Respiratory syncytial virus (RSV) tuaj yeem ua rau muaj ntau yam kab mob ua pa rau cov menyuam mos thiab menyuam yaus. Nws feem ntau ua rau mob khaub thuas xws li mob khaub thuas tab sis tuaj yeem ua rau mob ua pa qis xws li bronchiolitis thiab mob ntsws.
Peb tau tham txog yuav ua li cas npaj rau qhov nce RSV cov xwm txheej hauv Nqe 33 ntawm Tus Muab Kev Digest thiab ua raws li qee qhov cov ntsiab lus ntawm palivizumab. Tam sim no peb tab tom muab qhov hloov tshiab ntawm nirsevimab (Beyfortus).
Nirsevimab (Beyfortus) yog cov tshuaj tiv thaiv kab mob monoclonal ntev uas tiv thaiv kab mob hnyav los ntawm tus kab mob ua pa syncytial (RSV) hauv cov menyuam mos. Pawg Neeg Tawm Tswv Yim Txog Kev Tiv Thaiv Kab Mob (ACIP) pom zoo rau Beyfortus (nirsevimab) rau ob pawg hnub nyoog sib txawv:
Cov menyuam mos hnub nyoog qis dua 8 lub hlis
- Txhua tus menyuam mos hnub nyoog qis dua 8 lub hlis yug thaum los yog nkag mus rau lawv thawj lub caij RSV yuav tsum tau txais ib koob tshuaj nirsevimab (50mg rau cov menyuam mos <5kg lossis 100mg rau menyuam mos>5kg). Cov menyuam mos yug thaum lub caij RSV yuav tsum tau txais ib koob tshuaj nirsevimab sai li sai tau tom qab yug me nyuam.
- Cov menyuam mos hnub nyoog qis dua 8 lub hlis yug hauv lub hlis sab nraum lub caij RSV yuav tsum tau txhaj tshuaj thaum lub Kaum Hli lossis Kaum Ib Hlis.
Me nyuam mos thiab me nyuam me 8-19 lub hlis
Cov me nyuam mos thiab cov me nyuam me 8-19 lub hlis uas yog ntawm kev pheej hmoo ntawm tus kab mob RSV hnyav thiab nkag mus rau lawv lub caij RSV thib ob yuav tsum tau txais 200 mg koob tshuaj nirsevimab.
Tshuaj tiv thaiv rau menyuam yaus (VFC)
Beyfortus tam sim no muaj rau cov neeg muab kev pabcuam rau npe hauv VFC txoj haujlwm. Saib tsab ntawv California Department of Public Health (CDPH) “Nirsevimab (Beyfortus) Tam sim no muaj los ntawm VFC rau kev tiv thaiv tus kab mob RSV hnyav rau cov menyuam yaus.”
CDPH zoo siab txais tos cov neeg muab kev pabcuam rau cov menyuam yaus uas tsim nyog tau txais Medi-Cal, Neeg Asmeskas Khab / Alaskan Native, tsis muaj pov hwm thiab tsis muaj pov hwm los rau npe rau hauv California VFC Program. CDPH tab tom txhawb nqa cov tsev kho mob yug me nyuam, tsev kho mob mob hnyav thiab lwm yam kev saib xyuas rau cov neeg mob me nyuam mos los koom nrog VFC Program. Yog xav paub ntxiv, thov mus saib CDPH Letter "Nirsevimab (Beyfortus ™) muaj yam tsis muaj nqi los tiv thaiv cov me nyuam mos uas tsim nyog rov qab mus rau hauv tsev kho mob nrog tus kab mob RSV - VFC tau qhib.”
| Cov lus pom zoo rau kev siv nirsevimab (Beyfortus) | |
| Cov menyuam mos hnub nyoog qis dua 8 lub hlis uas tau yug los sai sai ua ntej lossis nkag mus rau lawv thawj lub caij RSV yog:
☐ Tus niam tsis tau txais cov tshuaj tiv thaiv RSV thaum cev xeeb tub. ☐ Niam txoj kev txhaj tshuaj tiv thaiv RSV tsis paub. ☐ Tus menyuam mos yug hauv 14 hnub ntawm niam txiv tau txhaj tshuaj tiv thaiv RSV. ☐ Tsuas yog cov xwm txheej tshwj xeeb thiab cov neeg nyob hauv qab no, nirsevimab tsis xav tau rau cov menyuam mos hnub nyoog qis dua 8 hli yug 14 lossis ntau hnub tom qab niam txiv txhaj tshuaj tiv thaiv RSV.
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Cov menyuam yaus hnub nyoog 8 txog 19 lub hlis uas muaj kev pheej hmoo ntau ntxiv rau tus kab mob RSV hnyav ua ntej lossis thaum lawv lub caij RSV thib ob:
☐ Cov menyuam yaus uas muaj kab mob ntsws ntev ua ntej yug me nyuam uas xav tau kev pab kho mob (kev kho mob corticosteroid, kev kho diuretic lossis ntxiv oxygen) txhua lub sijhawm nyob rau lub sijhawm 6 lub hlis ua ntej pib lub caij RSV thib ob. ☐ Cov menyuam yaus uas muaj kev tiv thaiv kab mob hnyav heev. ☐ Cov me nyuam uas muaj kab mob cystic fibrosis uas muaj xws li:
☐ Cov menyuam yaus Asmeskas Khab thiab Alaska Native. Cov menyuam yaus hnub nyoog 8 hli thiab laus dua uas tsis muaj kev pheej hmoo ntawm tus kab mob RSV hnyav yuav tsum tsis txhob tau txais nirsevimab. |
| Dosing |
| Siv cov tshuaj nirsevimab intramuscularly. Qhov chaw nyiam ntawm kev tswj hwm yog lub anterolateral ncej puab. Tsis txhob noj nirsevimab intravenously, intradermally lossis subcutaneously.
Rau cov menyuam mos hnub nyoog qis dua 8 lub hlis, kev noj tshuaj yog nyob ntawm qhov hnyav: • 50 mg rau cov menyuam mos uas hnyav <5 kg (<11 lb.). • 100 mg rau cov menyuam mos uas hnyav ≥5 kg (≥11 lb.). Rau cov menyuam yaus uas muaj kev pheej hmoo siab 8-19 lub hlis: • 200 mg: ob koob tshuaj 100 mg tib lub sijhawm ntawm qhov chaw txhaj tshuaj sib txawv. |
Kev txiav txim
Rau cov chaw muab kev pabcuam VFC, thov xa mus rau CDPH Tsab Ntawv "Nirsevimab (Beyfortus) Tam sim no muaj los ntawm VFC rau Kev Tiv Thaiv Tus Kab Mob RSV hnyav rau cov menyuam yaus” kom paub ntau ntxiv.
Alliance tso cai thiab them nqi rau Beyfortus tau them raws li daim ntawv thov 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.
Kev them nqi rau kev tswj hwm cov koob tshuaj tiv thaiv VFC
Txhawm rau sau npe rau Alliance rau kev tswj hwm ntawm cov tshuaj tiv thaiv VFC, siv qhov tsim nyog
CPT-4 code ua raws li "-SL" hloov kho. Cov kws kho mob tsuas yog them rov qab rau tus nqi tswj hwm thaum siv cov tshuaj tiv thaiv VFC rau cov tswv cuab.
- Beyfortus 50 mg/0.5 mL syringe (NDC: 49281-0575-15) CPT Code: 90380-SL
- Beyfortus 100 mg/1 mL syringe (NDC: 49281-0574-15) CPT Code: 90381-SL
Kev tso cai Medi-Cal Rx rau Synagis tau them raws li daim ntawv thov tsev muag tshuaj
Cov tshuaj uas tau sau hauv lub tsev muag tshuaj yog them los ntawm Medi-Cal Rx es tsis yog Alliance. Yog xav paub ntxiv txog kev them nqi thiab thov kev tso cai ua ntej, thov mus saib hauv lub Medi-Cal Rx lub vev xaib.
Ua tsaug rau kev saib xyuas cov me nyuam mos, muaj kev pheej hmoo. Yog tias koj muaj lus nug txog Beyfortus cov lus pom zoo, thov hu rau Alliance Pharmacy Department ntawm 831-430-5507.
