Weighing babies receive expensive drugs
In the mounting debate on how best to spend limited health care dollars are experts in paediatrics battle with a ring with emotion many problem: whether some babies at risk for a potentially serious respiratory virus take their chances with the disease or preventive drugs to manage a costly, can not function.
Respiratory syncytial virus RSV, it may be the most widespread disease parents have never heard: it is the most frequent cause of hospitalization for infants and children. It is infecting almost all children at least once before the age of two, and then it is usually not serious problems, the risks are higher for the increase in the number of premature and people with lung and heart problems.
Thanks to improved technology intensive care, deaths are rare, but babies most at risk to suffer serious complications can be temporary, such as pneumonia and bronchiolitis, more and more frequent respiratory tract infections higher. In total, RSV accounts for a maximum of 1.7 million visits to a doctor office, 400000 emergency room visits, hospitalizations 125000 small child and young child of around 500 deaths per year.
While researchers are working on a vaccine, success has eluded so far, so that the children of doctors to palivizumab, a man of anti-body, mingling with the virus’s ability to reproduce, reduce severity of the disease. But the drug, MedImmune Inc. markets under the name of Synagis, a cost of about $ 6000 for a period of five treatments, at-Risk grandchildren monthly intramuscular injections during the RSV season. The company grows wider use, but researchers are divided over the benefits and more, when and to whom they are managed. The preparation has been shown to reduce hospitalizations by 50%, but it has not been shown to reduce mortality and the RSV, as a researcher on research strictly cost-efficiency, wider use is difficult to justify . It also remains uncertain as prevention RSV gives an advantage to long-term health. Some scientists fear that the decree could increase the risk of asthma and persistent gasping, this link has not yet been elucidated.
Insurance companies in general by limiting payments Synagis too early for infants born to the age and risk categories in the guidelines of the American Academy of Pediatrics. Amid concern about rising costs of drugs, were more restrictive guidelines in 2003. But weighing aap other changes to the guidelines, but it has not yet decided if they recommend to restrict other, more liberal use or maintaining the status quo.
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