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Vol. 52. Núm. 4.
Páginas 372-374 (abril 2000)
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Vol. 52. Núm. 4.
Páginas 372-374 (abril 2000)
Acceso a texto completo
Recomendaciones para la prevención de la infección por virus respiratorio sincitial
Recommendations for the prevention of respiratory syncytial virus infections
Visitas
11239
X. Carbonell Estranya,*, J. Quero Jiménezb, Comité de Estándares de la Sociedad Española de Neonatología *, Comité de Estándares de la Sociedad Española de Neonatología **
a Hospital Clínic-Maternitat. Institut Clínic de Ginecologia, Obstetrícia i Neonatologia. Unitat Integrada de Pediatria. Universitat de Barcelona.
b Hospital Infantil La Paz. Facultad de Medicina. Universidad Autónoma de Madrid.
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Información del artículo

Los prematuros ≤35 semanas de gestación, con o sin enfermedad pulmonar crónica (EPC), tienen un mayor riesgo de infección y hospitalización por el virus sincitial respiratorio (VRS). Se ha demostrado la eficacia de los anticuerpos monoclonales para el VRS en la disminución de los porcentajes de hospitalización en estos pacientes. Su utilización: 1. Es recomendable en los prematuros nacidos entre las 29-32 semanas de gestación sin EPC y menos de 6 meses al inicio de la estación del VRS. 2. Es muy recomendable en los prematuros de ≤28 se manas al nacer o afectados de EPC en tratamiento en los últimos 6 meses. Estos pacientes pueden recibir la profilaxis durante dos estaciones del VRS. 3. En los prematuros nacidos con 33-35 semanas de gestación no es rutinaria. Cada caso debe analizarse individualmente teniendo en cuenta los factores de riesgo.

Palabras clave:
VRS
Bronquioltis
Hospitalización
Premarturos
Anticuerpos monoclonales
Palivizumab

Premature babies ?35 weeks gestation, with or without chronic lung disease (CLD), should be considered high risk population for RSV infection and rehospitalization. RSV monoclonal antibodies (palivizumab) have been found useful in decreasing rates of RSV hospitalization in this patients. Guidelines for their administration include: 1. Recommed their use in premature born between 29-32 weeks gestation without CLD and less than 6 months at entry of RSV station. 2. Strongly recommend their use in premature babies ≤ 28 weeks gestation or affected with CLD in treatment during last 6 months. This patients should be prophylaxed for two RSV seasons. 3. Prophylaxis among premature babies between 32-35 weeks gestation is not recommended on routine bases. Each case has to be individually analyzed considering risk factors.

Key words:
RSV
Bronchiolitis
Hospitalization
Premature
Monoclonal antibodies
Palivizumab
El Texto completo está disponible en PDF
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