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Respiratory Syncytial Virus (RSV) Infection

Sahil Mullick, MD and Sakshi Duggal, M.B.B.S Reviewed 06/2022
 


BASICS

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

DESCRIPTION

  • In adults, RSV causes upper respira...

DIAGNOSIS

HISTORY

  • History of prematurity, secondhand tobacco smoke exposure, daycare, number and age of siblings

  • Immunization history

  • Family history of respiratory disease

  • Children

    • Nasal conge...

TREATMENT

GENERAL MEASURES

  • Treatment for patients with RSV is supportive (4)[A].

  • Nasal suction and lubrication

  • Antipyretics for fever

  • Treat dehydration (oral or intravenous/nasogastric)—particularly in i...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Adequate fluid intake

  • Maintaining oxygen saturation

PATIENT EDUCATION

REFERENCES

1
Ralston SL, Lieberthal AS, Meissner HC, et al. Clinical practice guideline: the diagnosis, management, and prevention of bronchiolitis [published correction appears in Pediatrics. 2015 Oct...

ADDITIONAL READING

SEE ALSO

Binns E, Koenraads M, Hristeva L, et al. Influenza and respiratory syncytial virus during the COVID-19 pandemic: Time for a new paradigm? Pediatr ...

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 key to RSV prevention.

  • The diagnosis of RSV is typically clinical. Routine laborat...

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