Potential Effects on Elderly People From Nirsevimab Use in Infants

Iván Sanz-Muñoz , Javier Castrodeza-Sanz , José M. Eiros
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Abstract

Nirsevimab therapy has the potential to revolutionize infant respiratory syncytial virus (RSV) prophylaxis. But other populations suffering RSV, such the elderly or those over 60, may also be protected by using this novel antibody in the infant group. It is true that some studies link the use of nirsevimab to a reduction in the virus's ability to spread by lowering the viral load in infants as a result of the drug's long half-life. However, this protective effect may not be very significant because RSV transmission in the elderly typically comes from other elderly people or from school-aged children. Furthermore, RSV may be transmitted at any time of the year and not just during the period of nirsevimab protection due to its existence in human reservoirs. The reasons made here show that, even though nirsevimab treatment in infants may protect the elderly, this benefit would be limited and testimonial. Therefore, immunizing the elderly with currently licensed and developing vaccines should be a priority.

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婴儿使用 nirsevimab 对老年人的潜在影响
Nirsevimab疗法有望彻底改变婴儿呼吸道合胞病毒(RSV)的预防方法。但是,在婴儿群体中使用这种新型抗体也可以保护其他感染 RSV 的人群,如老年人或 60 岁以上的老人。的确,有些研究将使用 nirsevimab 与降低婴儿体内病毒载量从而降低病毒传播能力联系起来,因为这种药物的半衰期很长。然而,这种保护作用可能并不十分显著,因为老年人的 RSV 传播通常来自其他老年人或学龄儿童。此外,RSV 可能会在一年中的任何时间传播,而不仅仅是在 nirsevimab 保护期内传播,因为它存在于人类病毒库中。本文提出的理由表明,即使对婴儿进行 nirsevimab 治疗可以保护老年人,但这种益处也是有限的,而且是证明性的。因此,应优先考虑使用目前已获许可和正在开发的疫苗对老年人进行免疫接种。
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来源期刊
Open Respiratory Archives
Open Respiratory Archives Medicine-Pulmonary and Respiratory Medicine
CiteScore
1.10
自引率
0.00%
发文量
58
审稿时长
51 days
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