Syncytial virus (RSV): what it is and how the new Nirsevimab vaccine works

Syncytial virus (RSV): what it is and how the new Nirsevimab vaccine works

What is Respiratory Syncytial Virus?

VSR is a highly contagious virus that spreads through respiratory droplets produced when an infected person coughs or sneezes. VSR infection is often asymptomatic or causes mild symptoms, such as a cold, in older children and adults. However, in newborns, infants, and children with preexisting conditions, it can cause bronchiolitis, pneumonia, and, in more severe cases, respiratory failure.

How does VSR bronchiolitis manifest itself?

Symptoms of VSR bronchiolitis usually appear a few days after infection and may include:

  • Cough:initially dry, then fat and productive.
  • Shortness of breath:with typical retractions of the intercostal and suprasternal muscles.
  • Hisses:a whistling sound when breathing.
  • Fever:usually low.
  • Decreased appetite:and difficulty feeding.
  • Restlessness:and frequent crying.

In severe cases, VSR bronchiolitis can lead to severe breathing difficulties, requiring hospitalization.

Immagine di baby with bronchiolitis

baby with bronchiolitis

Why are children more at risk?

Young children are particularly vulnerable to VSR bronchiolitis for several reasons:

  • Narrower airways:Children's bronchioles are smaller than those of adults, so they become more easily blocked in case of inflammation.
  • Immature immune system:Young children have immune systems that are still developing and less efficient at fighting infections.

How is VSR bronchiolitis diagnosed?

The diagnosis of VSR bronchiolitis is based primarily on clinical symptoms and physical examination. In some cases, a nasopharyngeal swab may be useful to isolate the virus.

How is VSR bronchiolitis treated?

There is no specific therapy for VSR. Treatment is mainly symptomatic and consists of:

  • Hydration:It is essential to keep your child well hydrated, especially if he or she has difficulty drinking due to labored breathing.
  • Oxygen therapy:In more severe cases, oxygen administration may be necessary.
  • Medicines:Drugs may be prescribed to relieve symptoms such as antipyretics for fever but to date the best approaches include frequent nasal washing with saline solution and continuous monitoring of the child, oxygen saturation and respiratory rate.
  • Rest:It is important to let the child rest to allow the body to recover its energy.

How to prevent bronchiolitis from VSR?

Prevention of VSR bronchiolitis is based on some simple hygienic measures:

  • Wash your hands often:with soap and water.
  • Cover your mouth and nose:when you cough or sneeze.
  • Avoid close contact:with infected people.
  • Vaccination:There is a vaccine against VSR, Nirsemivab, a monoclonal antibody.

Conclusions

VSR bronchiolitis is a very common respiratory infection in young children, but with proper care and prevention, most children recover completely. It is important to contact your pediatrician if you have any suspicious symptoms, for early diagnosis and appropriate treatment.

Respiratory Syncytial Virus (RSV) Vaccine

Respiratory syncytial virus (RSV) is a very common pathogen, especially in young children, and causes lower respiratory tract infections. In recent years, scientific research has made great strides in developing effective vaccines against this virus.

Why is it important to get vaccinated against VSR?

The vaccine against VSR is one of the most important achievements of modern medicine in the field of pediatrics. Thanks to vaccination, it is possible to:

  • Prevent serious infections:The vaccine significantly reduces the risk of developing severe forms of the disease, such as bronchiolitis and pneumonia, which may require hospitalization.
  • Decrease hospitalizations:Vaccination helps reduce the number of hospital admissions in young children, resulting in lower healthcare costs and improved quality of life for patients and their families.
  • Protecting the most vulnerable:The vaccine is particularly important to protect premature infants, children with chronic diseases, and the elderly, who are more at risk of developing serious complications following VSR infection.

How does the VSR vaccine work?

The VSR vaccine stimulates the immune system to produce specific antibodies against the virus, thus protecting the body from infection. There are several types of VSR vaccines, which differ in the method of administration and effectiveness but today we will examine Nirsemivab (Beyfortus).

Nirsemivab: A New Hope Against Respiratory Syncytial Virus (RSV)

Nirsemivab represents an important advance in the prevention of respiratory syncytial virus (RSV) infections, especially in infants and young children, who are particularly vulnerable to complications of this disease.

What is Nirsemivab?

Nirsemivab is a monoclonal antibody, which is a protein made in a laboratory that mimics the body's natural antibodies. Nirsemivab is a human immunoglobulin G1kappa (IgG1κ) monoclonal antibody produced in Chinese hamster ovary (CHO) cells using recombinant DNA technology. This drug is specifically designed to bind to and neutralize respiratory syncytial virus, preventing it from infecting host cells.

Why is Nirsemivab important?

Respiratory syncytial virus is a major cause of bronchiolitis and pneumonia in young children, often requiring hospitalization. Nirsemivab provides active protection against this virus, significantly reducing the risk of developing severe disease and the need for intensive care.

How does Nirsemivab work?

Nirsemivab is administered intramuscularly and works by binding to the fusion protein of respiratory syncytial virus. In this way, it prevents the virus from entering the host's cells and replicating, thus neutralizing the infection.

Who is Nirsemivab indicated for?

Nirsemivab is indicated for pre- and postnatal prophylaxis in premature and full-term infants with risk factors for developing severe RSV disease. It can also be administered to young children with chronic medical conditions that make them more susceptible to RSV infections. Beyfortus is indicated for the prevention of lower respiratory tract disease caused by respiratory syncytial virus (RSV) in infants and young children during their first RSV season.

What are the side effects of Nirsemivab?

Like all medications, nirsemivab can cause side effects, which are usually mild and short-lived, such as redness and swelling at the injection site, irritability, and fever. In rare cases, more severe allergic reactions may occur.

What are the advantages of Nirsemivab over other treatments?

Nirsemivab offers several advantages over other available treatment options:

  • Active prevention:Nirsemivab works by preventing infection, rather than just treating the symptoms.
  • High effectiveness:Numerous clinical studies have demonstrated the high efficacy of nirsemivab in reducing the risk of developing severe forms of VSR disease.
  • Safety:The safety profile of nirsemivab is generally good, with mild and rare side effects.

Conclusions

Nirsemivab represents an important step forward in the prevention of respiratory syncytial virus infections in infants and young children. Due to its high efficacy and safety, this drug helps to significantly reduce the disease burden and improve the quality of life of patients and their families.

When and to whom is the VSR vaccine recommended?

Vaccination indications against VSR may vary depending on the country and the recommendations of health authorities. In general, the vaccine is recommended:

  • For premature babies:To protect them from the most serious forms of the disease.
  • For newborns and childrenduring their first season featuring VRS.
  • For children with chronic diseases:Like asthma, cystic fibrosis, and congenital heart disease.
  • To the elderly:Especially in the case of hospitalization in residential facilities.

Conclusions

The RSV vaccine is a fundamental tool for the prevention of respiratory syncytial virus infections, especially in those most at risk. Vaccination can significantly reduce the number of severe cases of the disease, hospitalizations and complications, improving the quality of life of millions of people.

It is important to consult your pediatrician or family doctor for more information and to evaluate the most appropriate vaccination indications for you and your children.

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