PEDIATRICS Vol. 103 No. 3 March 1999, pp. 698
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To the Editor.
The efficacy and cost-effectiveness of respiratory syncytial virus immune globulin (RSV-IVIG) (RespiGam; MedImmune Inc, Gaithersburg, MD) as prophylaxis has been examined and challenged in many arenas. A letter to the editor, published in the February 1998 edition of Pediatrics, submitted data from the Children's Hospital and Health Center, San Diego and Sharp Mary Birch Women's Hospital neonatal intensive care unit. Their data described very poor compliance with subsequent RespiGam infusions and questionable benefit. SpectraCare's experience in the home care setting shows, quite distinctly, an increase in parental compliance, efficacy, and cost-effectiveness of respiratory syncytial virus (RSV) prophylaxis with RespiGam.
During the 1997-1998 RSV season (October 1997 to April 1998), 228 doses of RespiGam were administered by SpectraCare Home Health,
Louisville agency, to 60 infants deemed eligible by the ordering
neonatologist or pediatrician. The infants met Food and