pediatrics and Infectious Disease Department, La Paz University Hospital, IdiPaz Foundation, Madrid.

Pediatric Department, Severo Ochoa University Hospital, Leganés.

出版信息

Pediatr Infect Dis J. 2025 Aug 22;44(10):1009-11. doi: 10.1097/INF.0000000000004920.

DOI:10.1097/INF.0000000000004920
PMID:40839876
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12422604/
Abstract

Nirsevimab provides passive immunization against respiratory syncytial virus, yet concerns exist regarding its long-term impact. This study analyzed respiratory syncytial virus-associated lower respiratory tract infection severity in hospitalized children immunized with nirsevimab more than 6 months prior. No significant differences were found compared with nonimmunized children. Findings suggest no increased risk in the following season, supporting nirsevimab's safety as a preventive strategy.

摘要

尼塞维单抗可提供针对呼吸道合胞病毒的被动免疫,但人们对其长期影响仍存在担忧。本研究分析了在6个月多前接种尼塞维单抗的住院儿童中与呼吸道合胞病毒相关的下呼吸道感染严重程度。与未接种疫苗的儿童相比,未发现显著差异。研究结果表明在下个季节风险没有增加,这支持了尼塞维单抗作为一种预防策略的安全性。

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Second-season Impact of Nirsevimab: Clinical Outcomes of RSV Disease in Patients Immunized During Their First Season.尼塞韦单抗的第二季影响:第一季接种疫苗患者呼吸道合胞病毒疾病的临床结局
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本文引用的文献

1
Lower respiratory tract infections following respiratory syncytial virus monoclonal antibody nirsevimab immunization versus placebo: Analysis from a Phase 3 randomized clinical trial (MELODY).呼吸道合胞病毒单克隆抗体尼塞韦单抗免疫接种与安慰剂对照后的下呼吸道感染:一项3期随机临床试验(MELODY)的分析
Clin Infect Dis. 2024 Dec 4. doi: 10.1093/cid/ciae596.
2
Infants Receiving a Single Dose of Nirsevimab to Prevent RSV Do Not Have Evidence of Enhanced Disease in Their Second RSV Season.接受单次注射尼赛珠单抗预防 RSV 的婴儿在其第二个 RSV 季节没有 RSV 疾病加重的证据。
J Pediatric Infect Dis Soc. 2024 Feb 26;13(2):144-147. doi: 10.1093/jpids/piad113.
3
Durability of neutralizing RSV antibodies following nirsevimab administration and elicitation of the natural immune response to RSV infection in infants.尼姆斯韦单抗给药后中和呼吸道合胞病毒抗体的持久性及对婴儿呼吸道合胞病毒感染自然免疫应答的激发。
Nat Med. 2023 May;29(5):1172-1179. doi: 10.1038/s41591-023-02316-5. Epub 2023 Apr 24.
4
Nirsevimab for Prevention of RSV in Healthy Late-Preterm and Term Infants.尼赛珠单抗预防健康晚期早产儿和足月婴儿 RSV 感染。
N Engl J Med. 2022 Mar 3;386(9):837-846. doi: 10.1056/NEJMoa2110275.
5
Fc-Mediated Antibody Effector Functions During Respiratory Syncytial Virus Infection and Disease.Fc 介导的呼吸道合胞病毒感染和疾病中的抗体效应功能。
Front Immunol. 2019 Mar 22;10:548. doi: 10.3389/fimmu.2019.00548. eCollection 2019.
6
Global, regional, and national disease burden estimates of acute lower respiratory infections due to respiratory syncytial virus in young children in 2015: a systematic review and modelling study.全球、区域和国家 2015 年因呼吸道合胞病毒导致的幼儿急性下呼吸道感染疾病负担估计:系统评价和建模研究。
Lancet. 2017 Sep 2;390(10098):946-958. doi: 10.1016/S0140-6736(17)30938-8. Epub 2017 Jul 7.
7
Fc receptors in antibody-dependent enhancement of viral infections.抗体依赖性病毒感染增强中的Fc受体
Immunol Rev. 2015 Nov;268(1):340-64. doi: 10.1111/imr.12367.