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Who Should Receive Synagis?

April 26, 2017clinic continuity dept notebook pediatrics synagis

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Who Should Receive Synagis?

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Dose: 15 mg/kg • Infants and children younger than 2 years of age with chronic lung disease (CLD) who have required medical therapy (such as oxygen or medications) within 6 months before RSV season. • Prematurity: indications vary with gestational ages and with risk factors: • 24-28 weeks of gestation: prophylaxis up to 1 year of age; give prior to the start of RSV season. Treat longer if risk factors.(see above) • 29-32 weeks of gestation: prophylax up to 6 months of age; give prior to the start of RSV season ; longer if risk factors • 33-35 weeks of gestation: up to 6 months of age; give prior to the start of RSV season based on risk factors. Who Should Not Receive Synagis? Children with cyanotic heart diesease; it is OK to give it if child has acyanotic heart disease and meet the criteria above. Does not interfere with vaccines. Uncertain or May Benefit: PICU or inpatients; emphasize hand washing; immunocompromised or immunsuppressed not clear-cut indication. How arranged at MCG: Ca