Updated Guidance on Use and Prioritization of Monoclonal Antibody Therapy for Treatment of COVID-19 in Adolescents.
Joshua WolfMark J AbzugBrenda I AnosikeSurabhi B VoraAlpana WaghmarePaul K SueRosemary M OliveroCarlos R OliveiraScott H JamesTheodore H MortonGabriela M MaronJennifer L YoungRachel C OrschelnHayden T SchwenkLaura L BioZachary I WillisElizabeth C LloydAdam L HershCharles W HuskinsVijaya L SomaAdam J RatnerMolly HayesKevin James DownesKathleen ChiotosSteven P GrapentineRachel L WattierGabriella S LambPhilip ZachariahMari M NakamuraPublished in: Journal of the Pediatric Infectious Diseases Society (2022)
Based on evidence available as of August 31, 2021, the panel suggests a risk-based approach to administration of SARS-CoV-2 monoclonal antibody therapy. Therapy is suggested for the treatment of mild to moderate COVID-19 in adolescents (≥12 years of age) at the highest risk of progression to hospitalization or severe disease. Therapeutic decision-making about those at moderate risk of severe disease should be individualized. Use as postexposure prophylaxis could be considered for those at the highest risk who have a high-risk exposure but are not yet diagnosed with COVID-19. Clinicians and health systems should ensure safe and timely implementation of these therapeutics that does not exacerbate existing healthcare disparities.