Original Investigation

Nirsevimab Prophylaxis and Respiratory Syncytial Virus Hospitalizations Among Infants

JAMA Network Open 10.1001/jamanetworkopen.2025.44679

November 20, 2025 at 11:00 AM EST

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Is nirsevimab prophylaxis associated with respiratory syncytial virus (RSV)–related hospitalization risk among infants, particularly in high-risk groups?In this cohort study of 13 624 infants in Italy, nirsevimab population coverage of 79% was associated with a significantly lower population-level and individual-level hazard of RSV hospitalization.These findings suggest that nirsevimab prophylaxis is associated with substantially lower RSV hospitalization risk, but targeted supplemental strategies may be needed for high-risk infants to further reduce RSV burden.

Corresponding Author: Enrico Cocchi, MD, PhD, Department of Medical and Surgical Sciences (DIMEC), Alma Mater Studiorum–University of Bologna, Via G. Massarenti 9, 40138 Bologna, Emilia-Romagna, Italy (enrico.cocchi3@unibo.it).

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