2009-2010 Guidelines

*Sweet pea*

Does anyone know were to find the 2009-2010 Synagis guidelines?  I keep finding 2008-2009.  I have to call my insurance company & I want to be fully load with info

TriciaJoy

You might contact the synagis people for help as well:

https://www.synagis.com/insurance.aspx

 

The AAP:

https://aapnews.aappublications.org/cgi/content/full/30/7/1

 

Eligibility criteria for prophylaxis of high-risk infants, young children

Infants with chronic lung disease of prematurity

No change is recommended for consideration of palivizumab prophylaxisfor infants and children younger than 24 months of age who receivemedical therapy (supplemental oxygen, bronchodilator, diureticor chronic corticosteroid therapy) within six months beforethe start of the RSV season (a maximum of five monthly doses).

Infants born before 32 weeks? gestation (31 weeks, 6 daysor less)

No change is recommended for consideration of prophylaxis forinfants born at or before 28 weeks? gestation who maybenefit from prophylaxis during the RSV season, whenever thatoccurs during the first 12 months of life. Infants born at 29to 32 weeks of gestation may benefit from prophylaxis up to6 months of age (a maximum of five monthly doses).

Infants born at 32 weeks? to less than 35 weeks?gestation (32 weeks, 0 days through 34 weeks, 6 days)

A change has been made in the recommendation for infants inthis category so that these infants receive a maximum of threedoses. Available data do not enable definition of a subgroupof infants in this gestational age group at risk of prolongedhospitalization or admission to the intensive care unit. Therefore,recommendations have been modified to reduce the risk of RSVhospitalization during the period of greatest risk (the first3 months of life) among infants with consistently identifiedrisk factors for hospitalization.

The updated recommendations state that palivizumab prophylaxisbe limited to infants in this age group who are at greatestrisk of hospitalization due to RSV, namely infants younger than3 months of age at the start of the RSV season or born duringthe RSV season and who are likely to have an increased riskof exposure to RSV. Epidemiologic data suggest that RSV infectionis more likely to occur and more likely to lead to hospitalizationfor infants in this gestational age group when either of thefollowing two risk factors is present: infant attends childcare or infant has a sibling younger than 5 years of age.

The updated recommendations also state that prophylaxis maybe considered for infants from 32 through less than 35 weeks?gestation (32 weeks, 0 days through 34 weeks, 6 days) who areborn less than three months before the onset or during the RSVseason and for whom at least one of the two risk factors ispresent. According to the new recommendations, infants in thisgestational age category receive prophylaxis only until theyreach 3 months of age and that these infants receive a maximumof three monthly doses. Under these recommendations, many willreceive only one or two doses before they reach 3 months ofage. Once an infant is older than 90 days of age, the risk ofhospitalization attributable to RSV lower respiratory tractdisease is reduced. Administration of palivizumab is not advisedunder the updated recommendations for these infants after theyreach 90 days of age

 

*Sweet pea*

Thanks Tricia

I think Skylar misses it by a week.  That really sucks  

 

clyoungsey

*Sweet pea*:

Thanks Tricia

I think Skylar misses it by a week.  That really sucks  

Still try.  According to that chart my son qualifies for **zero** he is getting at least two and then if they give us problems we will have to pay for the other 3.

TriciaJoy

I think you should try, too. And if asked, yes someone smokes in the home and she goes to daycare.

 

Not that I would encourage you to lie. But you know, someone might smoke in your house and maybe she'll need childcare in the winter. Right?

::looks around suspiciously::

Robbie was a 26weeker who qualified easily last year, but we weren't sure about this year, but he's had two rounds of nebulizers this summer, so we managed to get approved even though he's 16 months old.

*Sweet pea*

Ok.  I'll try.  Wish me luck

Heather1979

I have a 34 weeker and we got insurance to cover 5 shots.

Yes, some children/toddlers come into our home. (we have a 1 year old cousin who came once and who are we to say they have to stay out when they travel from Boston once in awhile ;-D) and yes, my step grandmother smokes (although she's been to my house once this year and never smokes in the house.)

My doc told me that if insurance calls to discuss the matter I am to say "LO was VERY VERY SICK" - the doc coached me with what to say...

clyoungsey

TriciaJoy:

I think you should try, too. And if asked, yes someone smokes in the home and she goes to daycare.

 

Not that I would encourage you to lie. But you know, someone might smoke in your house and maybe she'll need childcare in the winter. Right?

::looks around suspiciously::

Robbie was a 26weeker who qualified easily last year, but we weren't sure about this year, but he's had two rounds of nebulizers this summer, so we managed to get approved even though he's 16 months old.

I have had this thought several times.  I actually had to call them back and amend my answers because at the time they first asked I was home for the summer and big brother didn't got to preschool/daycare!  I figured out she was asking for risk factors, I made sure she knew everythng that could be risky!!

TriciaJoy

good luck to everyone trying to get it!

Now that I think about it, last year we did get a call asking about our risk factors, but this year we didn't.