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 kuj tuaj yeem ua rau cov kab mob ua pa qis xws li bronchiolitis thiab mob ntsws. Peb sib tham Yuav ua li cas npaj rau nce RSV cov ntaub ntawv nyob rau hauv ib tsab xov xwm nyob rau hauv lub xeem Provider Digest, thiab tam sim no ua raws li ib co ntsiab lus ntawm palivizumab.
Palivizumab (Synagis®) yog ib qho tshuaj tiv thaiv kab mob monoclonal pom zoo los ntawm American Academy of Pediatrics (AAP). Nws raug pom zoo rau kev tswj hwm rau cov menyuam mos thiab cov menyuam yaus uas muaj kev pheej hmoo siab yuav tau txais txiaj ntsig los ntawm immunoprophylaxis rau RSV, raws li hnub nyoog gestational thiab qee yam mob hauv qab no.
Palivizumab 15mg / kg yog muab tshuaj intramuscularly ib hlis ib zaug rau ntau tshaj tsib koob tshuaj txij lub Kaum Ib Hlis txog Lub Peb Hlis, lub ncov RSV lub hlis. Palivizumab tsis zoo rau kev kho tus kab mob RSV.
Lub Alliance cov txheej txheem siv tau teev tseg hauv Txoj Cai 403-1120 ua raws li AAP cov lus pom zoo tam sim no. Lub Alliance yuav them rau Synagis rau cov tswv cuab uas ua tau raws li Cov Cai rau Kev Siv tau teev tseg hauv txoj cai.
Thov nco ntsoov: cov ntaub ntawv ntawm nirsevimab (Beyfortus) thiab nws qhov kev suav nrog hauv Cov Tshuaj Tiv Thaiv rau Menyuam Yaus (VFC) yuav muab rau hnub tom qab.
| DIAGNOSIS | |
| Hnub nyoog 0-12 lub hlis ntawm RSV lub caij pib
☐ Me nyuam yug <29 lub lis piam, 0 hnub yug thaum yug. ☐ Tus me nyuam mos uas muaj tus kab mob ntsws ntev (CLD) ntawm lub hnub nyoog ntxov ntxov txhais tau tias muaj hnub nyoog gestational <32 lub lis piam, 0 hnub thiab qhov yuav tsum tau muaj> 21% oxygen tsawg kawg yog thawj 28 hnub tom qab yug me nyuam. ☐ Me nyuam mos uas muaj kab mob hemodynamically tseem ceeb congenital heart disease (CHD) xws li cov me nyuam mos uas muaj kab mob plawv acyanotic uas tau txais cov tshuaj los tswj lub plawv tsis ua hauj lwm thiab yuav tsum tau phais plawv thiab cov me nyuam mos uas muaj nruab nrab mus rau hnyav pulmonary hypertension. ☐ Me nyuam mos uas muaj cyanotic plawv tsis xws luag yog pom tau tias muaj pov thawj los ntawm tus me nyuam tus kws kho mob plawv. ☐ Tus me nyuam mos uas tau hloov lub plawv thaum lub caij RSV. ☐ Tus me nyuam mos uas muaj kab mob neuromuscular, kab mob ua pa tseem ceeb los yog lub cev tsis zoo uas ua rau tsis muaj peev xwm tshem tawm cov zais zis los ntawm txoj hlab pa sab sauv vim qhov hnoos tsis zoo. ☐ Tus me nyuam mos uas muaj kev tiv thaiv kab mob ntau heev thaum lub caij RSV. ☐ Me nyuam mos uas muaj cystic fibrosis thiab cov ntaub ntawv pov thawj ntawm cov kab mob ntsws ntev ntawm kev ua tsis tiav thiab/los yog kev noj zaub mov tsis zoo. |
Hnub nyoog 12 – <24 lub hlis ntawm RSV lub caij pib
☐ Tus me nyuam mos uas muaj kab mob ntsws (CLD) uas tsis muaj hnub nyoog ntxov, uas tseem xav tau cov pa oxygen ntxiv, cov kab mob corticosteroids ntev los yog kev kho diuretic hauv 6 lub hlis ua ntej pib lub caij RSV thib ob. ☐ Tus me nyuam uas tau hloov lub plawv thaum lub caij RSV. ☐ Tus me nyuam uas muaj kev tiv thaiv kab mob loj heev thaum lub caij RSV. ☐ Me nyuam mos uas muaj kab mob cystic fibrosis thiab tshwm sim ntawm mob ntsws loj lossis hnyav rau ntev <10th feem pua. |
| KEV PAB | |
| Puas yog NICU / tsev kho mob koob tshuaj rau tus neeg mob? ☐ Yog ☐ Tsis yog
Hnub kawg ntawm kev txhaj tshuaj thawj zaug / tom ntej _____________________________________ Synagis 15mg / kg IM txhua lub hlis Nov txog Lub Peb Hlis (Kuaj raws li qhov hnyav tam sim no): _____ |
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Alliance tso cai rau Synagis 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 Kws Kho Mob Lub Chaw Tswj Xyuas Tswvcuab Cov Ntaub Ntawv los yog fax rau 831-430-5851. A Synagis Daim Ntawv Qhia Txog Kev Xav Tau Kho Mob yuav tsum tau xa nrog rau daim ntawv thov kev tso cai ua ntej.
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 tus vev xais.
Ua tsaug rau kev saib xyuas cov me nyuam mos, muaj kev pheej hmoo. Yog tias koj muaj lus nug txog Synagis cov lus pom zoo, thov hu rau Alliance Pharmacy Department ntawm 831-430-5507.
