Compliance with RSV prophylaxis: Global physicians' perspectives.

Patient Preference and Adherence
Kari S AndersonAndrew L Campbell

Abstract

Respiratory syncytial virus (RSV) is a significant cause of morbidity in high-risk infants. Palivizumab is proven to prevent serious RSV disease, but compliance with prophylaxis (monthly doses during the RSV season) is essential to ensure protection. We invited 453 pediatricians to participate in a survey to identify their perspectives of barriers to compliance and interventions to improve compliance with palivizumab prophylaxis schedules. One hundred physicians from five continents completed the survey, identifying caregiver inconvenience, distance to clinic, cost of prophylaxis, and lack of understanding of the severity of RSV as the most common reasons for noncompliance. They recommended provision of educational materials about RSV, reminders from hospital or clinic, and administration of prophylaxis at home to increase compliance. Globally, physicians recognize several obstacles to prophylaxis compliance. This survey suggests that focused proactive interventions such as empowering caregivers with educational materials and reducing caregiver inconvenience may be instrumental to increase compliance.

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Citations

Apr 24, 2014·Journal of Community Health·Israel MatíasMarta Valcárcel
Jan 12, 2010·Patient Education and Counseling·Asa AudulvKarl-Gustaf Norbergh
Jan 15, 2016·Applied Clinical Informatics·L H UtidjianR W Grundmeier
Oct 28, 2014·Journal of Continuing Education in Nursing·Yu-Mei TsaiHui-Ling Lin
Jul 11, 2014·Frontiers in Psychology·Stefanie J SalmonDenise T D De Ridder
Jan 31, 2015·Archives of Psychiatric Nursing·Laura C Hein, Kathleen M Scharer
Mar 24, 2018·The Pediatric Infectious Disease Journal·Winifred StocktonGrace Magedman
Jun 18, 2017·Cardiology in the Young·Robert M R TullohColleen Wegzyn
Aug 30, 2020·Archives of Disease in Childhood·Tiffany FitzpatrickAstrid Guttmann
Jan 19, 2016·The Pediatric Infectious Disease Journal·Parco ChanUNKNOWN CARESS investigators

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