Evidence map›Paper›PMID 40879409›Full record

ArticleAnales del sistema sanitario de Navarra2025

[Nirsevimab immunization effectiveness against respiratory syncytial virus hospitalization in newborns: two season of use in Navarre, Spain].

Noelia Vera-Punzano, Ana Navascués, Leticia Armendáriz, Natividad Viguria, Mercedes Herranz-Aguirre, Manuel García Cenoz, Camino Trobajo-Sanmartín, Aitziber Echeverria, Iván Martínez-Baz, Carmen Ezpeleta and 2 more

Abstract readEnglish Abstract
In one paragraph

Article in Anales del sistema sanitario de Navarra, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. [Anales del Sistema Sanitario de Navarra in 2025: Progress continues].Anales del sistema sanitario de Navarra · 2026
    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

12 authors.

Noelia Vera-PunzanoInstituto de Investigación Sanitaria de Navarra.
Ana NavascuésServicio Navarro de Salud-Osasunbidea. Hospital Universitario de Navarra. Servicio de Microbiología Clínica. Pamplona, Navarra. España.
Leticia ArmendárizServicio Navarro de Salud-Osasunbidea. Hospital Universitario de Navarra. Servicio de Microbiología Clínica. Pamplona.
Natividad ViguriaServicio Navarro de Salud-Osasunbidea. Hospital Universitario de Navarra. Servicio de Pediatría. Pamplona, Navarra. España.
Mercedes Herranz-AguirreServicio Navarro de Salud-Osasunbidea. Hospital Universitario de Navarra. Servicio de Pediatría. Pamplona, Navarra. España.
Manuel García CenozInstituto de Salud Pública y Laboral de Navarra. Pamplona, Navarra. España.
Camino Trobajo-SanmartínInstituto de Salud Pública y Laboral de Navarra. Pamplona, Navarra. España.
Aitziber EcheverriaInstituto de Salud Pública y Laboral de Navarra. Pamplona, Navarra. España.
Iván Martínez-BazInstituto de Salud Pública y Laboral de Navarra. Pamplona, Navarra. España.
Carmen EzpeletaServicio Navarro de Salud-Osasunbidea. Hospital Universitario de Navarra. Servicio de Microbiología Clínica. Pamplona, Navarra. España.
Guillermo EzpeletaInstituto de Salud Pública y Laboral de Navarra. Pamplona, Navarra. España.
Jesús CastillaInstituto de Salud Pública y Laboral de Navarra. Pamplona, Navarra. España.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRespiratory syncytial virus (RSV) is the leading cause of infant hospitalisation. In 2022, nirsevimab was approved in the European Union to prevent severe respiratory disease due to RSV during the first year of life. Our aim is to evaluate the effectiveness of nirsevimab immunoprophylaxis in new-borns for preventing RSV -related hospitalisations in Navarre, Spain, during its first two seasons of use.

methodsNirsevimab was offered free of charge to infants born from October to December 2023 and from September to December 2024. Each cohort was followed until February of the following year. Cases were infants hospitalised for PCR-confirmed RSV infection. Cox regression was used to estimate the hazard ratio of hospitalisation for immunised versus non-immunised children.

resultsNirsevimab was offered to 2,699 new-borns; of them, 2,541 (94.1%) received nirsevimab. In the 2023-2024 season, 17 RSV-related hospitalisations were recorded and 24 in the 2024-2025 season. The average risk of RSV hospitalisation was 7.6% in non-immunised new-borns versus 1.1% in immunised ones. Overall, effectiveness of nirsevimab was 79.5% (95% CI: 59.2 - 89.7), with estimates of 89.9% in 2023-2024 and 52.8% in 2024-2025, with no significant differences between seasons (p=0.055). On average, one RSV hospitalisation was prevented per 22.6 immunised infants.

conclusionsNirsevimab immunoprophylaxis substantially reduces RSV hospitalisations, helping ease paediatric hospital burden. However, as some immunised infants were still hospitalised, additional preventive measures remain necessary.

Indexed as

Antibodies, Monoclonal, HumanizedAntiviral AgentsHospitalizationRespiratory Syncytial Virus InfectionsFemaleHumansInfantInfant, NewbornMaleSeasonsSpainAntibodies, Monoclonal, HumanizedAntiviral Agents

Identifiers

PMID40879409
PMCPMC12481417

What OpenQuestion holds

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LicenceCC BY-SA
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Registered trials

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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.