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Respiratory syncytial virus infection

Last reviewed: 29 Jun 2025
Last updated: 23 Aug 2024

Summary

Definition

História e exame físico

Principais fatores diagnósticos

  • presence of risk factors
  • exposure to RSV
  • infants at high risk for RSV infection
  • winter season
  • older adult age
  • immune deficiency
  • rhinorrhoea/congestion
  • tachypnoea
  • increased work of breathing
  • cough
  • wheeze
  • poor feeding
  • cyanosis
  • rales
  • apnoea
Detalhes completos

Outros fatores diagnósticos

  • fever
Detalhes completos

Fatores de risco

  • exposure to RSV
  • haemodynamically significant congenital heart disease
  • history of prematurity
  • immune deficiency
  • chronic lung disease
  • indigenous/American-Indians/Alaska native infants and young children
  • infants ages <6 months
  • winter season
  • older adult age
  • smoke exposure
  • family history of asthma
  • Down's syndrome
Detalhes completos

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • pulse oximetry
Detalhes completos

Investigações a serem consideradas

  • chest x-ray
  • hydration status
  • rapid antigen detection from respiratory specimen (e.g., nasopharyngeal aspirate)
  • reverse transcriptase polymerase chain reaction of respiratory specimen (e.g., nasopharyngeal aspirate)
  • viral culture of respiratory specimen (e.g., nasopharyngeal aspirate)
Detalhes completos

Algoritmo de tratamento

AGUDA

mild or self-limiting illness

moderate illness

severe illness

Colaboradores

Autores

Giovanni Piedimonte, MD, FAAP, FCCP

Vice President for Research

Professor of Pediatrics, Biochemistry & Molecular Biology

Tulane University School of Medicine

New Orleans

LA

Declarações

GP declares that he has no competing interests.

Margot Anderson, MD

Assistant Professor of Clinical Pediatrics

Section of Infectious Diseases and Hospital Medicine

Tulane University School of Medicine

Tulane University

New Orleans

LA

Declarações

MA declares that she has no competing interests.

Agradecimentos

Dr Giovanni Piedimonte and Dr Margot Anderson would like to gratefully acknowledge Dr Frank Esper and Dr Melvin L. Wright, previous contributors to this topic.

Declarações

FE is on an advisory board for Procter and Gamble. MLW declares that he has no competing interests.

Revisores

Leonard R. Krilov, MD

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

Declarações

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.

Robert Welliver, MD

Professor of Pediatrics

Women and Children's Hospital

Buffalo

NY

Declarações

RW declares that he has no competing interests.

Jennifer Handforth, MB ChB, MRCPCH, DTM&H

Consultant Paediatrician

Croydon University Hospital

Croydon

UK

Declarações

JH declares that she has no competing interests.

Referências

Nossas equipes internas de editoria e de evidências trabalham em conjunto com colaboradores internacionais especializados e pares revisores para garantir que forneçamos acesso às informações o mais clinicamente relevantes possível.

Principais artigos

Bont L, Checchia PA, Fauroux B, et al. Defining the epidemiology and burden of severe respiratory syncytial virus infection among infants and children in western countries. Infect Dis Ther. 2016 Sep;5(3):271-98.Texto completo  Resumo

Ralston SL, Lieberthal AS, Meissner HC, et al; American Academy of Pediatrics. Clinical practice guideline: the diagnosis, management, and prevention of bronchiolitis. Pediatrics. 2014 Nov;134(5):e1474-502.Texto completo  Resumo

Committee on Infectious Diseases; American Academy of Pediatrics. Red book. 32nd ed. Elk Grove Village, IL: AAP; 2021.Texto completo

Artigos de referência

Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.
  • Respiratory syncytial virus infection images
  • Diagnósticos diferenciais

    • Human metapneumovirus
    • Influenza virus
    • Parainfluenza virus
    Mais Diagnósticos diferenciais
  • Diretrizes

    • Australasian bronchiolitis guideline
    • Bronchiolitis in children: diagnosis and management
    Mais Diretrizes
  • Folhetos informativos para os pacientes

    Bronchiolitis

    Asthma in children: what is it?

    Mais Folhetos informativos para os pacientes
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