Evidence map›Paper›PMID 41857462›Full record

ArticleInfectious diseases and therapy2026

Impact of Nirsevimab on Pediatric RSV-Related Lower Respiratory Tract Infections: A Retrospective Pre-Post Observational Study in Tuscany, Italy.

Francesco Nieddu, Marta Verzieri, Marina Vignoli, Valeria Astorino, Silvia Boscia, Laura Pisano, Silvia Ricci, Lorenzo Lodi, Valentina Guarnieri, Francesca Di Berardino and 5 more

Abstract read
In one paragraph

Article in Infectious diseases and therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Observational
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

15 authors.

Francesco Nieddu *Meyer Children's Hospital IRCCS, Viale Pieraccini 24, 50139, Florence, Italy.
Marta Verzieri *Meyer Children's Hospital IRCCS, Viale Pieraccini 24, 50139, Florence, Italy.
Marina VignoliMeyer Children's Hospital IRCCS, Viale Pieraccini 24, 50139, Florence, Italy.
Valeria AstorinoDepartment of Health Sciences, University of Florence, Viale Pieraccini, 6-50139, Florence, Italy.
Silvia BosciaMeyer Children's Hospital IRCCS, Viale Pieraccini 24, 50139, Florence, Italy. silvia.boscia@meyer.it.ORCID http://orcid.org/0000-0001-9687-0729
Laura PisanoMeyer Children's Hospital IRCCS, Viale Pieraccini 24, 50139, Florence, Italy.
Silvia RicciMeyer Children's Hospital IRCCS, Viale Pieraccini 24, 50139, Florence, Italy.
Lorenzo LodiMeyer Children's Hospital IRCCS, Viale Pieraccini 24, 50139, Florence, Italy.
Valentina GuarnieriMeyer Children's Hospital IRCCS, Viale Pieraccini 24, 50139, Florence, Italy.
Francesca Di BerardinoDepartment of Health Sciences, University of Florence, Viale Pieraccini, 6-50139, Florence, Italy.
Francesca FiglioliMeyer Children's Hospital IRCCS, Viale Pieraccini 24, 50139, Florence, Italy.
Stefano MasiMeyer Children's Hospital IRCCS, Viale Pieraccini 24, 50139, Florence, Italy.
Giuseppe IndolfiMeyer Children's Hospital IRCCS, Viale Pieraccini 24, 50139, Florence, Italy.
Chiara Azzari *Meyer Children's Hospital IRCCS, Viale Pieraccini 24, 50139, Florence, Italy.
Maria Moriondo *Meyer Children's Hospital IRCCS, Viale Pieraccini 24, 50139, Florence, Italy.

Funding

European Commission B83C22003920001Regione Toscana G14I20000320002
6 · The paper itself

Abstract

introductionRespiratory syncytial virus (RSV) is the leading cause of respiratory infections and hospitalization among infants and a major burden on pediatric emergency department (EDs). Nirsevimab has recently been introduced for universal use in all infants entering their first RSV season. However, real-world data on its public health impact are still limited, particularly regarding attendances at pediatric ED.

methodsWe conducted a retrospective, observational, pre-post intervention study at the Meyer Children's Hospital (Tuscany, Italy). The 2024-25 RSV season, when nirsevimab was firstly implemented, was compared with the three preceding seasons. ED attendances, hospitalization, and pediatric intensive care unit (PICU) admissions for lower respiratory tract infections (LRTIs) of any etiology were analyzed.

resultsDuring the 2024-25 season, overall ED attendances for LRTIs, regardless of etiology, decreased by 67.3%. Hospital admissions for LRTIs dropped by 64.7%, and PICU admissions by 86.2%. RSV-confirmed LRTIs declined by 96.5%.

conclusionsUniversal nirsevimab prophylaxis markedly reduced the burden of respiratory infections in eligible infants, leading to a significant reduction in the use of healthcare resources, including ED visits, hospitalization, and PICU admissions.

Indexed as

Lower respiratory tract infectionsNirsevimabPediatric respiratory infectionsPublic health impactRespiratory syncytial virus

Identifiers

PMID41857462
PMCPMC13129003

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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.