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

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...

Subscribe to Access Full Content

START 10-DAY FREE TRIAL

Subscribe Now

Forgot password?

Enter an Access Code

GET CME/CE