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Talking to Your Doctor About RSVTalking to Your Doctor About RSV

Respiratory syncytial virus (sin-SISH-shul VI-rus) (RSV) is a very common virus. RSV causes moderate-to-severe cold symptoms in adults and children. However, in high-risk children, like premature infants or babies born with certain heart problems or who have chronic lung disease, RSV can become very serious. In fact, RSV is the leading cause of hospitalization for children under 1 year of age. And severe RSV infections may increase the risk of wheezing and asthma-like illness through childhood.

If your baby is at high risk for severe RSV disease, there may be protective steps you and your doctor can take. Our Guide for Talking to Your Doctor About RSV can help you discuss RSV with your doctor and get your questions answered.

Download guide now (PDF format)

A baby in the following risk categories could be at high risk to develop severe RSV disease if he or she:

  • Was born early at less than 36 weeks 1-2
  • Was born with certain heart problems or has chronic lung disease 2-3

Additional risk factors for premature infants may include:

  • Being in daycare or spending more than 4 hours per week with
    other children 1,4-7
  • Having school-age siblings 1,4,8-10
  • Young chronological age (12 weeks of age or younger at the beginning of RSV season) 4,9-11
  • Living with 4 or more family members 5,8-9,12-13
  • Exposure to environmental tobacco smoke or other air pollutants 1,4,10,14-16
  • Low birth weight (less than 5.5 pounds) 17-20
  • Family history of wheezing or asthma 8-9,21-22
  • Being a twin, triplet or other multiple 17,23
  • Severe neuromuscular disease 24
  • Born with abnormal airways 1

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References

  1. American Academy of Pediatrics. Red Book: 2006 Report of the Committee on Infectious Diseases, 27th ed. Elk Grove Village, Il: American Academy of Pediatrics; 2006: 563.
  2. Boyce TG, Mellen BG, Mitchel EF, Wright PF, Griffin MR. Pediatrics. 2000;137(6):865-870.
  3. Moore KL, Persaud TVN. The Developing Human. 8th ed. Philadelphia, Pa: Saunders; 2008:197 -210.
  4. Law BJ, Langley JM, Allen U, et al. Pediatr Infect Dis J. 2004;23:806-814.
  5. Holberg CJ, Wright AL, Martinez FD, Morgan WJ, Taussig LM, and Group Health Medical Associates. Pediatrics. 1993;91:885-892.
  6. Marbury MC,Maldonado G,Waller L. Am J Respir Crit Care Med. 1997;155:156 -161.
  7. Celedon JC, Litonjua AA, Weiss ST, Gold DR. Pediatrics. 1999;104(3):495-500.
  8. McConnochie KM, Roghmann KJ. AJDC. 1986;140:806-812.
  9. Figueras-Aloy J, Carbonell-Estrany X, Quero J, for the IRIS Study Group. Pediatr Infect Dis J. 2004;23:815-820.
  10. Carbonell-Estrany X, Quero J, and the Iris Study Group. Pediatr Infect Dis J. 2001;20:874-879.
  11. Rossi GA, Medici MC, Arcangeletti MC, et al; and Osservatorio RSV Study Group. Eur J Pediatr. 2007;166:1267 -1272.
  12. Holberg CJ, Wright AL, Martinez FD, Ray CG, Taussig LM, Lebowitz MD, and Group Health Medical Associates. Am J Epidemiol. 1991;133:1135-1151.
  13. Anderson LJ, Parker RA, Strikas RA, et al. Pediatrics. 1988;82(3):300-308.
  14. von Linstow ML, Hogh M, Nordbo SA, Eugen-Olsen J, Koch A, Hogh B. Eur J Pediatr. 2008;167:1125 -1133.
  15. Figueras-Aloy J, Carbonell-Estrany X, Quero-Jimenez J, et al; for the IRIS Study Group. Pediatr Infect Dis J. 2008;27:788 -793.
  16. Stensballe LG, Kristensen K, Simoes EAF, et al; for the Danish RSV Data Network. Pediatrics. 2006;118:1360 -1368.
  17. Holman RC, Shay DK, Curns AT, Lingappa JR, Anderson LJ. Pediatr Infect Dis J. 2003;22:483-489.
  18. Leader S, Kohlhase K. J Pediatr. 2003;143:S127-S132.
  19. Lanari M, Giovannini M, Giuffre L, et al; and the Investigators R.A.D.A.R. Study Group. Pediatr Pulmonol. 2002;33:458 -465.
  20. Cilla G, Sarasua A, Montes M, et al. Epidemiol Infect. 2006;134:506-513.
  21. Wang EL, Law BJ. Semin Pediatr Infect Dis. 1998;9:146-153.
  22. Carroll KN, Gebretsadik T, Griffin MR, et al. Pediatrics. 2007;119:1104 -1112.
  23. Resch B, Pasnocht A, Gusenleitner W, Müller W. J Infect. 2005;50:397 -403.
  24. Wilkesmann A, Ammann RA, Schildgen O, et al; and the DSM RSV Ped Study Group. Pediatr Infect Dis J. 2007;26:485 -491.