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Tsis txhob nco qhov hloov tshiab. Sau npe kom tau txais xov xwm Alliance tus kws kho mob.

2024-2025 nirsevimab (Beyfortus®) cov lus qhia kev tso cai

Tus neeg muab kev pabcuam Icon

Nirsevimab (Beyfortus) yog ib qho tshuaj tiv thaiv kab mob monoclonal ntev rau cov menyuam mos thiab menyuam mos los tiv thaiv tus kab mob ua pa syncytial (RSV) kab mob. Nirsevimab nyiam tshaj palivizumab (Synagis) vim nws txoj kev ua tau zoo, ntev thiab yooj yim.

Alliance siv cov txheej txheem rau nirsevimab ua raws California Cov Kev Pabcuam Me Nyuam Me (CCS), Pawg Neeg Tawm Tswv Yim rau Kev Tiv Thaiv Kev Tiv Thaiv (ACIP), Lub Chaw Tiv Thaiv thiab Tiv Thaiv Kab Mob (CDC) thiab American Academy of Pediatrics (AAP) cov lus pom zoo. Lub Alliance yuav them rau nirsevimab rau cov tswv cuab uas ua tau raws li qhov yuav tsum tau teev tseg hauv Beyfortus txoj cai.

Cov xwm txheej rau kev siv nirsevimab
Me nyuam mos <8 lub hlis nkag rau lawv thawj lub caij RSV yog

  • Cov niam txiv cev xeeb tub tsis tau txais cov tshuaj tiv thaiv RSV thaum cev xeeb tub.
  • Cov niam txiv cev xeeb tub cov tshuaj tiv thaiv RSV tsis paub.
  • Tus menyuam mos yug <14 hnub tom qab niam txiv tau txhaj tshuaj tiv thaiv RSV.
Cov menyuam uas pheej hmoo siab 8 - 19 lub hlis nkag mus rau lawv lub caij RSV thib ob

  • Cov me nyuam mos thiab cov me nyuam uas muaj kab mob ntsws ntev ua ntej yug me nyuam uas xav tau kev pab kho mob (kev kho mob ntev corticosteroid, diuretic therapy lossis ntxiv oxygen) txhua lub sijhawm hauv rau lub hlis ua ntej pib lub caij RSV thib ob.
  • Cov me nyuam mos thiab cov me nyuam uas muaj kev tiv thaiv kab mob hnyav heev.
  • Cov me nyuam mos thiab cov me nyuam uas muaj cystic fibrosis uas muaj xws li:
    • Kev tshwm sim ntawm tus kab mob ntsws hnyav (yav dhau los mus pw hauv tsev kho mob rau pulmonary exacerbation nyob rau hauv thawj xyoo ntawm lub neej los yog kev txawv txav ntawm lub hauv siab imaging uas tseem nyob ruaj khov).
    • Qhov hnyav-rau-ntev uas yog <10 feem pua.
  • Cov menyuam yaus Asmeskas Khab thiab Alaska Native.
Thov nco ntsoov:

  •  Tsis tas yuav muaj kev tso cai ua ntej rau cov menyuam mos uas muaj hnub nyoog qis dua 8 hli.
  • Yuav tsum tau tso cai ua ntej rau cov me nyuam mos 8 hli thiab tshaj saud.
  • Nirsevimab tsis pom zoo rau ib tus menyuam uas muaj hnub nyoog 20 hli thiab laus dua. Cov menyuam yaus hnub nyoog 20 lub hlis thiab laus dua tuaj yeem tau ntsib ob lub caij RSV thiab tau kis tus kabmob RSV thiab yog li tsis tshua muaj txiaj ntsig los ntawm nirsevimab.
Dosing thiab kev tswj hwm

Nirsevimab tuaj yeem tswj hwm los ntawm Lub Kaum Hli mus txog rau lub Peb Hlis kawg. Tsuas yog cov menyuam yaus uas ua tau raws li cov kev pheej hmoo siab yuav tsum tau txais ntau dua ib koob tshuaj nirsevimab - ib koob hauv lawv thawj lub caij RSV thiab ib koob tshuaj hauv lawv lub caij RSV thib ob.

  • Hnub nyoog <8 hli nkag mus rau lawv thawj lub caij RSV.
    • 50 mg rau cov menyuam mos uas hnyav <5 kg (< 11 lb.).
    • 100 mg rau cov menyuam mos uas hnyav ≥ 5 kg (≥ 11 lb.).
  •  Cov menyuam yaus uas muaj kev pheej hmoo siab 8-19 lub hlis nkag mus rau lawv lub caij RSV thib ob.
    • 200 mg: (2 cais 100 mg txhaj, tib lub sijhawm ntawm qhov chaw sib txawv).

Kev txiav txim siab thaum tswj hwm palivizumab piv rau nirsevimab rau cov menyuam mos uas muaj kev pheej hmoo siab

Yog tias nirsevimab raug tswj hwm, palivizumab yuav tsum tsis txhob noj tom qab lub caij ntawd.

Yog tias palivizumab tau muab thawj zaug rau lub caij nyoog thiab qis dua tsib koob tshuaj:

  • Tus menyuam mos yuav tsum tau txais ib koob tshuaj nirsevimab.
  • Tsis tas yuav siv tshuaj palivizumab ntxiv.
  • Vim tias kev tiv thaiv los ntawm palivizumab wanes tom qab 30 hnub, nirsevimab yuav tsum tau noj tsis pub dhau 30 hnub tom qab koob tshuaj palivizumab kawg, thaum ua tau. Tsis muaj qhov tsawg kawg nkaus ntawm qhov kawg ntawm koob tshuaj palivizumab thiab koob tshuaj nirsevimab.
  • Yog tias palivizumab tau tswj hwm hauv lub caij ib zaug thiab tus me nyuam tsim nyog rau RSV prophylaxis hauv lub caij ob, tus me nyuam yuav tsum tau txais nirsevimab hauv lub caij ob, yog tias muaj. Yog tias tsis muaj nirsevimab, palivizumab yuav tsum tau ua raws li tau pom zoo los ntawm AAP yav dhau los.

Tshuaj tiv thaiv rau menyuam yaus (VFC)

Nirsevimab yog tam sim no muaj nyob rau hauv VFC qhov kev pab cuam rau cov chaw muab kev tso npe. Cov kws kho mob yuav raug them rov qab rau tus nqi tswj hwm thaum siv cov tshuaj tiv thaiv VFC rau cov tswv cuab.

Kev tso cai ua ntej tsis tas yuav tsum muaj rau cov menyuam mos hnub nyoog qis dua 20 lub hlis, yog tias tus kws kho mob tsuas yog them nqi rau VFC tus nqi tswj hwm.

Thov xa mus rau California Department of Public Health (CDPH) tsab ntawv kom paub meej ntxiv.

Nirsevimab tau them nqi kho mob

Rau cov neeg muab kev pabcuam uas xav sau nqi rau Alliance raws li kev thov khomob uas siv HCPCS code lossis "yuav thiab nqi," thov xa daim ntawv tso cai ua ntej ntawm Alliance Provider Portal los yog fax rau 831-430-5851.

Yog tias koj muaj lus nug, thov hu rau Alliance Pharmacy Department ntawm 831-430-5507.