Evidence map›Paper›PMID 41165546›Full record

ArticleJournal of medical virology2025

Real-World Effectiveness of Nirsevimab in Preventing RSV Hospitalizations: Evidence of Protection in Southern Italian Infants, 2024-2025.

Francesca Fortunato, Rosa Prato, Angelo Acquafredda, Angelo Campanozzi, Valeria Delli Carri, Rosa Francavilla, Giuseppina Iannelli, Pio Liberatore, Gianfranco Maffei, Matteo Mariano and 7 more

Abstract read
In one paragraph

Article in Journal of medical virology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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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

17 authors.

Francesca FortunatoDepartment of Medical and Surgical Sciences, University of Foggia, Foggia, Italy.
Rosa PratoDepartment of Medical and Surgical Sciences, University of Foggia, Foggia, Italy.
Angelo AcquafreddaPediatric Unit, Presidio Ospedaliero "Giuseppe Tatarella", Foggia Local Health Unit, Foggia, Italy.
Angelo CampanozziDepartment of Medical and Surgical Sciences, University of Foggia, Foggia, Italy.
Valeria Delli CarriMicrobiology and Virology Unit, Policlinico Foggia Hospital, Foggia, Italy.
Rosa FrancavillaPediatric Unit, Ospedale "Teresa Masselli Mascia", Foggia Local Health Unit, Foggia, Italy.
Giuseppina IannelliDepartment of Medical and Surgical Sciences, University of Foggia, Foggia, Italy.
Pio LiberatoreNeonatology and Intensive Care Unit, Policlinico Foggia Hospital, Foggia, Italy.
Gianfranco MaffeiNeonatology and Intensive Care Unit, Policlinico Foggia Hospital, Foggia, Italy.
Matteo MarianoPediatric Unit, Ospedale "Teresa Masselli Mascia", Foggia Local Health Unit, Foggia, Italy.
Loris MicelliMicrobiology and Virology Unit, Policlinico Foggia Hospital, Foggia, Italy.
Marilena NestaPrevention Department, Foggia Local Health Unit, Foggia, Italy.
Maria Rosa PastorePediatric Unit, Fondazione IRCCS "Casa Sollievo della Sofferenza", San Giovanni Rotondo, Foggia, Italy.
Annamaria CalvoMicrobiology and virology Unit, Fondazione IRCCS "Casa Sollievo della Sofferenza", San Giovanni Rotondo, Foggia, Italy.
Matteo RinaldiNeonatology and Intensive Care Unit, Policlinico Foggia Hospital, Foggia, Italy.
Pier Luigi LopalcoDepartment of Experimental Medicine, University of Salento, Lecce, Italy.
Domenico MartinelliDepartment of Medical and Surgical Sciences, University of Foggia, Foggia, Italy.ORCID 0000-0001-8028-3167

Funding

The authors received no specific funding for this work.
6 · The paper itself

Abstract

Respiratory syncytial virus (RSV) is a leading cause of hospitalization in infants, resulting in millions of cases and hundreds of thousands of deaths worldwide every year. Nirsevimab, a long-acting monoclonal antibody approved in 2023, has 75%-90% protection against RSV-related admissions. This study evaluated the effectiveness of nirsevimab in preventing RSV-hospitalization among infants in southern Italy during 2024-2025 season. Active surveillance was conducted in all hospitals in the Foggia district. Infants born between January 2024 and March 2025 who were hospitalized with lower respiratory tract infections from October 2024 to April 2025 were tested for RSV. Information on immunoprophylaxis was provided by the Regional Immunization Information System. The effectiveness of nirsevimab was estimated using the screening method, a test-negative case-control design and a cohort study approach. Of the 4820 eligible infants, 2635 (54.7%) were immunized. Of the 256 infants admitted with lower respiratory tract infections, 82 tested positives for RSV; of these, 13 had received immunoprophylaxis. The effectiveness was estimated to be 84.4% (95% CI: 71.7-91.4%) using the screening method, 72.5% (42.1%-87.0%) using the test-negative design, and 81.6% (66.4-90.0) using the cohort approach. As in previous study, these findings showed than nirsevimab provide substantial protection against RSV-related hospitalization.

Indexed as

Antibodies, Monoclonal, HumanizedAntiviral AgentsHospitalizationRespiratory Syncytial Virus InfectionsCase-Control StudiesCohort StudiesFemaleHumansInfantInfant, NewbornItalyMaleRespiratory Syncytial Virus, HumanAntibodies, Monoclonal, HumanizedAntiviral AgentsNirsevimabreal‐world effectivenessRSVRSV hospitalizationsSouth Italy

Identifiers

PMID41165546
PMCPMC12574617

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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.