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Respiratory Syncytial Virus (RSV) Infection

Elizabeth C. McKeen, MD Reviewed 06/2018
 


BASICS

Respiratory syncytial virus (RSV) is a medium-sized, membrane-bound ribonucleic acid (RNA) virus that causes acute respiratory tract illness in patients of all ages. The most clinically signifi...

DIAGNOSIS

ALERT

In most cases, the diagnosis is clinical. Laboratory and radiologic studies are not routinely necessary (2)[B].

 

HISTORY

  • Rhinorrhea and upper respiratory congestion

  • Difficulty feeding in i...

TREATMENT

GENERAL MEASURES

  • Assess hydration status and ability to take fluids orally. Treat dehydration (oral or IV), particularly in infants.

  • Supplemental oxygen if pulse oximetry persistently <90% ...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

Primary care follow-up to ensure resolution 

PATIENT EDUCATION

Bronchiolitis and Your Child, available at http://familydoctor.org/familydoctor/en/diseases-condition...

REFERENCES

1
Byington CL, Wilkes J, Korgenski K, et al. Respiratory syncytial virus-associated mortality in hospitalized infants and young children. Pediatrics.  2015;135(1):e24–e31. [View Abstra...

ADDITIONAL READING

  • American Academy of Pediatrics. Respiratory syncytial virus. In: Pickering LK, Baker CJ, Kimberlin DW, et al, eds. Red Book: 2012 Report of the Committee on Infectious Diseases. 29t...

CODES

ICD10

  • B97.4 Respiratory syncytial virus causing diseases classd elswhr

  • J06.9 Acute upper respiratory infection, unspecified

  • J21.0 Acute bronchiolitis due to respiratory syncytial virus

  • J12.1 Respira...

CLINICAL PEARLS

  • RSV causes 50–90% of pediatric bronchiolitis.

  • Hand sanitation (alcohol-based rubs are preferred) is the primary step for RSV prevention.

  • The diagnosis of RSV is typically clinical. Routi...

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