TY - JOUR T1 - COst-effectiveness of respiratory syncytial virus prophylaxis in various indications AU - Hampp C, Kauf TL, Saidi AS, Winterstein AG Y1 - 2011/06/01 N1 - 10.1001/archpediatrics.2010.298 JO - Archives of Pediatrics & Adolescent Medicine SP - 498 EP - 505 VL - 165 IS - 6 N2 - Respiratory syncytial virus (RSV) infections are the most common cause of hospitalization in early childhood, accounting for 57 000 to 120 000 hospitalizations each year in the United States.1- 2 Immunoprophylaxis for RSV infection is limited by the high cost of the prophylactic agent, palivizumab (Synagis; MedImmune, Inc, Gaithersburg, Maryland). Dosed at 15 mg/kg body weight, one 50-mg vial is necessary to immunize a newborn child (3 kg) for 1 month at an average wholesale price (AWP) of $1145.47.3 Depending on a child's underlying risk, the American Academy of Pediatrics recommends prophylaxis during 5 months of the RSV season for children up to 2 years of age.4 With increasing body weight, older children require higher doses of palivizumab. Consequently, the cost of prophylaxis for a child in the second year of life (>10 kg) can exceed $3000 per month or $15 000 per RSV season, amplifying the financial burden of prophylaxis against RSV infection. SN - 1072-4710 M3 - doi: 10.1001/archpediatrics.2010.298 UR - http://dx.doi.org/10.1001/archpediatrics.2010.298 ER -