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RSV

The ABCs of RSV
By Dr. Denise Scott

What is RSV?  It is short for respiratory syncytial virus, a major cause of respiratory illness in young children. RSV infections occur worldwide, usually from late fall to early spring.  Each year, RSV infections lead to more than 100,000 hospitalizations and over 3,000 deaths, especially in children under 5 years of age.

RSV infection is the most common lower respiratory infection seen in infants.  It is estimated that 90% of children are infected with this virus by age 2.

In adults and children older than 3 years, RSV typically causes symptoms of a common cold with runny nose, sore throat, mild cough and low-grade fever.  It can infect the same person several times during a lifetime, with re-infections usually being less severe than earlier attacks.  Some immunity is developed after an infection but is never complete.

In children younger than 3 years, RSV can cause a lower respiratory tract illness such as bronchiolitis or pneumonia.  In severe cases, it can lead to respiratory failure.  Symptoms may begin as a cold but rapidly progress to include fever, severe cough, wheezing, rapid breathing and difficulty breathing.  Infants born prematurely or those with underlying conditions of the lung, heart or immune system are at greatest risk to have serious complications from this illness. This virus is HIGHLY contagious.  When RSV infects a day-care center, it is not unusual to see 100% of the children affected to some degree.

The virus is found in droplets or discharges from the nose and throat of an infected person.  Therefore, the virus is spread by breathing in droplets after an infected person has coughed or hand-to-mouth contact after touching an infected person or a surface that an infected person has touched or coughed on.  The virus can live on surfaces for hours.  Bottom line:  wash hands often and cover your mouth when you cough or sneeze, just like Mom always told you!

Home treatment for RSV includes:
  • giving your child plenty of fluids, saline or salt water drops for the nose and non-aspirin fever medicine such as acetaminophen.
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  • Also, use of a cool-mist vaporizer to humidify the air may help soothe irritated breathing passages
The infection usually lasts 7 to 14 days but may last up to 3 weeks.  Once exposed to the virus, it takes 3 to 6 days to develop symptoms.

Because it is a viral illness, antibiotics are not used to treat this infection.  Younger children may need to be treated in a hospital or with the use of a nebulizer to deliver medications to the lungs for breathing difficulty.  Most infants and children recover without problem however, those with more serious infections may be susceptible to develop long-term lung problems such as reactive airway disease or asthma.

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