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RSV
- respiratory syncytial virus
RSV
or respiratory syncytial virus can be a frightening word to
the parent of a young child. You may know someone whose child
was hospitalized for RSV or maybe you've heard of RSV and
are just not quite sure what is and what it can do to your
child. Although, RSV is the leading cause of bronchiolitis
and pneumonia in children, most children will have RSV at
some point in their childhood with little or no complications.
In fact, RSV is a frequent cause of the ordinary, every-day
common cold. Then why does RSV cause such concern? Because
RSV can lead to both bronchiolitis (inflammation of the bronchioles)
and pneumonia (inflammation of the lungs), parents need to
be aware of the signs and symptoms and ways it may be prevented.
Both bronchiolitis and pneumonia can be serious and require
hospitalization and close monitoring by your physician.
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How
is RSV, respiratory syncytial virus, spread?
RSV
is spread from one child to another child when they cough
or sneeze on an object and then touch the contaminated object.
They then carry the germs to their eyes, mouth, nose, or other
mucous membrane. It can also be spread through droplets. When
you cough or sneeze, tiny droplets of the virus are sprayed
into the air. If inhaled into the lungs these droplets can
also spread the virus. It is contagious from a day or two
before the onset of symptoms until the illness resolves.
Symptoms
of RSV, respiratory syncytial virus
RSV
begins with typical cold and flu symptoms. Your child
may have a runny nose, sore throat, coughing, sneezing,
wheezing, and fever. As the illness progresses, you
may notice increased coughing, wheezing, and discomfort.
Other symptoms include headache, fatigue, loss of
appetite, ear or eye drainage, and irritability.
Treatment
of RSV, respiratory syncytial virus
Most
children with RSV can be treated at home and the illness
usually resolves within a week or two. |
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When
to seek immediate care
Flaring
nostrils - if you see your
child's nostrils flaring when breathing
Retractions - Deep
"sucking in" of the stomach
and diaphragm when breathing
Cyanosis - bluish or
grayish ting to the skin, lips, or fingernails
Rapid breathing or
air hunger
Apnea
- temporarily stops breathing |
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RSV
is a virus, therefore, antibiotics are not useful in treating
the illness. Children's Tylenol or Children's Motrin may be
helpful in managing fever associated
with RSV. Saline nose drops may be helpful to break up and
loosen nasal secretions. A bulb syringe can be used to gently
suction excess secretions. A cool mist vaporizer may provide
comfort and help your child feel better. Conversely, a steamy
bathroom may also provide relief. Run the water in your shower
to steam up your bathroom. Then have your child sit on your
lap outside the shower. A few minutes of steam may help loosen
up any thick secretions. (Note: Do not place your child in
the shower or tub with hot water. In order for the water to
be hot enough to produce steam, the water might become scalding.)
Medications
for RSV, respiratory syncytial virus
There
is no specific medication available for RSV. However, medications
such as bronchodilators or corticosteroids are sometimes used.
These medications are not recommended for routine use. The
antiviral medication, Ribavirin may be used in some cases.
Use of the drug is controversial.
Tests
and procedures for diagnosing and treating RSV, respiratory
syncytial virus
Your
doctor may order an x-ray of your child's chest to look for
signs of pneumonia. She may run blood tests to look for signs
of infection. Your child's oxygen levels may be monitored
by using a non-invasive method called pulse oximetry. (A probe
is placed around the baby's finger to measure her oxygen level.
An infrared light will be passed through the capillaries in
her fingers to determine the concentration of oxygen in her
blood.) RSV can be positively diagnosed by collecting respiratory
secretions and testing for the presence of the respiratory
syncytial virus This test may take several days for results,
therefore RSV is often diagnosed based on symptoms alone.
Prevention
of RSV, respiratory syncytial virus
The
number one way to prevent infection of RSV or any viral infection
is frequent hand washing. Caregivers and children should wash
their hands frequently, particularly after coughing, sneezing,
using the bathroom and before meals. Children should be taught
to cover their mouth and nose when they cough with a tissue
if possible to eliminate the amount of germs on their hands.
If a tissue isn't available teach children to cover their
mouth with their upper arm instead of their hands. The RSV
does not live long on object surfaces and cleaning with a
disinfectant is recommended to kill the virus. Toys, counter
tops, and other surfaces should be cleaned regularly to help
eliminate germs. Children should be kept home from school
or a child care setting if they have cold and flu symptoms
to avoid spreading the virus. Infants and newborns should
avoid crowds during RSV season (typically fall and winter
months).
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