Evidence map›Paper›PMID 40555916›Full record

ArticleEuropean journal of pediatrics2025

RSV bronchiolitis: a disease only for those who do not receive prophylaxis.

A Villani, L Antilici, A M C Musolino, A Merola, C F Perno, M Raponi, A C Vittucci

Abstract read
PubMed Publisher
In one paragraph

Article in European journal of pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Observational
  6. Observational
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

A VillaniHospital University Pediatrics Clinical Area, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.ORCID http://orcid.org/0000-0002-9120-0424
L AntiliciHospital University Pediatrics Clinical Area, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy. livia.antilici@opbg.net.ORCID http://orcid.org/0000-0003-0789-9779
A M C MusolinoHospital University Pediatrics Clinical Area, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
A MerolaHospital University Pediatrics Clinical Area, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
C F PernoMicrobiology and Diagnostic Immunology Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
M RaponiMedical Direction, Bambino Gesù Children's Hospital IRCCS, Rome, Italy.
A C VittucciHospital University Pediatrics Clinical Area, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.ORCID http://orcid.org/0000-0002-1164-5563

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bronchiolitis is a leading cause of hospitalization in infants, with RSV being the primary pathogen. In 2023, nirsevimab was approved for universal prophylaxis, demonstrating high effectiveness in reducing RSV-related hospitalizations. In Italy, nirsevimab was introduced in the vaccination schedule only during the current 2024-2025 epidemic season, with significant regional differences. In our region, Lazio, nirsevimab was introduced in late November 2024, leading only to a 43% overall reduction in RSV bronchiolitis hospitalizations compared to the previous season. The highest impact was observed in newborns immunized at birth (- 82.7%), while the catch-up group showed lower-than-expected benefits (- 29%). Immunized infants had significantly lower oxygen requirements (42.9% vs. 82.4% in non-immunized) and resulted to be approximately seven times more likely not to require oxygen compared to non-immunized patients.

conclusionUniversal infant immunization against RSV marks a significant breakthrough in the natural history of bronchiolitis, and early and widespread nirsevimab administration appears to be crucial in minimizing RSV's hospitalizations. WHAT IS KNOWN: • Nirsevimab was approved in 2023 for the universal prophylaxis against RSV bronchiolitis. • Nirsevimab was was introduced in the Italian vaccination schedule only during the current 2024-2025 epidemic season, with significant regional differences. WHAT IS NEW: • In Lazio, Italy, the delayed introduction of nirsevimab in November 2024 and the reduced vaccination coverage of the catch-up group resulted in a lower-than-expected reduction in RSV bronchiolitis hospitalizations. • Early and widespread administration of nirsevimab is crucial to maximizing its benefits and reducing severe RSV cases.

Indexed as

Antibodies, Monoclonal, HumanizedAntiviral AgentsBronchiolitisBronchiolitis, ViralRespiratory Syncytial Virus InfectionsFemaleHospitalizationHumansImmunization ScheduleInfantInfant, NewbornItalyMaleAntibodies, Monoclonal, HumanizedAntiviral AgentsBronchiolitisImmunizationNirsevimabRSV

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.