Palivizumab prophylaxis of respiratory syncytial virus disease in 2000-2001: results from The Palivizumab Outcomes Registry.


Journal Article

The objective of the Registry was to characterize the population of infants receiving prophylaxis for respiratory syncytial virus (RSV) disease by describing the patterns and scope of usage of palivizumab in a cross section of US infants. RSV hospitalization outcomes were also described. The Palivizumab (Synagis, MedImmune, Inc., 25 West Watkins Mill Road, Gaithersburg, MD 20878) Outcomes Registry was a prospective multicenter survey conducted at 63 sites. Demographics, injection history, and RSV hospitalization outcomes were collected on 2,116 infants receiving palivizumab. Infants were enrolled in the Registry between September 1, 2000-March 1, 2001, at the time of their first injection. Infants born at less than 32 weeks of gestation accounted for 47% of infants enrolled, and those between 32-35 weeks accounted for 45%; approximately 8% were greater than 35 weeks of gestation. Lower RSV hospitalization rates were observed in infants who had greater adherence to regularly scheduled injections. Nearly one-half of all hospitalizations occurred within the first and second injection intervals, suggesting the importance of early RSV protection. The confirmed RSV hospitalization rate of all infants in the Registry was 2.9%; the rate was 5.8% in infants with chronic lung disease of infancy, and 2.1% in premature infants without chronic lung disease. In conclusion, these data support the continued effectiveness of palivizumab prophylaxis for severe RSV lower respiratory tract disease in a large cohort of high-risk infants from geographically diverse pediatric offices and clinics. The Palivizumab Outcomes Registry provides an opportunity to assess palivizumab utilization and clinical effectiveness in the US.

Full Text

Duke Authors

Cited Authors

  • Parnes, C; Guillermin, J; Habersang, R; Nicholes, P; Chawla, V; Kelly, T; Fishbein, J; McRae, P; Goessler, M; Gatti, A; Calcagno, JA; Eki, C; Harris, KA; Joyave, J; McFarland, K; Protter, P; Sullivan, M; Stanford, A; Lovett, N; Ortiz, M; Rojas, S; Cyrus, S; Cyrus, J; Cohen, S; Buchin, D; Riordan, L; Zuniga, M; Shah, R; Minard, C; Quintin, A; Douglas, G; van Houten, J; Freutner, S; Chartrand, S; Nowatzke, P; Romero, J; Rhodes, T; Benoit, M; Walter, E; Walker, L; DeBonnett, L; Cross, M; Free, T; Martin, S; Shank, K; Guedes, B; Atkinson, LA; Halpin, GJ; Rouse, K; Hand, I; Geiss, D; Marshall, JR; Burleson, L; Boland, J; Seybold, K; Hunter, V; Unfer, S; Schmucker, J; Gley, M; Marcus, M; Thompson, P; Milla, P; Young, C; Zanni, R; Zinno, V; Fetter-Zarzeka, A; Busey, A; Sokunbi, MA; Airington, S; Richard, N; Muraligopal, V; Lewis, S; Weber, FT; Giordano, BP; Linehan, D; Roach, J; Davis, R; Rzepka, AA; Booth, T; Smeltzer, D; Walsh, J; Arispe, E; Rowley, R; Bolling, C; Botts, T; Haskett, K; Raby, D; Batiz, E; Gelfand, A; Farrell, L; Butler, S; Colby, L; Schochet, P; Bentler, J; Hirsch, D; Wilkinson, L; Aaronson, A; Bennett, E; Wingate, J; Quinn, D; Komendowski, K; Deckard, M; Frogel, M; Nerwen, C; Copenhaver, S; Prater, M; Wolsztein, J; Mackey, K; Benbow, M; Naranjo, M; Hensley, S; Hayes, C; Sadeghi, H; Lawson, SM; McCall, M; Combs, K; Ledbetter, J; Sarnosky, K; Swafford, C; Speer, M; Barton, WJ; Mink, JW; Lemm, D; Hudak, M; Case, E; Rowen, J; Fuentes, S; Pane, C; Richardson, L; Chavarria, C; Cassino, D; Ghaffari, K; Carroll, C; Lee, H; Guclu, L; Johnson, C; Blum, V; Boron, ML; Sorrentino, M; Hirsch, RL; Van Veldhuisen, PC; Smith, C; Palivizumab Outcomes Registry Study Group,

Published Date

  • June 2003

Published In

Volume / Issue

  • 35 / 6

Start / End Page

  • 484 - 489

PubMed ID

  • 12746948

Pubmed Central ID

  • 12746948

International Standard Serial Number (ISSN)

  • 8755-6863

Digital Object Identifier (DOI)

  • 10.1002/ppul.10288


  • eng

Conference Location

  • United States