The respiratory syncytial virus vaccines are here : Implications for solid organ transplantation

Copyright © 2024 American Society of Transplantation & American Society of Transplant Surgeons. Published by Elsevier Inc. All rights reserved..

In 2023, the Food and Drug Administration approved 2 recombinant subunit respiratory syncytial virus (RSV) vaccines based on prefusion RSV F glycoproteins for the prevention of RSV-associated lower respiratory tract disease. These vaccines were subsequently recommended for individuals ≥60 years of age using shared clinical decision-making by the Center for Disease Control and Prevention's Advisory Committee on Immunization Practices. The development, deployment, and uptake of respiratory virus vaccines are of particular importance for solid organ recipients who are at higher risk of infectious complications and poor clinical outcomes, including from RSV-associated lower respiratory tract disease, compared to patients without immunocompromise. This review aims to summarize what is currently known about the burden of RSV disease in solid organ transplantation, to describe the currently available tools to mitigate the risk, and to highlight considerations regarding the implementation of these vaccines before and after transplantation. We also explore areas of unmet need for organ transplant recipients including questions of RSV vaccine effectiveness and safety, inequities in disease and vaccine access based on race and socioeconomic status, and expansion of coverage to immunocompromised individuals below the age of 60 years.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons - (2024) vom: 08. Feb.

Sprache:

Englisch

Beteiligte Personen:

Trubin, Paul [VerfasserIn]
Azar, Marwan M [VerfasserIn]
Kotton, Camille N [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Prevention
RSV
Respiratory viral infection
Review
Solid organ transplantation
Vaccines

Anmerkungen:

Date Revised 21.02.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1016/j.ajt.2024.02.003

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM368305430