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respiratory syncytial virus (RSV) is the most common cause of lower respiratory tract infection (LRTI) in children <1>
infected with RSV?
usually manifests as nasal congestion, runny nose, cough, fever, shortness of breath and wheezing .
Infants and young children usually manifests as LRTI, such as bronchioles, bronchospasm, pneumonia and acute respiratory failure; in severe cases, it can lead to apnea.
Higher children generally leads to upper respiratory tract symptoms, manifested as cough, nasal catalactia, nasal discharge and conjunctivitis; repeated RSV infection can lead to tracheobronchiolitis or other types of lower respiratory tract diseases (such as pneumonia, bronchitis, and asthma or chronic obstructive pulmonary disease attacks). How to treat
RSV infection?
RSV infection is a self-limiting disease, and most infections will end in 1-2 weeks. does not recommend the routine use of ribavirin, glucocorticoids, leukotriene receptor antagonists and antibacterial drugs in .
➤ Anti-heat : When the child has fever, he can use ibuprofen or acetaminophen to reduce fever;
➤ cough and wheezing : can use atomization treatment to relieve it;
➤ oxygen therapy : When the blood oxygen saturation continues to be lower than 90% to 92%, oxygen therapy can be performed; for severe children, non-invasive continuous positive pressure ventilation (CPAP) or mechanical ventilation can be selected;
➤ Nutritional support : If the child can eat normally, he can continue to feed orally; if there is shortness of breath, difficulty breathing, choking after eating, etc., nasogastric tube nutritional intake can be given, and intravenous nutrition can be given. How to prevent RSV infection by
?
1. Breastfeed until at least 6 months old, because the IgA in breast milk has a protective effect on the child and can reduce the occurrence of respiratory diseases;
2. Do a good job of hand hygiene and master the seven-step hand washing method;
3. Pay attention to coughing, cover it with a tissue or elbows when sneezing;
4. Do not kiss children, the virus will be transmitted through droplets and contact;
5. Avoid exposure of tobacco and other smoke, and family members should not smoke;
6. Try not to go to crowded places at high risk during the RSV epidemic season.
References:
[1]https://cams.du2022.top/contents/zh-Hans/respiratory-syncytial-virus-infection-prevention-in-infants-and-children?
[2] Zhu Futang Practical Pediatrics 8th edition [M]. Beijing: People's Health Press, 2015.03.
[3]https://cams.du2022.top/contents/zh-Hans/respiratory-syncytial-virus-infection-clinical-features-and-diagnosis?
[4] Expert consensus on diagnosis, treatment and prevention of respiratory syncytial virus infection in children [J]. Chinese Journal of Practical Pediatric Clinical, 2020(04):241-242-243-244-245-246-247-248-249-250.
