Cases in Medical Microbiology and Infectious Diseases. Melissa B. Miller

Cases in Medical Microbiology and Infectious Diseases - Melissa B. Miller


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against the routine use of ribavirin in infants and children with lower respiratory tract illness because its efficacy in this population has not been proven. Randomized, controlled trials have demonstrated conflicting results. Further, ribavirin treatment is expensive. Treatment of RSV infection with ribavirin is reserved for immunosuppressed patients with severe RSV infection. Several reports have demonstrated that early administration of ribavirin significantly decreased lower respiratory tract illness, morbidity, and mortality in adult hematopoietic stem cell transplant recipients. Palivizumab cannot be used as a treatment for RSV; it only provides passive protection against infection.

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      2. Blanken MO, Rovers MM, Molenaar JM, Winkler-Seinstra PL, Meijer A, Kimpen JL, Bont L; Dutch RSV Neonatal Network. 2013. Respiratory syncytial virus and recurrent wheeze in healthy preterm infants. N Engl J Med 368:1791–1799.

      3. Leclair JM, Freeman J, Sullivan BF, Crowley CM, Goldmann DA. 1987. Prevention of nosocomial respiratory syncytial virus infections through compliance with glove and gown isolation precautions. N Engl J Med 317:329–334.

      4. Shah DP, Ghantoji SS, Shah JN, El Taoum KK, Jiang Y, Popat U, Hosing C, Rondon G, Tarrand JJ, Champlin RE, Chemaly RF. 2013. Impact of aerosolized ribavirin on mortality in 280 allogeneic haematopoietic stem cell transplant recipients with respiratory syncytial virus infections. J Antimicrob Chemother 68:1872–1880.

      5. Tregoning JS, Schwarze J. 2010. Respiratory viral infections in infants: causes, clinical symptoms, virology, and immunology. Clin Microbiol Rev 23:74–98.

      6. van Drunen Littel-van den Hurk S, Watkiss ER. 2012. Pathogenesis of respiratory syncytial virus. Curr Opin Virol 2:300–305.

      7. Villenave R, Shields MD, Power UF. 2013. Respiratory syncytial virus interaction with human airway epithelium. Trends Microbiol 21:238–244.

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