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Information from Your Family Doctor
Respiratory Syncytial Virus Infection
Am Fam Physician. 2011 Jan 15;83(2):149-150.See related article on respiratory syncytial virus infection
What is respiratory syncytial virus?
Respiratory syncytial virus (RESS-per-uh-TORee sin-SISH-uhl VIE-russ), or RSV, causes lung infections in children, especially those younger than two years. Children younger than one year may get a cough and runny nose, and may wheeze when they breathe. Older children may have only a runny nose and mild cough.
How is it diagnosed?
Your doctor can usually diagnose an RSV infection based on your child's symptoms and a physical exam during RSV season (November through April). There is also a nasal swab test for RSV, but it's not usually needed.
How is it treated?
Treatment is mainly aimed at relieving symptoms. Be sure your child drinks plenty of fluids. The hospital or doctor's office may give your child oxygen to help him or her breathe easier. Gently suctioning your infant's nose may help him or her eat and drink better. Because RSV is caused by a virus, antibiotics usually don't help. Steroids and cool mist aren't helpful either. Wheezing can be treated with an inhaler medicine to open airways.
How does it spread?
RSV can be spread by contact with body fluids like saliva and mucus from the sick child's nose or mouth, or by objects that the child has touched. Having your child wash his or her hands often can lower the risk of spreading the infection. Children may return to day care when they have no fever and can eat and drink without problems.
When should I take my child back to the doctor?
If your child has trouble eating or drinking, tires easily during feeding, or becomes sluggish, see a doctor. You should also see a doctor if your child is younger than 60 days and has a fever, or if your child is having trouble breathing (is taking 60 breaths or more per minute). See a doctor if your child seems to be getting worse.
What else can I do to prevent RSV?
Talk with your doctor about preventive therapy if your child was born more than five weeks early or if he or she is younger than two years and has chronic lung or heart disease. A medicine called palivizumab can be given once a month for five months during the peak RSV season. This medicine can help your child's body fight infection.
What if RSV goes untreated?
For most healthy infants without a heart or lung condition, RSV is similar to the common cold. In children with a weaker immune system, untreated RSV can cause pneumonia or bronchiolitis (swelling of the smaller airways in the lungs). Sometimes these children have to stay in the hospital.
Where can I get more information?
AAFP's Patient Education Resource
Web site: http://familydoctor.org
American Academy of Pediatrics
Centers for Disease Control and Prevention
Web site: http://www.cdc.gov/rsv/
March of Dimes
This handout is provided to you by your family doctor and the American Academy of Family Physicians. Other health-related information is available from the AAFP online at http://familydoctor.org.
This information provides a general overview and may not apply to everyone. Talk to your family doctor to find out if this information applies to you and to get more information on this subject.
Copyright © 2011 by the American Academy of Family Physicians.
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