Abstract

Viral load in respiratory syncytial virus infected premature newborns under prophylaxis with palivizumab

Highlights

  • Human respiratory syncytial virus (HHRSV) is the most important causative agent of lower respiratory tract infection in children and infants [1,2]. Preterm infants or those affected by some chronic conditions are especially compromised by HHRSV infection usually accounting for long periods of hospitalization and high rates of mortality [3]

  • The aim of this study was to evaluate HHRSV detection through the currently available tests such as Direct Immunofluorescence Assay (DFA), Polimerase Chain Reaction (PCR) and Real-Time polymerase chain reaction, among symptomatic children samples in use of Palivizumab®, and compare the viral load to another group of infected children without previous prophylaxis recruited from the community

  • All samples were tested by the three techniques showing a positivity of 10.1% (7/69) for DFA, 13.0% (9/69) for PCR and a positivity of 14.5% (10/69) for qPCR

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Summary

Introduction

Human respiratory syncytial virus (HHRSV) is the most important causative agent of lower respiratory tract infection in children and infants [1,2]. Preterm infants or those affected by some chronic conditions are especially compromised by HHRSV infection usually accounting for long periods of hospitalization and high rates of mortality [3]. The Palivizumab® is a humanized murine monoclonal antibody produced by recombinant technology that targets the A antigenic site of the F protein of HRSV. This drug demonstrates both neutralizing and fusion inhibitory activity and can prevent or reduce the severity of HRSV infection [5]. Palivizumab® has been used for some specific highrisk groups of children in Sao Paulo, Brazil, since 2007 [6]

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