Respiratory syncytial
virus immune globulin
intravenous (RespiGam); Immune Globulin; Inj: 2.5 gm/50 mL; 750 mg/kg (15 mL/kg)
IV monthly, beginning
typically in November and lasting through April (depending on local RSV season). Start infusion at 1.5 mL/kg/hr for 15 minutes. If no adverse reactions
occur, may advance rate to 3 mL/kg/hr for 15 minutes and then to the maximum rate of 6 mL/kg/hr until infusion is completed.
AAP-approved indications: (1) <2 yrs with chronic lung disease that has required medical treatment within the past six months; (2) chronological age <1
yr at start of RSV season and gestational age <28 weeks; (3) chronological age <6 months at start of RSV season and gestational age 29-32 weeks.