RSV symptoms can mirror other respiratory illnesses, health experts warn

FOX23 News at 9 p.m.

PADUCAH, Ky., (KBSI) — Respiratory Syncytial Virus, or RSV, often causes mild, cold-like symptoms in most people, but for infants, young children and older adults, it can quickly become serious, according to Baptist Health officials.

“In infants younger than six months, RSV may result in fussiness, decreased activity and trouble breathing,” said pediatrician Heath Morgan Cates, MD, of Baptist Health Medical Group Pediatrics. “In older infants and young children, a runny nose and decreased appetite may appear one to three days before a cough, often followed by significant congestion, fever or wheezing.”

Adults typically experience symptoms similar to other upper respiratory infections, including a runny nose, sore throat, cough, sneezing, wheezing, headache, fatigue, fever and loss of appetite. While most cases are mild, RSV can lead to complications that require hospitalization.

The CDC estimates RSV causes 58,000 to 80,000 hospitalizations and 100 to 300 deaths among children younger than 5 each year in the United States. Among adults 65 and older, RSV is linked to about 160,000 hospitalizations and 10,000 deaths annually.

Two RSV immunizations are available for infants under eight months entering their first RSV season and for medically complex children up to 24 months old. Health officials recommend vaccination during RSV season, which runs from October through March.

“Because symptoms can mimic COVID-19 and other respiratory illnesses, testing can be helpful to ensure the proper diagnosis,” Cates said. Supportive care may include nasal saline drops or mist followed by suctioning, using a cool-mist humidifier, and monitoring hydration. For infants, clinicians look for at least three wet diapers in 24 hours.

The most critical symptom to watch for is difficulty breathing, including abdominal breathing, retractions or grunting. Cates said urgent medical care is needed if these signs appear.

To relieve symptoms:

• Use over-the-counter fever reducers or pain relievers such as acetaminophen or ibuprofen. (Aspirin should not be given to children.)
• Encourage adequate fluid intake to prevent dehydration.
• Consult a healthcare provider before giving nonprescription cold medicines to children.

To help prevent RSV infection or spread:

• Cover coughs and sneezes with a tissue or sleeve.
• Wash hands frequently with soap and water for at least 20 seconds.
• Avoid close contact such as kissing, sharing utensils or shaking hands.
• Clean frequently touched surfaces, including doorknobs and mobile devices.

For more information or to find a Baptist Health provider, visit Baptist Health | Kentucky & Southern Indiana Healthcare.