2012-2013 RSV season
1. Premature children are at a higher peril for RSV the initiatory of all ii years of their life.
2. Even if your kid had RSV final year, he could withdraw handgrip of it i time to a greater extent than this year-- perhaps amongst the same severity or worse than he had it the twelvemonth before.
The RSV vaccine is exceedingly expensive. Because of that, at that spot are strict guidelines every bit to who is eligible to have the RSV vaccine. Last year, at our quondam pediatrician, the nurse together with our doc emphasized how of import it would hold upwards to vaccinate our 35-week babe twins. However, when nosotros were sent off to the Synagis representative, she denied us, stating that only infants under 32 gestational weeks are eligible. I'm non certain if something changed, but this twelvemonth I was handed the "2012-2013 Proposed Synagis Risk Factor Guidelines" for North Carolina (their emphasis) when discussing O's eligibility-- score! :)
The guidelines are broken upwards into category, birthday, together with additional criteria. To quote from the U.S. of America Bioservices AmerisourceBergen Specialty Group "2012-2013 Proposed Synagis Risk Factor Guidelines" flyer:
CDC "RSV: Prophylaxis together with High-Risk Groups"
RSV together with premature babies." This year's letter, links kept inwards tact for yous to re-create together with paste, if yous withdraw to likewise percentage the letter:
1. Limiting exposure to germs (school historic menses children, interaction amongst the public, sick friends/family, etc)
Well, mutual coldness together with flu flavour is approaching, which likewise ushers inwards my to the lowest degree favorite season: prime number fourth dimension to withdraw handgrip of RSV. If yous are familiar amongst our story, yous know i of my twin boys caught a severe representative of RSV (Respiratory Syncytial Virus) final twelvemonth that had him inwards the PICU for iv days (see "RSV together with premature babies"). This twelvemonth he may hold upwards eligible for the Synagis vaccine because of his reactive airways (see "Reactive airways"), every bit he takes Pulmicort twice a day, has already gone inwards for breathing treatments, together with was on Orapred all of final week. A couple things were brought to my attending this past times calendar month that are rattling of import heading into this RSV season:
1. Premature children are at a higher peril for RSV the initiatory of all ii years of their life.
2. Even if your kid had RSV final year, he could withdraw handgrip of it i time to a greater extent than this year-- perhaps amongst the same severity or worse than he had it the twelvemonth before.
The RSV vaccine is exceedingly expensive. Because of that, at that spot are strict guidelines every bit to who is eligible to have the RSV vaccine. Last year, at our quondam pediatrician, the nurse together with our doc emphasized how of import it would hold upwards to vaccinate our 35-week babe twins. However, when nosotros were sent off to the Synagis representative, she denied us, stating that only infants under 32 gestational weeks are eligible. I'm non certain if something changed, but this twelvemonth I was handed the "2012-2013 Proposed Synagis Risk Factor Guidelines" for North Carolina (their emphasis) when discussing O's eligibility-- score! :)
The guidelines are broken upwards into category, birthday, together with additional criteria. To quote from the U.S. of America Bioservices AmerisourceBergen Specialty Group "2012-2013 Proposed Synagis Risk Factor Guidelines" flyer:
North Carolina Medicaid, TRICare, together with most individual insurance companies servicing NC families withdraw hold adopted the American Academy of Pediatrics Red Book guidelines to produce upwards one's hear coverage eligibility for Synagis. You may purpose this guide to assist produce upwards one's hear your patient's eligibility for Synagis.
NC Medicaid together with most other insurers authorize coverage of Synagis starting fourth dimension NOVEMBER 1st, 2012. U.S. of America Bioservices volition get transportation at the terminate of Oct then that yous may get dosing on the Nov start date.
THE FOLLOWING MAY QUALIFY FOR FIVE (5) DOSES. PREMATURITY SHALL BE COUNTED TO THE EXACT DAY:
Chronic lung illness (Birthday: Born on or afterward Nov 1st, 2010) Additional criteria: Infants together with children nether 24 months of historic menses who withdraw hold had handling (supplemental oxygen, bronchodilator, diuretic, or chronic corticosteroid therapy) inwards the vi months earlier start of season.
Congenital Heart Disease; hemodynamically meaning (Does NOT include VSD, secundum atrial septal defect, pulmonic stenosis, PDAA, unproblematic aortic stenosis, mild coarctation of the aorta, lesions corrected past times operation unless on continued medication for CHF, or mild cardiomyopathy for which patient non receiving medical therapy) (Birthday: Born on or afterward Nov 1st, 2010) Additional Criteria: Infants together with children nether 24 months of historic menses who are receiving medication to command congestive midpoint failure, moderate to severe pulmonary hypertension, or cyanotic midpoint disease.
Prematurity: Gestational historic menses of less than or equal to 28 weeks vi days (Birthday: Born on or afterward Nov 1st, 2011) Additional criteria: Less than or equal to 12 months of historic menses at attack of RSV season.
Prematurity: Gestational historic menses 29 weeks 0 days to 31 weeks vi days (Birthday: Born on or afterward May 1st, 2012) Additional criteria: Less than or equal to vi months of historic menses at attack of RSV season.
Prematurity: Gestational historic menses of less than 34 weeks vi days (Birthday: Born on or afterward March 31st, 2012) Additional criteria: Has severe neuromuscular illness or congenital abnormalities of the airways, either of which compromises handling of respiratory secretions. No other peril factors volition apply.
Prematurity: Gestational historic menses of 32 weeks 0 days to 34 weeks vi days (Birthday: Born on or afterward August 1st, 2012) Additional criteria: At to the lowest degree ONE of these ii peril factors: (1) Attends kid care-- a habitation or facility where attention is provided for whatever lay out of infants or immature toddlers (toddlers historic menses three together with younger) (2) Has a sibling younger than historic menses 5 inwards the home.
The next conditions DO NOT singularly justify medical necessity for Synagis: an RSV episode during the season, repeated pneumonia, sickle jail cellular telephone disease, existence i fellow member of a multiple nativity amongst the other fellow member existence approved for Synagis, apnea or respiratory failure of a newborn.Here are some helpful links on the 2012-2013 Synagis eligibility guidelines:
CDC "RSV: Prophylaxis together with High-Risk Groups"
RSV together with premature babies." This year's letter, links kept inwards tact for yous to re-create together with paste, if yous withdraw to likewise percentage the letter:
Hello, everyone!
I wanted to brand a postal service because it is mutual coldness together with flu season, superlative fourth dimension for RSV (Respiratory Syncytial Virus). If yous are unfamiliar amongst RSV, it is the leading drive of bronchitis together with pneumonia inwards babies. To read to a greater extent than almost RSV inwards premature babies, banking concern correspond out: http://preemiecare.org/rsv_resourceshtm.htm. C together with O were born at thirty-five weeks, five weeks early. Luckily for us, they had dandy nativity weights, but they were early on together with they are multiples. As nosotros motion into inwards to superlative RSV season, they volition notwithstanding hold upwards inwards the high peril category every bit they are premature infants nether 24 months. (https://www.rsvprotection.com/ and http://rsvtesting.com/Facts/rsv_risks.php) O is at a much higher peril than fifty-fifty C amongst his reactive airways together with twice daily nebulizer treatments. To assist lower their risk, nosotros are going to maintain making manus washing a priority inwards our habitation earlier handling the children. These are the guidelines that nosotros withdraw hold been next together with nosotros wanted to percentage them amongst yous then know what to expression when visiting: http://www.ehow.com/how_4442791_prevent-respiratory-syncytial-virus-premature.html
2. Washing together with sanitizing hands
3. No cigarette smoke: inwards person, on clothing, or minute hand
4. Avoid crowded childcare
5. Toy sanitation
We would appreciate your back upwards when yous view amongst our attempts to limit their exposure to RSV. We empathize they are sturdy, salubrious looking boys together with withdraw to withdraw handgrip of childhood diseases, but nosotros experience it is of import to address their specific wellness needs together with brand it a priority.
If yous come upwards downward amongst a mutual coldness earlier visiting, delight country us earlier yous arrive.
Most importantly, delight instruct your flu shot!
Links on importance of getting flu shots:
- Flu information: http://www.facesofinfluenza.com/en/flu-clinics/
- About RSV: http://coldflu.about.com/od/othercommonillnesses/a/rsv.htm
- Preparing for Cold together with Flu season: http://pediatrics.about.com/od/kidsandtheflu/a/05_flu_prep.htm
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