5.1 vaccines RSV

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what are some risk factors in young children

History of prematurity, age below 6 months and more

What is the initial stages of infection facilliated by?

Two surface protein, F surface fusion protein that is essential for viral entry And protein G that is an attachment glycoprotein

what is the main target antigen

fusion proteine

What are the two surface glycoproteins that facilitate the initial stages of RSV infection?

Protein F and G

What is the essential function of protein F in RSV infection?

Mediates fusion between the viral envelope and airway epithelial cells

What accounts for much of the antigenic differences between the two antigenic subgroups of RSV?

Variations in protein G

What are the risk factors for severe RSV disease in young children?

Risk factors for severe RSV disease in young children include history of prematurity, young age, and underlying diseases.

How did COVID-19 mitigation measures impact RSV's natural seasonality?

COVID-19 mitigation measures disrupted RSV's natural seasonality, increasing the possibility of out-of-season outbreaks post-pandemic.

What is the duration of RSV epidemics, and how does it coincide with other respiratory viruses?

RSV epidemics last up to 5 months, coinciding with epidemic seasons of other respiratory viruses.

What are the risk factors for severe RSV-associated disease in adults?

Risk factors include older age, comorbidities such as asthma, chronic obstructive pulmonary disease (COPD), congestive heart failure (CHF), coronary artery disease (CAD), chronic kidney disease (CKD), and weak immune status, especially for those aged ≥60 years.

Why are older adults particularly susceptible to severe RSV-associated disease?

Older adults are particularly susceptible due to age-related decline in immunity, aging of the lung, and high rates of comorbidities.

What are the potential outcomes of RSV infection in older adults and those with comorbidities?

RSV infection in older adults and those with comorbidities can lead to lower respiratory tract infections, hospitalization, exacerbation of certain comorbidities, and death.

Study Notes

  • RSV (Respiratory Syncytial Virus) infection can lead to severe complications and poor outcomes in adults, particularly those with weakened immune systems or certain comorbidities.
  • Risk factors for severe RSV-associated disease in adults include older age, comorbidities such as asthma, chronic obstructive pulmonary disease (COPD), congestive heart failure (CHF), coronary artery disease (CAD), chronic kidney disease (CKD), and weak immune status, especially for those aged ≥60 years.
  • Older adults are particularly susceptible to severe RSV-associated disease due to age-related decline in immunity, aging of the lung, and high rates of comorbidities.
  • RSV infection in healthy adults typically results in mild, cold-like symptoms. However, in older adults and those with comorbidities, it can lead to lower respiratory tract infections, hospitalization, exacerbation of certain comorbidities, and death.
  • Respiratory viral infections, including RSV, are a major factor in the worsening of COPD and asthma. They can lead to longer hospitalization, accelerated lung function decline, greater hypoxemia, and greater airway inflammation.
  • The RENOIR study showed that the RSVPreF vaccine had vaccine efficacy against RSV-associated illness during the first RSV season, with 66.7% RSV-LRTI and 85.7% RSV-LRTI ≥3 signs/symptoms in the RSVPreF group compared to 14.3% and 0% in the placebo group, respectively.
  • Solicited adverse events (AEs) reported within 7 days of vaccination included pain (11%) and fatigue (16%) in the RSVPreF group compared to 10% and 14% in the placebo group, respectively. The median duration of these AEs was 1-2 days.

This quiz covers the risk factors, complications, and outcomes of RSV (Respiratory Syncytial Virus) infection in adults, as well as the efficacy and adverse events of the RSVPreF vaccine. It also includes information on how RSV infection affects individuals with comorbidities such as asthma and COPD.

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