Evidence map›Paper›PMID 41674395›Full record

Observational studyJournal of paediatrics and child health2026

Impact of Nirsevimab on Respiratory Syncytial Virus PCR Test Positivity in Young Infants: A Community-Level Observational Study in Queensland, Australia.

Asmaa El-Heneidy, Keith Grimwood, Jennifer M Robson, Chanpaseuth Vicki Vilaylath, Sarah G Cherian, Stephen B Lambert, Robert S Ware

Abstract readObservational Study
In one paragraph

Observational study in Journal of paediatrics and child health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Asmaa El-HeneidyGriffith Biostatistics Unit, Griffith University, Gold Coast, Queensland, Australia.ORCID https://orcid.org/0000-0003-4937-1673
Keith GrimwoodSchool of Medicine and Dentistry, Griffith University, Gold Coast, Queensland, Australia.ORCID https://orcid.org/0000-0003-3174-9834
Jennifer M RobsonSullivan Nicolaides Pathology, Bowen Hills, Queensland, Australia.
Chanpaseuth Vicki VilaylathSullivan Nicolaides Pathology, Bowen Hills, Queensland, Australia.
Sarah G CherianSullivan Nicolaides Pathology, Bowen Hills, Queensland, Australia.
Stephen B LambertUQ Centre for Clinical Research, The University of Queensland, Brisbane, Queensland, Australia.ORCID https://orcid.org/0000-0002-2709-193X
Robert S WareGriffith Biostatistics Unit, Griffith University, Gold Coast, Queensland, Australia.ORCID https://orcid.org/0000-0002-6129-6736

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimIn April 2024 nirsevimab, a long-acting respiratory syncytial virus (RSV)-specific monoclonal antibody, was made available free of charge to all newborn infants in Queensland. We aimed to explore the community-level impact of a nirsevimab-based prevention program on RSV detection percentages among infants aged ≤ 3 months in Queensland, Australia.

methodsA retrospective analysis of January 2022-December 2024 laboratory data from a Queensland network. Weekly percentages of RSV-positive tests among infants aged ≤ 3 months (eligible group for nirsevimab) were compared with children aged 24-35 months (ineligible group) after nirsevimab introduction in mid-April 2024, and with comparable age data from 2022 to 2023.

resultsOverall, 20 956 RSV polymerase chain reaction tests for both age groups were performed during the study period (2022: 5593; 2023: 4910; 2024: 10 453). Following nirsevimab introduction, the percentage of RSV positive tests declined from 16.0% (370/2316) to 5.8% (51/876) among eligible infants (aged ≤ 3 months), compared to 18.6% (1879/10 098) to 14.6% (1117/7666) among ineligible children (aged 24-35 months). Difference-in-differences analysis showed an absolute risk difference of -6.9 percentage points (95% confidence interval: -13.2 to -4.1, p = 0.03).

conclusionsWe present the first real-world community-based evidence on the impact of nirsevimab upon RSV detection percentages in infants aged ≤ 3 months in Queensland, Australia. The nirsevimab-based prevention program may be contributing to a substantial decline in RSV detection percentages among young infants in the community.

Indexed as

Antibodies, MonoclonalRespiratory Syncytial Virus, HumanRespiratory Syncytial Virus InfectionsChild, PreschoolFemaleHumansInfantInfant, NewbornMalePolymerase Chain ReactionQueenslandRespiratory Syncytial VirusesRetrospective StudiesAntibodies, Monoclonalecological studymonoclonal antibodynirsevimabrespiratory syncytial virus

Identifiers

PMID41674395
PMCPMC13045763

What OpenQuestion holds

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LicenceCC BY
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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.