What is RSV?
Respiratory syncytial virus (RSV) causes infections of the lungs and respiratory tract. It’s so common that most children have been infected with the virus by age 2. Respiratory syncytial (sin-SISH-ul) virus can also infect adults.
Symptoms
Signs and symptoms of RSV infection most commonly appear about four to six days after exposure to the virus. In adults and older children, RSV usually causes mild cold-like signs and symptoms. These may include:
- Congested or runny nose
- Dry cough
- Low-grade fever
- Sore throat
- Sneezing
- Headache
Causes
- RSV enters the body through the eyes, nose or mouth. It spreads easily through the air on infected respiratory droplets. You or your child can become infected if someone with RSV coughs or sneezes near you. The virus also passes to other through direct contact, such as shaking hands.
- The virus can live for hours on hard objects such as countertops, crib rails and toys. Touch your mouth, nose or eyes after touching a contaminated object and you’re likely to pick up the virus.
- An infected person is most contagious during the first week or so after infection. But in infants and those with weakened immunity, the virus may continue to spread even after symptoms go away, for up to four weeks.
Risk Factors
- By age 2, most children will have been infected with RSV, but they can get infected by the virus more than once. Children who attend child care centers or who have siblings who attend school are at a higher risk of exposure and reinfection. RSV season – when outbreaks tend to occur- is the fall to the end of spring.
- People at increased risk of severe of sometimes life threatening RSV infections include:
- Infants, especially premature infants or babies who are 6 months or younger
- Children who have heart disease that’s present from birth (congenital heart disease) or chronic lung disease
- Children or adults with weakened immune systems from diseases such as Cancer or treatment such as Chemotherapy
- Children who have neuromuscular disorders, such as muscular dystrophy
- Adults with heart disease or lung disease
- Older adults, especially those age 65 and older
Complications
- Hospitalization. A severe RSV infection may require a hospital stay so that doctors can monitor and treat beathing problems and give intravenous (IV) fluids.
- Pneumonia. RSV is the most common cause of inflammation of the lungs (pneumonia) or the lungs’ airways (bronchiolitis) in infants. These complications can occur when the virus spreads to the lower respiratory tract.
- Middle ear infection. If germs enter the space behind the eardrum, you can get a middle ear infection (otitis media). This happens most frequently in babies and young children.
- Asthma. There may be a link between severe RSV in children and the chance of developing asthma later in life.
- Repeated infections. Once you’ve had RSV, you could get infected again. It’s even possible for it to happen during the same RSV season. However, symptoms usually aren’t severe – typically it’s in the form of a common cold. But they can be serious in older adults or in people with chronic heart or lung disease.
Prevention
These lifestyle habits can help prevent the spread of this infection:
- Wash your hands often. Teach your children the importance of hand-washing.
- Avoid exposure. Cover your mouth and nose when you cough or sneeze. Limit your baby’s contact with people who have fevers or colds.
- Keep things clean. Make sure kitchen and bathroom countertops, doorknobs, and handles are clean. Put used tissues in the trash right away.
- Don’t share drinking glasses with others. Use your own glass or disposable cups when you or someone else is sick. Label each person’s cup.
- Don’t smoke. Babies who are exposed to tobacco smoke have a higher risk of getting RSV and potentially more-severe symptoms. If you do smoke never do so inside the house or car.
- Wash toys regularly. Do this especially when your child or a playmate is sick.
Information courtesy of Mayo Clinic and WebMD

