Perceived Risk of Severe Respiratory Syncytial Virus Disease and Immunoprophylaxis Use among US Pediatric Specialists

Deborah M. Friedman, Joseph B. Domachowske, Pierre C. Wong, Prabhu S. Parimi, Daniel F. Garcia, Michael G. Marcus, William V. La Via, Iqra A. Syed, Shelagh M. Szabo, Kimmie K. McLaurin, Veena R. Kumar

Research output: Contribution to journalArticlepeer-review

Abstract

This study was conducted to assess the perception of US pediatric specialists of respiratory syncytial virus (RSV) disease risk and determine their clinical practices regarding immunoprophylaxis for high-risk children. Separate surveys were sent to neonatologists, pediatricians, pediatric pulmonologists, and pediatric cardiologists. Data were collected using structured questions requiring quantitative responses. Most neonatologists and pediatricians (>82.7%) reported a high clinical need for RSV immunoprophylaxis in preterm infants <32 weeks' gestational age. Pediatric pulmonologists and pediatric cardiologists suggested that health conditions indicative of chronic lung disease of prematurity and hemodynamically significant congenital heart disease, respectively, confer eligibility for RSV immunoprophylaxis. Agreement with the changes in the 2014 American Academy of Pediatrics guidance for RSV immunoprophylaxis was mixed among respondents from the 4 specialties. Survey findings may provide a basis to improve education about risk for severe RSV disease and evaluate changes in physician use of RSV immunoprophylaxis based on the 2014 guidance.

Original languageEnglish (US)
Pages (from-to)724-737
Number of pages14
JournalClinical pediatrics
Volume55
Issue number8
DOIs
StatePublished - Jul 1 2016
Externally publishedYes

Keywords

  • RSV
  • cardiologist
  • neonatologist
  • palivizumab
  • pediatrician
  • pulmonologist

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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