How to Treat RSV at Home for Children and Adults

The super contagious virus known as RSV (respiratory syncytial virus) usually begins to spread in fall and reaches peak levels in the winter. Nearly everyone gets it by the time they reach their second birthday and many people are infected more than once — maybe even several times — throughout their lifetime.

Studies have shown that children have a 10 to 20 percent chance of getting sick with RSV each year, with the rates in adults slightly lower. It’s even possible to get RSV multiple times within one season (though symptoms tend to be milder after the first bout), according to Mayo Clinic.

While RSV can cause severe and even deadly complications, particularly in high-risk groups (babies, older adults, and individuals who have chronic medical conditions or are immunocompromised), the virus is not typically a serious threat to most other people.

In low-risk groups RSV usually causes nothing more than cold-like symptoms — runny or stuffy nose, coughing, headache, low-grade fever, a sore throat — that go away on their own in a week or two. Babies with RSV may lose their appetite because they are so congested.

How to Treat RSV at Home

If you or your child are not at high risk from RSV, you can usually ride out a mild infection at home with so-called supportive care — over-the-counter medications and home remedies aimed at managing symptoms.

“The type of supportive care that’s recommended can depend on individual symptoms,” says David Banach, MD, MPH, associate professor of medicine and head of infection prevention at UConn Health in Farmington, Connecticut. For example, there are over-the-counter drugs that can help with nasal congestion, alleviate coughing, or reduce pain or fever, he explains.

In most cases, there are three main things that can help someone with RSV feel better, says Sharon Nachman, MD, chief of the division of pediatric infectious diseases and professor of pediatrics at Stony Brook University’s Renaissance School of Medicine in Stony Brook, New York. They are:

• Lots of fluids (it’s especially important to prevent dehydration)
• Rest
• Tylenol (acetaminophen) to reduce fever and pain

What about antibiotics? “Antibiotics aren’t prescribed for RSV because it’s a viral illness, not a bacterial infection,” says Dr. Nachman.

In general, recommendations about RSV home treatments are the same for adults and older children, says Nachman. One important warning is that children under age 19 should never be given aspirin because of the risk of a life-threatening metabolic condition called Reye’s syndrome, according to Stanford Medicine.

Although children’s acetaminophen or ibuprofen is safe (follow the directions on the label), the U.S. Food and Drug Administration (FDA) does not recommend over-the-counter medicines to treat cough and cold symptoms in kids under age 2 because of potentially serious side effects.

If you aren’t sure about which over-the-counter medications are safe for children, check with their healthcare provider.

Natural Remedies for RSV

There are a number of nonmedication at-home remedies that can help a person with mild RSV feel better, says Nachman. These include:

• Honey Nachman typically recommends honey to soothe a sore throat or help with a cough. “Adults can put it in tea, and children, provided they are over age 1, can have a scoop in their juice. However, don’t give honey to an infant or baby less than 12 months old,” she says. A bacteria called Clostridium botulinum can be present in honey and cause infant botulism in babies under 1 year old, according to KidsHealth.
• Vaporizers and Humidifiers “I recommend these because they do get a lot of water into the air. For kids and adults who are ‘breathing water off’ because they are breathing fast, that will help their secretions be a bit wetter,” says Nachman.
• Baths or Showers The steamy air produced by baths and showers can help clear congestion, says Nachman.
• Saline Nose Drops or Sprays These can help keep nasal passages moist and help with stuffiness, according to the FDA.
• Nasal Suctioning With a Bulb Syringe Used with or without saline nose drops, these devices can help relieve stuffiness and are good for babies.
• Deep Breathing “For adults or children who are old enough, they can take deep breaths and blow them out. That makes them cough and get rid of the thick, sticky secretions in their lungs,” says Nachman.

Nachman doesn’t recommend nebulizer treatments for RSV. “They don’t seem to make you get better faster and they can be difficult to use,” she says.

When a Baby or Adult With RSV Needs to Go to the Hospital

Anyone with RSV who has difficulty breathing or a high fever, or develops a blue tone to their skin (especially the lips and the nail beds), will require immediate medical attention, according to Mayo Clinic.

“Watch how your baby breathes,” says Nachman. “If they are having trouble, they may need to be tested and go on oxygen.” This is true for older children and adults as well: If they are working hard to breathe, they may need supplemental oxygen, says Nachman.

It’s estimated that over 100,000 and possibly more than 200,000 people (mostly babies and older adults) are hospitalized in the U. S. each year because of RSV, per the Centers for Disease Control and Prevention (CDC), often for severe infections such as pneumonia (infection of the lungs) or bronchiolitis (inflammation of the small airways in the lungs).

As many as 10,000 adults 65 and over and 300 children younger than 5 die from RSV each year, the CDC estimates.

Adults and babies hospitalized with RSV may receive:

• Intravenous (IV) fluids
• Humidified oxygen
• Mechanical ventilation (from a so-called breathing machine)

For immunocompromised patients, doctors might opt to use the antiviral medication ribavirin or intravenous immunoglobulin (IVIG).

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Respiratory syncytial virus (RSV) – Diagnosis & treatment

Diagnosis

Your doctor may suspect respiratory syncytial virus based on the findings of a physical exam and the time of year the symptoms occur. During the exam, the doctor will listen to the lungs with a stethoscope to check for wheezing or other abnormal sounds.

Laboratory and imaging tests aren’t usually needed. However, they can help diagnose respiratory syncytial virus (RSV) complications or rule out other conditions that may cause similar symptoms. Tests may include:

• Blood tests to check white cell counts or to look for viruses, bacteria and other germs
• Chest X-rays to check for lung inflammation
• Swab of secretions from inside the mouth or nose to check for signs of the virus
• Pulse oximetry, a painless skin monitor, to detect lower than normal levels of oxygen in the blood

More Information

Treatment

Treatment for respiratory syncytial virus generally involves self-care measures to make your child more comfortable (supportive care). But hospital care may be needed if severe symptoms occur.

Supportive care

Your doctor may recommend an over-the-counter medication such as acetaminophen (Tylenol, others) to reduce fever. (Never give aspirin to a child.) Use of nasal saline drops and suctioning may help clear a stuffy nose. Your doctor may prescribe antibiotics if there’s a bacterial complication, such as bacterial pneumonia.

Keep your child as comfortable as possible. Offer plenty of fluids and watch for signs of loss of body fluids (dehydration), such as dry mouth, little to no urine output, sunken eyes, and extreme fussiness or sleepiness.

Hospital care

If the RSV infection is severe, a hospital stay may be necessary. Treatments at the hospital may include:

• Intravenous (IV) fluids
• Humidified oxygen
• A breathing machine (mechanical ventilation), in rare cases

An inhaler (bronchodilator) or steroids are not proved to be helpful in treating RSV infection.

Self care

You may not be able to shorten the length of a respiratory syncytial virus infection, but you can try to relieve some signs and symptoms.

If your child has RSV, do your best to comfort or distract him or her — cuddle, read a book or play a quiet game. Other tips for relieving symptoms are:

• Create moist air to breathe. Keep the room warm but not overheated. If the air is dry, a cool-mist humidifier or vaporizer can moisten the air and help ease congestion and coughing. Be sure to keep the humidifier clean to prevent the growth of bacteria and molds.
• Drink fluids. Continue breastfeeding or bottle-feeding your infant as you would normally. For older children and adults, keep a steady supply of cool water at the bedside. Offer warm fluids, such as soup, which may help loosen thickened secretions. Ice pops may be soothing as well.
• Try saline nasal drops. Over-the-counter (OTC) drops are a safe, effective way to ease congestion, even for young children. Follow your doctor’s recommendations and the instructions on the product.
• Use over-the-counter pain relievers. over-the-counter (OTC) pain relievers such as acetaminophen (Tylenol, others) may help reduce fever and relieve a sore throat. Ask a doctor for the correct dose for your child’s age.
• Stay away from cigarette smoke. Secondhand smoke can aggravate symptoms.

Preparing for your appointment

Unless severe symptoms result in an emergency room (ER) visit, you’re likely to start by seeing your family doctor or your child’s doctor. Here’s some information to help you get ready for your appointment, and know what to expect from your doctor.

What you can do

Before your appointment, you may want to make a list of:

• Any symptoms you noticed and when they started, even if they seem unrelated to an upper respiratory infection.
• Key medical information, such as if your child was born prematurely or if he or she has a heart or lung problem.
• Details about child care, considering other locations where your family may have been exposed to respiratory infections.
• Questions to ask your doctor. List your questions from most important to least important in case time runs out.

Questions to ask your doctor may include:

• What is likely causing these symptoms? Are there other possible causes?
• What tests might be needed?
• How long do symptoms usually last?
• What is the best treatment?
• Is medication needed? If you’re prescribing a brand-name medication, is there a generic alternative?
• What can I do to make my child feel better?
• Are there any brochures or other printed material that I can take home? What websites do you recommend?
• To what extent should I isolate my child while infected?

Don’t hesitate to ask any additional questions you may think of during your appointment.

What to expect from your doctor

Your doctor is likely to ask you a number of questions, such as:

• When did you first notice symptoms?
• Do the symptoms come and go or are they continuous?
• How severe are the symptoms?
• What, if anything, seems to improve symptoms?
• What, if anything, appears to worsen symptoms?
• Is anyone else in the family ill? What symptoms does he or she have?

Your doctor will ask additional questions based on your responses, symptoms and needs. Preparing and anticipating questions will help you make the most of your time with the doctor.

Respiratory diseases, treatment: respiratory syncytial virus

Respiratory diseases, treatment: respiratory syncytial virus

Hotline number
8 (800) 707 71 81

About the disease
About treatment

Respiratory syncytial virus infection (RS-infection)

Frequent lower respiratory infections in children and adults may be the result of infection with the syncytial virus. Syncytial virus (RSV), for which there is no vaccine, commonly affects newborns and young children, causing respiratory failure. Peak incidence occurs in winter and early spring. Without timely treatment, the disease caused by the syncytial virus can develop into chronic bronchitis and bronchial asthma.

Facts to know

• The source of infection is a sick person and a virus carrier
• Mechanism of infection – aerogenic
• Transmission route – airborne
• 1-2 days before the onset of the first symptoms, the patient becomes contagious and remains so for 3-8 days
• At a heating temperature of 55-60°C, the virus disappears within 5 minutes, when boiled instantly

• Immunity after MS infection is weak, not more than 1 year
• Freezing (minus 70°) virus active, but not re-freezing
• Before the age of 3, almost all children have already had a respiratory syncytial infection
• Average duration of illness 14 to 21 days
• 5-6 hours it can be present in viable condition on clothing, toys and other items

Symptoms of RS virus infection

• Headache
• Lethargy
• Mild intoxication
• Rhinitis
• Dry paroxysmal cough
• In some cases, short-lived fever

Cure

About the treatment of respiratory syncytial virus

Treatment of respiratory diseases consists in bed rest, eating food rich in vitamins, prescribing etiotropic and antibacterial therapy for severe and prolonged forms of bronchiolitis.

Prophylaxis

Non-specific prophylaxis is the timely isolation of the patient until his full recovery. During outbreaks of infection, special attention should be paid to sanitary and hygienic measures in children’s institutions, work groups and at home.

galavit in MS infection

Immunoprophylaxis plays an important role in preventing such diseases. An immunomodulator with anti-inflammatory properties Galavit is recommended for children and adults suffering from frequent respiratory diseases, especially during seasons of increased morbidity. Clinical trials have shown that taking the drug Galavit allows not only to avoid the occurrence of infection, but also to promote a speedy recovery.

Galavit restores the protective properties of the body at any stage of the disease, enhances the effect of antiviral drugs and at the same time has an anti-inflammatory effect. Galavit is a reliable means of preventing respiratory diseases.

How to use Galavit

For prevention:

in the interrelapse period to maintain clinical remission

– 100 mg / day

For treatment:

First 5 days

5 doses of 1 00 mg/day daily

Next 10 days

5 doses of 100 mg/day every other day

Next 15 days

5 doses of 100 mg/day every 2 days

Get a free

consultation with a specialist

on the use of Galavit for prevention

Benefits of using

Galavita in treatment

Reliable and proven

IN CLINICAL PRACTICE SINCE 1997

compatible with any type of therapy

Can be prescribed without immunogram

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An expert explained how dangerous the RSV virus is and how to protect yourself from it

Fresh issue

WG-Nedelya

Motherland

Thematic applications

Union

Fresh issue

20. 09.2021 / 03:00

text:

Irina Nevinnaya

Anton Novoderezhkin/TASS

AI in four countries at once – USA, Switzerland, Japan and Great Britain – respiratory syncytial virus (RSV). The virus affects children of different ages, including the first months of life (rarely adults), and in some cases the disease is severe and requires intensive care.

How dangerous this virus is, whether the threat of it getting into Russia is great, and how to protect yourself from this infection, Mikhail Kagan, Honored Doctor of Russia, leading scientific editor of the distance learning service for medical workers Vrachu.ru, told Rossiyskaya Gazeta.

– Since the outbreak of the novel coronavirus infection, community activities have been restricted around the world. Infection control measures were introduced and then strengthened, including handwashing, masks and social distancing. These measures have significantly reduced the prevalence of acute respiratory viral infections other than COVID-19such as influenza, respiratory syncytial virus (RSV), and others.

Prior to the era of covid, RSV was a ubiquitous pathogen, causing epidemics of acute respiratory infections around the world. This infection is characterized by seasonality, which depends on the geographical area. In regions with a temperate climate, the disease is mainly observed in the cold season. The main routes of transmission of RSV infection are airborne and contact. This virus is highly contagious and often causes widespread outbreaks in neonatal units, in children’s groups. There are also outbreaks of this infection among hospitalized adults and in nursing homes.

In developed countries, RSV is diagnosed in 18-33% of hospitalized children with lower respiratory tract infections. Most often, this infection in children and adults is manifested by symptoms of diseases of the upper respiratory tract in the form of rhinitis, pharyngitis, laryngitis. A more severe course is typical for infants. In young children requiring hospitalization, the infection presents with acute bronchiolitis and pneumonia. Sometimes it can take a life-threatening course in premature babies, in children with congenital bronchopulmonary dysplasia, in children with severe congenital heart defects. With a severe course of this infection, additional oxygen support and, in some cases, artificial ventilation of the lungs are required.

It is clear that the COVID-19 pandemic has disrupted the seasonality characteristic of RSV. Put in difficult conditions for the need to survive, the virus is able to adapt and re-assert itself, taking advantage of the decrease in the number of people who are immune to it during the lull.

An outbreak of RSV, now occurring in a number of countries, could also occur in Russia, adding to the already high burden on the healthcare system and causing serious additional problems against the backdrop of the ongoing pandemic.

Efforts to develop a safe and effective vaccine against this infection have not been successful. Therefore, to prevent infection, it is very important to observe hygiene rules.