Impact of nirsevimab prophylaxis on paediatric respiratory syncytial virus (RSV)-related hospitalisations during the initial 2023/24 season in Luxembourg

Author:

Ernst Corinna12ORCID,Bejko Dritan2,Gaasch Leo3,Hannelas Emilie3,Kahn Isaline3,Pierron Charlotte3,Del Lero Nesrine3,Schalbar Claude3,Do Carmo Elsa3,Kohnen Michel4,Andlauer Emmanuelle5,Hublart Pauline2,Masi Silvana2,de la Fuente Garcia Isabel3,Vergison Anne2,Mossong Joël2ORCID

Affiliation:

1. ECDC Fellowship Programme, Field Epidemiology path (EPIET), European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden

2. Health Directorate, Luxembourg

3. National Center for Pediatrics, Centre Hospitalier de Luxembourg, Luxembourg

4. Microbiology department, Centre Hospitalier de Luxembourg, Luxembourg

5. Hospital Pharmacy department, Centre Hospitalier de Luxembourg, Luxembourg

Abstract

After Luxembourg introduced nirsevimab immunisation against respiratory syncytial virus (RSV), estimated neonatal coverage was 84% (1,277 doses/1,524 births) in 2023. That year, paediatric RSV-related hospitalisations, especially concerning infants < 6 months old (n = 72) seemed to decrease compared to the same period in 2022 (n = 232). In 2023, hospitalised children’s mean age increased (14.4 months vs 7.8 months in 2022; p < 0.001) and hospital-stay length decreased (3.2 days vs 5.1 days; p < 0.001). In infants < 6 months old, intensive-care unit admissions appeared to drop (n = 28 vs 9). This suggests that nirsevimab prophylaxis reduced severe RSV infections, particularly in infants < 6 months old, thereby alleviating healthcare strain.

Publisher

European Centre for Disease Control and Prevention (ECDC)

Subject

Virology,Public Health, Environmental and Occupational Health,Epidemiology

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