Last reviewed: November 2017
Last updated: November  2017

Summary

Definition

History and exam

Key diagnostic factors

  • presence of risk factors
  • rhinorrhoea/congestion
  • tachypnoea
  • increased work of breathing
  • cough
  • wheeze
  • poor feeding
  • cyanosis
  • rales
  • apnoea

Risk factors

  • exposure to RSV
  • complex congenital heart disease
  • hx of prematurity
  • immunocompromise
  • chronic lung disease
  • high-risk infants with no recent immunoprophylaxis against RSV
  • infants aged <6 months
  • winter season
  • older adult age
  • smoke exposure
  • FHx of asthma

Diagnostic investigations

Investigations to consider

  • chest x-ray
  • direct fluorescent antibody staining of respiratory specimen (e.g., nasopharyngeal aspirate)
  • reverse transcriptase polymerase chain reaction (PCR) of respiratory specimen (e.g., nasopharyngeal aspirate)
  • enzyme-linked immunosorbent assay of respiratory specimen (e.g., nasopharyngeal aspirate)
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Associate Professor

Department of Pediatrics

West Virginia University School of Medicine

Morgantown

WV

Disclosures

MLW declares that he has no competing interests.

Chair

Cleveland Clinic Pediatric Institute

Physician-in-Chief

Cleveland Clinic Children’s Hospital

Professor of Pediatrics

Cleveland Clinic Lerner College of Medicine

Case Western Reserve University

Cleveland

OH

Disclosures

GP declares that he has no competing interests.

Peer reviewers VIEW ALL

Chief

Pediatric Infectious Disease

Vice Chairman

Department of Pediatrics

Children's Medical Center

Winthrop University Medical Center

Mineola

Professor of Pediatrics

School of Medicine

Stony Brook University Medical Center

Stony Brook

NY

Disclosures

LRK has participated as an investigator in multiple clinical research trials supported by grants from MedImmune. LRK has also served as a consultant to MedImmune on medical advisory boards and is a member of their speakers' bureau.

Professor of Pediatrics

Women and Children's Hospital

Buffalo

NY

Disclosures

RW declares that he has no competing interests.

Consultant Paediatrician

Croydon University Hospital

Croydon

UK

Disclosures

JH declares that she has no competing interests.

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