Beyfortus for RSV Illness Prevention

Beyfortus (nirsevimab), developed by Sanofi and AstraZeneca, is a monoclonal antibody (see next paragraph) designed to protect infants from respiratory syncytial virus (RSV). Approved in July of 2023, it is recommended for infants who are less than 8 months-of-age during the RSV season, and it is given right around the start of RSV season.

In our area, RSV season starts in October and runs through April.  The first large post-release study in Spain (published August of 2024) showed that Beyfortus is highly effective, reducing hospitalizations due to RSV-related lower respiratory tract infections (LRTI) by 82%!  It has proven safety, with no significant adverse events reported in real-world conditions.  In placebo-controlled trials, the patients in the placebo group and the Beyfortus had the same amount of adverse events.  

A monoclonal antibody is a lab-made protein designed to mimic the immune system’s ability to fight infections. It’s “monoclonal” because it comes from a single type of immune cell, meaning it’s highly specific in targeting a single substance, like a virus, in this case, the RSV virus. By binding to the virus, they block its ability to spread, offering protection to those who might not have developed strong immunity naturally, like infants.

Synagis (Palivizumab) is the “original” RSV monoclonal antibody.  It was released in 1998, and we still use it, but it is very expensive and only lasts one month.  Since it only lasts one month, babies have get the shot every month for the entirety of RSV season.  For this reason, Synagis has only been used for high risk babies (such as babies who are premature or have lung or heart issues).

To schedule your child’s RSV shot, log into your patient portal and select a “nurse or vaccine appointment.”  Christi Arrington, RN will be administering shots from 8:45 am to 1:45pm, and Hannah Frost, RN will be administered shots in the late afternoon.

What is so bad about RSV?

One of the “strongest” cold viruses

RSV (Respiratory Syncytial Virus) is one of the worst “common cold” viruses in circulation. 1 in 20 children under 3 months-of-age who contract RSV will require hospitalization. It is also very dangerous for the elderly and immunocompromised. Symptoms can last up to a month and many children shed the virus for 2 to 3 weeks (it’s very contagious). People “catch” RSV by touching their eyes, mouth, or food that has been in contact with RSV secretions or mucous (yuck). So handwashing is very important!

The 2021 RSV Season is Late

Because of COVID, adults and children were staying separate and wearing masks this winter, so the 2021 RSV started late and is continuing later than normal. Usually, RSV season would be over by now.

RSV Goes to the Lungs

Most “common cold” viruses cause coughing because of a postnasal drip and inflammation of the throat. But RSV often moves down into the lungs, causing wheezing, trouble breathing, and possibly requiring oxygen.

How to Prevent RSV

Since there is not an RSV vaccine yet, the best way to prevent RSV is to limit possible exposure. During RSV season, make sure infants and toddlers are kept away from sick children and adults. Also, since it’s mainly spread through mucous or secretions, handwashing is very important! Daycares and preschools should send home infants and toddlers with cold symptoms, especially during an RSV outbreak.

How to Treat RSV

Since RSV is a virus, there is no medical treatment for RSV. But children with RSV can develop ear infections, bacterial pneumonia, or sinus infections. As with all “colds” follow-up with your child’s pediatrician if you are concerned about your child.

You Can Catch RSV Multiple Times

Theoretically, someone could catch RSV every winter! Thankfully, the infections is usually milder with each infection.