It is not only premature babies and children pinch underlying diseases who suffer from superior respiratory syncytial microorganism (RSV) infections. Even healthy, full-term babies are astatine important consequence of intensive attraction aliases prolonged hospitalisation – particularly during nan first 3 months of life. This is according to a broad registry study from Karolinska Institutet successful Sweden published successful The Lancet Regional Health – Europe.
RSV is simply a communal origin of respiratory infections successful young children and accounts for astir 245,000 infirmary admissions annually successful Europe. Researchers person now analysed information from complete 2.3 cardinal children calved successful Sweden betwixt 2001 and 2022 to find retired who is astatine top consequence of suffering superior complications aliases dying from an RSV infection.
Preventive curen available
It is well-known that premature babies and children pinch chronic diseases are astatine accrued consequence of processing terrible unwellness erstwhile infected pinch RSV. It is besides known that children nether 3 months of property are peculiarly vulnerable, but it has not been wholly clear really communal terrible illness is among antecedently patient children. The study shows that nan largest group among nan children who needed intensive attraction aliases were hospitalised for a agelong play of clip were nether 3 months of age, antecedently patient and calved astatine afloat term.
When shaping curen strategies, it is important to return into relationship that moreover patient infants tin beryllium severely affected by RSV. The bully news is that location is now preventive curen that tin beryllium fixed to newborns, and a vaccine that tin beryllium fixed to pregnant women."
Giulia Dallagiacoma, study's first author, physician and doctoral student astatine nan Department of Medical Epidemiology and Biostatistics, Karolinska Institutet
Starting September 10, 2025, each newborns successful Sweden will beryllium offered preventive curen pinch antibodies during nan RSV season. The supplier useful overmuch for illustration a vaccine and protects against terrible RSV infection for astir six months.
Several consequence factors identified
A full of 1.7 per cent of nan children successful nan study were diagnosed pinch RSV infection. Among those, conscionable nether 12 per cent (4,621 children) had a terrible people of illness. The median property of children who needed intensive attraction was conscionable nether 2 months, and nan mostly of them had nary underlying disease.
The researchers identified respective factors that were linked to an accrued consequence of needing intensive attraction aliases dying. Children who were calved successful nan winter, aliases had siblings aged 0–3 years aliases a twin, had astir a threefold accrued risk, while children who were mini astatine commencement had an almost fourfold accrued risk. Children pinch underlying aesculapian conditions had much than a fourfold accrued consequence of terrible unwellness aliases death.
"We cognize that respective underlying diseases summation nan consequence of terrible RSV infection, and it is these children who person truthful acold been targeted for protection pinch nan preventive curen that has been available," says nan study's past author, Samuel Rhedin, resident expert astatine Sachs' Children and Youth Hospital and subordinate professor astatine nan Department of Medical Epidemiology and Biostatistics, Karolinska Institutet. "However, nan study highlights that a ample proportionality of children who require intensive attraction owed to their RSV infection were antecedently healthy. Now that amended preventive medicines are available, it is truthful affirmative that nan meaning of consequence groups is being broadened to connection protection during nan RSV play to antecedently patient infants arsenic well."
The study was conducted successful collaboration pinch researchers astatine nan University of Helsinki and Helsinki University Hospital successful Finland. It was funded by Karolinska Institutet, nan Swedish Research Council, nan Swedish Heart-Lung Foundation, nan Swedish Asthma and Allergy Association's investigation money and Region Stockholm, among others. Some of nan researchers person received consulting fees from pharmaceutical companies, but these are unrelated to nan existent study.
Source:
Journal reference:
Dallagiacoma, G., et al. (2025). Risk factors for terrible outcomes of respiratory syncytial microorganism infection successful children: a nationwide cohort study successful Sweden. The Lancet Regional Health - Europe. doi.org/10.1016/j.lanepe.2025.101447
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