Source: Indys Child Parenting Magazine

RSV: Respiratory Syncytial Virus
Do what you can to keep your infant from catching RSV

by David Zipes, M.D., medical director, pediatric hospitalists, Pey

January 01, 2014

In the U.S., RSV infections generally occur during winter and early spring. Spreading quickly among people in close quarters (such as day care centers), RSV is passed by means of close contact and respiratory droplets. RSV can travel with a cough or linger on door handles and other surfaces for hours.

Mostly, thatís not a problem. Older children and adults with RSV tend to develop a cough, runny nose, low fever and other mild cold symptoms. In fact, almost everyone has gotten RSV by the time they are two years old.

However, for infants Ė especially those who are premature, have weakened immune systems or have other chronic illnesses Ė RSV can lead to bronchiolitis (inflammation of the bronchial or small airways), ear infections and pneumonia. Respiratory failure is also a danger. Of note, there are many other viruses that can cause bronchiolitis indistinguishable from that caused by RSV.

To prevent the spread of RSV:

What to watch for:

If your infant has cold symptoms that progress into high fever, thick, heavy mucous, dehydration or breathing difficulties, itís time to call your medical provider. (Itís difficult to gauge how much infants are drinking, especially if they breastfeed. A dry diaper for more than six hours is one sign of dehydration.)

Severely affected infants may need hospital-based care, including IV fluids, oxygen and sometimes treatments to open airways. Most studies show that nebulizer treatments are not very effective, but sometimes your physician may suggest them.

Like other cold viruses, RSV will go away on its own, but RSV has been linked to asthma later in childhood. If your infant is at risk for serious RSV, your physician may prescribe medication (a monthly shot) to help keep him or her from getting sick.