What is the treatment for RSV in babies?

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.

In adults and older, healthy children, RSV symptoms are mild and typically mimic the common cold. Self-care measures are usually all that's needed to relieve any discomfort.

RSV can cause severe infection in some people, including babies 12 months and younger (infants), especially premature infants, older adults, people with heart and lung disease, or anyone with a weak immune system (immunocompromised).

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Symptoms

Signs and symptoms of respiratory syncytial virus 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

In severe cases

RSV infection can spread to the lower respiratory tract, causing pneumonia or bronchiolitis — inflammation of the small airway passages entering the lungs. Signs and symptoms may include:

  • Fever
  • Severe cough
  • Wheezing — a high-pitched noise that's usually heard on breathing out (exhaling)
  • Rapid breathing or difficulty breathing — the person may prefer to sit up rather than lie down
  • Bluish color of the skin due to lack of oxygen (cyanosis)

Infants are most severely affected by RSV. Signs and symptoms of severe RSV infection in infants include:

  • Short, shallow and rapid breathing
  • Struggling to breathe — chest muscles and skin pull inward with each breath
  • Cough
  • Poor feeding
  • Unusual tiredness (lethargy)
  • Irritability

Most children and adults recover in one to two weeks, although some might have repeated wheezing. Severe or life-threatening infection requiring a hospital stay may occur in premature infants or in anyone who has chronic heart or lung problems.

RSV and COVID-19

Because RSV and coronavirus disease 2019 (COVID-19) are both types of respiratory viruses, some symptoms of RSV and COVID-19 can be similar. In children, COVID-19 often results in mild symptoms such as fever, runny nose and cough. For adults with COVID-19, symptoms may be more severe and may include trouble breathing.

Having RSV may lower immunity and increase the risk of getting COVID-19 — for kids and adults. And these infections may occur together, which can worsen the severity of COVID-19 illness.

If you have symptoms of a respiratory illness, your doctor may recommend testing for COVID-19.

When to see a doctor

Seek immediate medical attention if your child — or anyone at risk of severe RSV infection — has difficulty breathing, a high fever, or a blue color to the skin, particularly on the lips and in the nail beds.

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Your doctor may suspect respiratory syncytial virus based on the findings of a physical exam and the time of year the symptoms occur. During the exam, the doctor will listen to the lungs with a stethoscope to check for wheezing or other abnormal sounds.

Laboratory and imaging tests aren't usually needed. However, they can help diagnose RSV complications or rule out other conditions that may cause similar symptoms. Tests may include:

  • Blood tests to check white cell counts or to look for viruses, bacteria and other germs
  • Chest X-rays to check for lung inflammation
  • Swab of secretions from inside the mouth or nose to check for signs of the virus
  • Pulse oximetry, a painless skin monitor, to detect lower than normal levels of oxygen in the blood

More Information

  • Chest X-rays

Treatment

Treatment for respiratory syncytial virus generally involves self-care measures to make your child more comfortable (supportive care). But hospital care may be needed if severe symptoms occur.

Supportive care

Your doctor may recommend an over-the-counter medication such as acetaminophen (Tylenol, others) to reduce fever. (Never give aspirin to a child.) Use of nasal saline drops and suctioning may help clear a stuffy nose. Your doctor may prescribe antibiotics if there's a bacterial complication, such as bacterial pneumonia.

Keep your child as comfortable as possible. Offer plenty of fluids and watch for signs of loss of body fluids (dehydration), such as dry mouth, little to no urine output, sunken eyes, and extreme fussiness or sleepiness.

Hospital care

If the RSV infection is severe, a hospital stay may be necessary. Treatments at the hospital may include:

  • Intravenous (IV) fluids
  • Humidified oxygen
  • A breathing machine (mechanical ventilation), in rare cases

An inhaler (bronchodilator) or steroids are not proved to be helpful in treating RSV infection.

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How can I get rid of my baby's RSV fast?

How is RSV treated in a child?.
More fluids. It's very important to make sure your child drinks plenty of fluids. ... .
Oxygen. This is extra oxygen given through a mask, nasal prongs, or an oxygen tent..
Suctioning of mucus. ... .
Bronchodilator medicines. ... .
Tube feeding. ... .
Mechanical ventilation. ... .
Antivirals..

What medicine helps RSV in babies?

And there is a medicine that can help protect some babies at high risk for severe RSV disease. Healthcare providers usually give this medicine (called palivizumab) to very premature infants and young children with certain heart and lung conditions as a series of monthly shots during RSV season.

How can I treat my toddler's RSV at home?

Lifestyle and home remedies.
Create moist air to breathe. Keep the room warm but not overheated. ... .
Drink fluids. Continue breastfeeding or bottle-feeding your infant as you would normally. ... .
Try saline nasal drops. ... .
Use over-the-counter pain relievers. ... .
Stay away from cigarette smoke..

How serious is RSV for babies?

A severe RSV infection may require a hospital stay so that doctors can monitor and treat breathing 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.