A Systematic Review of European Clinical Practice Guidelines for Respiratory Syncytial Virus Prophylaxis

Rachel M Reeves, Maarten van Wijhe, Toni Lehtonen, Luca Stona, Anne C Teirlinck, Liliana Vazquez Fernandez, You Li, Richard Osei-Yeboah, Thea K Fischer, Terho Heikkinen, Michiel van Boven, Håkon Bøås, Daniele Donà, Elisa Barbieri, Harry Campbell, RESCEU Investigators

Abstract

BACKGROUND: Since the widespread adoption of palivizumab prophylaxis in Europe, there have been a number of clinical practice guidelines (CPGs) published for the prevention of respiratory syncytial virus (RSV) infection in children. The aim of this systematic review was to identify CPGs for the prevention of RSV infection across Europe.

METHODS: We performed a systematic literature search and contacted European influenza and respiratory virus networks and public health institutions, to identify national CPGs for the prevention of RSV infection. The Reporting Items for practice Guidelines in Healthcare (RIGHT) Statement checklist was applied to extract data and review the quality of reporting.

RESULTS: A total of 20 national CPGs were identified, all published between 2000 and 2018. The greatest discrepancy between guidelines was the recommendations for palivizumab prophylaxis for premature infants, with recommendations varying by gestational age. All guidelines recommended or considered the use of palivizumab in infants with bronchopulmonary dysplasia, 85% (n = 17) in children with congenital heart disease (CHD), and 60% (n = 12) in children with severe combined immunodeficiency.

CONCLUSIONS: We recommend that agencies publishing RSV prevention guidelines adopt the RIGHT reporting requirements when updating these guidelines to improve the presentation of the evidence-base for decisions.

Original languageEnglish
JournalThe Journal of infectious diseases
Volume226
Issue numberSupplement_1
Pages (from-to)S110-S116
ISSN0022-1899
DOIs
Publication statusPublished - 12 Aug 2022

Keywords

  • palivizumab
  • prophylaxis
  • RSV guidelines Europe

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