The edition · Paediatrics
Maternal RSV vaccination was about 80% effective against infant RSV admission in real-world use
Seven post-rollout studies confirm RSVpreF in pregnancy protects infants to six months, lifestyle plus medication gave the largest BMI falls in adolescent obesity, and a single-primary-dose PCV13 schedule held up to age five.
The edition in brief
A meta-analysis of seven real-world studies from Argentina, the UK and the US (7,112 infants) found maternal RSVpreF vaccination given at least 14 days before delivery was 82% effective against RSV lower respiratory tract infection admission to 3 months and 78% to 6 months. A network meta-analysis of 42 randomised trials in 3,835 adolescents with obesity found medication combined with lifestyle treatment gave the largest short-term BMI reductions; semaglutide with counselling led (BMI −8.3 kg/m²) on limited data, every drug worked better with lifestyle support than alone, and lifestyle treatment alone still lowered BMI by 3.9. Extended follow-up of a South African trial found a 1+1 PCV13 schedule stayed non-inferior to 2+1 for antibody levels to age 5, but 1+1 PCV10 schedules lost non-inferiority by age 4. A meta-analysis of eight trials (4,106 children) found adjunctive corticosteroids in Kawasaki disease did not significantly reduce coronary artery abnormalities, with very low certainty evidence and only a modestly shorter hospital stay.
Adolescent obesity: medication plus lifestyle treatment gave the largest BMI falls across 42 trials
Add medication to, not instead of, lifestyle treatment for adolescents with severe obesity.
One primary dose of PCV13 plus a booster held antibody levels to age five; PCV10 did not
Keep giving PCV on the full national 2+1 schedule; reduced 1+1 dosing held up only for PCV13.
Adjunctive corticosteroids in Kawasaki disease did not reduce coronary artery abnormalities
Do not add steroids routinely in Kawasaki disease; reserve them for high-risk or IVIG-resistant cases.
Think of incomplete Kawasaki disease in the young infant with unexplained fever
In an infant under 6 months with 7 days of unexplained fever, check inflammatory markers and consider an echocardiogram.
Maternal RSVpreF vaccination was 78–82% effective against infant RSV admission after rollout
Offer maternal RSV vaccination at least two weeks before delivery where available, and record it for the infant.
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